Don’t Let Achilles Pain Let You Down At Your Next Race!
In this article I will outline 3 simple steps that will allow you to stop achilles pain in it’s tracks before it even begins. These tips are based on years of experience working with runners who suffer from this condition. My goal is to arm you with the tools to prevent achilles pain in order for you to add those summer miles and hit your PR’s!
For my auditory and/ or visual learners, click the video below to view the Facebook livestream I did on this topic during our weekly Monday Night SPARK Live!
The achilles tendon is the soft tissue structure that connects the calf muscles (gastrocnemius and soleus) to the heel bone. It is one of the largest and thickest tendons you have in your body but is the most commonly torn tendon. This is a common running related injury characterized by pain and stiffness in the back of your heel bone area especially first thing in the morning and during the beginning of a run. Typically, the pain may loosen up after a mile or two but then pain will return as you increase your mileage.
3 Most Common Reasons To Get Achilles Tendon Pain:
1. Limited Ankle Mobility:
Limited ankle flexion mobility (dorsiflexion) is a common clinical pattern I see with many runners who suffer from this condition. As a runner you may feel pinching pain in the front of their ankle (especially with hill work or going down stairs) or stretching in the back of the achilles or calf muscle. You can see if you are limited in this motion by placing your foot a couple of inches from a wall and lunging forward until your knee hits the wall. Keep moving your foot slighty back until your knee can barely hit the wall. That is how much ankle mobility you have. Compare it to the other side and see if you are equal. If you have asymmetrical tightness then that could be a contributing factor to your achilles pain. There are some simple manual therapy techniques we do as clinicians that can improve this mobility and decrease the stress to the achilles tendon. There are also some great self mobilization and stretching exercises you can do to to continue to improve this motion. Here is a collection of calf stretching exercises that will help improve the soft tissue mobility of the calf and achilles complex.
2. Limited Calf Muscle Strength:
Most people associate achilles tendonitis with tight calves when in fact it is the strength and endurance of the calf muscle that has been shown to be more of a risk factor for having this condition. It is also the important factor in preventing achilles tendon pain. As a runner, you should be able to perform 25 calf raises slow and controlled maintaining your knee fully straight on each leg. If you are not able to do this then you need to strengthen your calf muscle for endurance to tolerate the demands of running. In this video, I demonstrate how to perform the calf raise exercise with the knee straight as well as with the knee bent in order to build the resilience in your calf muscles.
For more info on how to prevent injuries with soft tissue care, I direct you to a previous article I wrote on this topic:
For my special recipe on how I like to foam roll the calf muscle check out the video below and while you are there subscribe to my YouTube channel so you don’t miss the next exercise that may help you 😉
3. Training errors:
Building up your mileage too soon or adding in weekly mileage at the same time as you are adding in speed work into your training can be a recipe for disaster. Your body and your tissues, specifically the soft tissues like the achilles take time to adapt to the stresses of running. Build up your mileage by not increasing more than 10% from the previous week. Also take into consideration your running shoes and consider if they should be replaced. The typical recommendation is to replace your running sneakers between 350-450 miles depending on your size.
In this article I provided an overview of the 3 most common reasons runners suffer from achilles tendonitis and the exercises you can do to combat this condition. We covered how limited ankle mobility will create more stress on the achilles tendon and the exercises you can do to improve this. We also talked about the importance of having strength and endurance in the calf muscle to build the resilience of this structure to tolerate the demands of running. We also talked about how training errors or poor running sneakers may contribute to this problem. Remember, achilles tendon pain should not be ignored because a chronic long term injury could eventually lead to a tear. Keep active and keep moving friends!
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Are you a runner that is trying to stay healthy but can’t train because pain is stopping you from meeting your goals?
Are you worried that an injury will limit you from doing what you love like working out and training?
Have you wondered what it will cost you in the long run if you continue to train through pain?
Have you seen other medical providers in the past that just tell you to stop your activity?
We have a unique treatment approach that focuses on solving these problems with our clients. We combine manual hands-on techniques with guided supervised exercises to help you get stronger, pain-free and perform at your peak level to get you back on the road doing what you love. Our goal is to help keep you active and on the road, while recovering from injury by guiding you in ways to modify your training, rather than eliminating running!
The SPARK Physical Therapy Commitment
No long waits or multiple trips to providers’ offices every week. We see you either onsite at a partnering gym or in the comfort of your home when it is convenient with your schedule.
One on one for a full hour with your doctor of physical therapy, every visit. We provide you with a customized plan specifically designed for you, based off your unique injury and goals.
Full transparency in what you pay. You will never get a bill from us a couple of months after your visit.
Access and availability to you! Have a question about your pain or exercise program? Get an answer from your therapist directly.
If you’re in the Wallingford, CT area and are a runner that has been dealing with injuries we can help. We’d love to chat for a few minutes and see if you are a good fit for what we do. Fill in the contact request and we’ll set up a free 10-minute phone consultation with a doctor of physical therapy
Thank you for taking the time to read,
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In one word, TRUST. You can trust Duane Scotti to provide you with exceptional healthcare. My daughter is a competitive gymnast and has seen Duane every other week (pretty much) for 6 months. He has treated her for reoccurring heel pain and overall leg flexibility (and other aches and pains here and there). He has kept her in top condition despite the daily abuse her body takes from this relentless sport. He is excellent at listening to the athlete’s concerns, treating the problem, teaching the athlete how to maintain her health, and communicating with the parent. I highly recommend Duane, he is beyond exceptional.
Knowing that Duane fully understands the dance world and what it takes to be a dancer makes physical therapy with him one of a kind. He is able to personalize my rehabilitation and have me ready for whatever competition, performance or training I had coming up. Our sessions were always filled with laughter and I always felt like I was able to understand each step of the healing process. I felt stronger and more prepared to continue my rigorous dance training after my treatment with Duane! I would highly recommend Spark Physical Therapy to any performer and I’m grateful that I’ve had the experience to learn and work with them!!
SPARK Physical Therapy was instrumental in my recovery of from achilles tendinitis. I visited a podiatrist who said I would need surgery to shave down a bone spur and Haglund’s Deformity. The recovery would be at least 8 weeks and at the time I was 24 weeks from running the NYC Marathon. Duane evaluated me and said I needed to work on my calf muscle and flexibility. We started treatment with dry needling and specific exercises that I could do on my own. The pain subsided and even after some long runs everything was starting to feel better. I will tell you that I ran and finished the NYC Marathon without pain or issues from my achilles. Had I not met Duane about a week after my podiatrist appointment I would have needed to defer my marathon and probably would still be recovering from the surgery. I was able to run through my injury safely and achieve my goal. The refreshing thing about SPARK Physical Therapy is they do not push for ton of session. I met my running goals in 10 sessions spread out over 3-4 months. Big Thank you to Duane and I highly recommend seeing him for any running injury you may have!
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