home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK00920}
- $Pretitle{}
- $Title{Achilles Tendon Pain After Jogging}
- $Subject{tendonitis bursitis Achilles Musculoskeletal System Connective Tissue
- tissues bursa inflamed bursitis pump bump peritenonitis peritenontitis
- ultrasound heat Achilles Tendon Tendons tenosynovitis}
- $Volume{M-18}
- $Log{
- Muscles and Tendons of the Knee*0006201.scf
- Achilles Tendinitis*0006203.scf
- Anatomy of the Ankle*0006602.scf
- Bursae of the Knee*0016401.scf
- Anatomy of the Ankle and Knee*0016901.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Achilles Tendon Pain After Jogging
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: My usual exercise activity consists of both jogging and an
- occasional short distance run, but I have had to stop my regular schedule
- because of a pain in the back of my ankle, near the heel of my left foot.
- Another member of my club thought it might have to do with the Achilles
- tendon, and suggested hot soaks, but the pain returns after even the shortest
- workout. Do you have any suggestions as to cause and cure?
-
- ------------------------------------------------------------------------------
-
- ANSWER: The area of the heel where the large Achilles tendon attaches to the
- bone of the heel is often the site of pain in individuals who are devoted to
- running. There are three important structures all located in the same area
- that must be evaluated for a correct diagnosis. Right beneath the skin and
- lying over the tendon we find a bursa (a sac like structure filled with liquid
- that is usually found in the body where friction might cause trouble) that may
- become inflamed. The condition, actually a bursitis, is sometimes referred to
- as a "pump bump" and is caused by some mechanical problem, such as irritation
- from a poorly fitted shoe. There is another bursa located more deeply beneath
- the tendon which might also be affected, in which case your area of pain would
- be noticed in front of the bulge of the Achilles tendon. Of course the
- tissues of the Achilles tendon, the largest and strongest tendon in the body,
- may also become inflamed, in a condition known as peritenonitis. This is a
- frequent finding in individuals who engage in prolonged running, especially on
- hard surfaces, or those who must work on inclined areas, or climb many steps.
- Here the tenderness is usually located in a small area directly on the tendon,
- and can easily be felt. No matter which of these diagnoses is the correct one
- (and only your own physician's examination can provide that), there are a
- number of things you can do. To start you will have to change your pattern of
- activity. For now, give your ankle a rest. Nonsteroidal anti-inflammatory
- medications are helpful, and ultrasound or heat is a good idea. Check your
- running shoes for fit and flexibility. You may need a new pair. When you
- begin running again, start slowly with short periods of exercise, and avoid
- hard surfaces and hills.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-