Insertional Achilles tendinopathy is tendon damage in the area
where the tendon attaches to the heel bone. It tends to develop when the tendon
is rubbing on a bone spur or other type of bone growth.
Symptoms of insertional tendinopathy include tenderness on the
lower back of the heel and a reduced ability to overflex the foot. Pain tends
to be worse after exercise. Over time it can become constant.
Hill running, interval training, sudden increases in running
mileage, and landing solidly on the heels when running are closely linked to
insertional Achilles tendinopathy. Running on hard surfaces can make the pain
Treatment for insertional tendinopathy includes reducing or
stopping the activity that is causing it, ice massage, pain medicine with
acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID), and light
stretching. Any running is best practiced on a soft yet firm, flat
Anne C. Poinier, MD - Internal Medicine & David Bardana, MD, FRCSC - Orthopedic Surgery, Sports Medicine
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