Achilles Paratendinopathy is a common cause of Achilles, lower Calf and heel pain and is commonly referred to as Achilles Tendonitis. Achilles Paratendinopathy is characterised by inflammation of the Achilles Paratendon, which is the sheath that surrounds the Achilles Tendon (situated above the heel to form the lower part of the calf muscles). Direct trauma is often implicated in this condition. The other major cause of inflammation of the Achilles Paratendon is training error.
In the case of a severe episode of Achilles Paratendinopathy, there is pain in the tendon which is made worse by activity. Often, the tendon feels very stiff first thing in the morning. The appearance of the Achilles tendon region becomes swollen compared to the unaffected side, and will also be tender.
In the initial stage (first 48 hours) the PRICE protocol should be followed -protection, rest, ice, compression and elevation (never apply ice directly to the skin). The most important thing is to rest the affected Achilles Paratendon from sporting activity. An Achilles Strap can relieve the symptoms of Achilles Tendonitis and Shock Absorbing Insoles can reduce stress on the Achilles Tendon
Common Achilles Paratendinopathy signs & symptoms: