I have been running 5K-10K road races competitively for over 15 years, and
have been able to successfully treat reoccuring achilles tendonitis, usually
in both legs, on those occasions when I overtrain. Reduction in miles,
hills, speedwork, ice and ibuprofen usually does the trick.
Until now. The tendonitis in my left leg never completely went away, and
now I have an enlargement at the back of my heel, which one podiatrist has
diagnosed as Haglunds deformity. This latest bout of tendonitis trouble
started 18 months ago, and I have raced very little since, not at all since
September. It has been very frustrating to deal with because my achilles
gets stiff and sore with minimal exertion or motion, like shooting baskets
in the backyard or even a long walk.
I suspect that orthotics or different running shoes would be of some benefit
but neither my GP or podiatrist has looked at my mechanics at all. What do
you think? Ice and rest is not working.
A good place to begin is by evaluating your biomechanics. Often, recurrent
tendonitis problems relate to biomechanics. I am often surprised by the
problems biomechanical faults produce. Achilles tendonitis is one example.
A good starting point would be a video gait analysis and a biomechanical
assessment of your foot mechanics. In the meantime, try a half inch heel lift
inside your shoe to decrease the tension on the tendon. Keep up the ice and
NSAID's for now, and let know how you progress. If you tell me where you are
located, I might be able to help you find a good therapist.