$Unique_ID{BRK00920}
$Pretitle{Musculoskeletal System and Connective Tissue}
$Title{Achilles Tendon Pain After Jogging}
$Subject{tendonitis bursitis Achilles}
$Volume{M-18}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


Achilles Tendon Pain After Jogging


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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?

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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 peritendonitis.  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
diagnosis 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.
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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.
