Leading running phyio, Tom Goom, shares expert advice on achilles injuries: strengthening exercises, pain management, and running techniques. Topics include load management, calf strength, and gradual progression in training. Also, understanding symptoms and treatment approaches, choosing the right running shoe, and self-massage techniques for pain relief.
Proper load management and gradual progression are key to preventing Achilles injuries.
Strengthening exercises for the calf, glutes, or quads help prevent Achilles injuries.
Deep dives
Understanding Achilles Tendon Function
The Achilles tendon is one of the largest and strongest tendons in the body, responsible for supporting the foot during running. It can adapt to increased load with gradual training, but pain often occurs when there is too much stress on the tendon, typically due to excessive mileage, intensity, or hill running. Tendons take time to recover, so back-to-back run days should be approached cautiously. Proper load management and gradual progression are key to preventing Achilles injuries.
Factors Influencing Achilles Injury
Various factors can contribute to Achilles tendon injuries. These include increased distance or speed, deep positions during the running cycle, foot strike pattern, and overstriding. Transitioning to a new running style, such as a forefoot strike, can increase stress on the tendon. Additionally, weakness in the calf, glutes, or quads can also contribute to Achilles problems. Strengthening exercises for these muscles, such as calf raises, squats, and single-leg deadlifts, are beneficial for preventing Achilles injuries.
Different Types of Achilles Injuries
Most Achilles injuries in runners are mid-portion tendinopathies, characterized by early morning stiffness, pain when squeezing the tendon, and occasional swelling. Another type is insertional Achilles tendinopathy, located where the tendon attaches to the heel bone. This condition dislikes being stretched, so activities like hill running and minimalist footwear may exacerbate the pain. The inflamed sheath surrounding the tendon can also cause crackling sensations. Proper diagnosis and individualized treatment are important to manage and address specific Achilles injuries.
Managing Achilles Injuries and Recovery
Managing Achilles injuries involves finding a manageable level of activity that the tendon can cope with. Gradually increasing distance, avoiding activities that aggravate the tendon, and strengthening interventions for the calf and other important leg muscles are key strategies. Taping or bracing may provide short-term relief during important events, but it is not a long-term solution. Instead, focusing on load management, strength training, and gradually returning to running helps build a strong and healthy Achilles tendon. Consulting with a healthcare professional is crucial to develop an effective and personalized treatment plan.
On this episode, leading running phyio Tom Goom (running-physio.com) tells you all you need to know about your achilles: how to strengthen it, what to do if it's causing you pain, and the kind of running likely to aggravate it. Think of this episode as your one-stop shop for expert achilles advice.