Is your Achilles heel your Achilles heel?

January 31, 2019/ Denise Callaghan / News

With the onset of spring, the days get longer and brighter and the runner’s thoughts inevitably turn to the race season. When planning a training schedule, it’s also a very good idea to think about how you can avoid injury, especially in the Achilles tendon. This unpleasant and often painful complaint afflicts up to two thirds of athletes, especially those in middle age.

The Achilles explained

The Achilles tendon (or heel cord) runs down the back of the calf, connecting it with the heel bone. Comprising bundles of fibres (collagen), it’s attached to, and worked by, two large calf muscles. Who knew that it’s also the human body’s thickest tendon? When it pulls on the heel the Achilles causes us to raise up on tiptoe and it also pushes us forwards when walking or running.

Problems, problems, problems…

Unfortunately, as we age the tendon becomes less flexible or able to withstand the repeated stress of running. Eventually, small tears develop in the fibres and, while the body’s own repair system often sorts these out, weak blood supply to the lower part of the tendon and the continued stresses of training can delay healing. The tendon can become stiff, painful, hot, swollen and/or weak – a condition called tendonosis (or tendonitis), while inflammation of the tendon lining (tenosynovium) specifically is known as tenosynovitis. Sometimes the tendon becomes so weakened that it tears completely, causing a sudden severe pain in your heel or calf, followed by pain, swelling, bruising, and difficulty in walking.

Apart from wear and tear, Achilles tendonosis can be caused or exacerbated by:

Overuse – such too much repetitive uphill running and/or repeated sharp movements such as jumping or throwing
Poor ankle/foot biomechanics – for example, the arches of your feet are too high or low
Weakness/tightness of the calf muscles
Wearing very flat shoes such as flip flips – these provide little support and do not stretch out the Achilles tendon regularly or sufficiently

Tips for managing Achilles tendon injuries

If you suspect a complete tear, you must seek medical help immediately. However, most Achilles tendon injuries respond well to the following treatments:

Applying an ice pack to the affected area for 10-15 minutes to ease pain and swelling
If you know they agree with you, taking painkillers such as paracetamol or anti-inflammatory medicines
Resting completely, or at least reducing your training (especially repetitive types of exercise) until symptoms subside, and not over-exercising tired muscles
Warming up and cooling down properly, remembering to stretch out the Achilles tendon
Swapping road running for grass or another softer running surface, and use well-padded running shoes
Avoiding flat shoes – shoes with a small heel are best for everyday use

What can I do to help with your Achilles pain?

Depending on the diagnosis (and your age and fitness) I can use a variety of electrotherapy, gentle massage and manipulative techniques or acupuncture to reduce pain and inflammation
I may also examine muscles and joints in the lower limb, the knee, hip and lower back to check for muscle tightness and joint restrictions. Improving mobility in these joints can help the foot and ankle function better
I may offer advice on footwear and lifestyle factors that might be preventing healing
I may refer you for X-rays, scans or other tests may be required to make a diagnosis

So, please get in touch if you have any calf, heel or ankle pain and I’ll take a look, discuss treatment options with you and help you via osteopathy or acupuncture.

Testimonials

“I highly recommend Denise and her amazing techniques in Acupuncture.

I was finding it hard to locate my ovulation throughout 2018, so after reading reviews on Denise’s web page I had brought a course of Acupuncture to try and level set my cycles and ovulation in hope of trying for a baby in the new year. Denise told me to not even think of babies for at least 3 months whilst we work on cycle regularisation. I went back and told my husband this and our plan.

I started my first treatment on the first day of my cycle, returning weekly for further sessions.... I was pregnant before I even reached my next cycle.

I continued Acupuncture throughout my pregnancy for anxiety and to ensure healthy blood flow around the foetus. We now have a beautiful healthy baby girl & I genuinely believe this is all down to Denise, her treatments which helped me along a path that meant so much to me and my husband. Thank you so much Denise.”

CARLY

“I initially went to see Denise as she is a Zita West affiliated acupuncturist and therefore has specific knowledge of how to boost fertility. I had seen other acupuncturists during the years I was trying to get pregnant but noticed straight away that Denise was different. She carefully tailored each treatment in relation to where I was in my monthly cycle and to how I was feeling on each visit. We underwent IVF treatment and saw Denise regularly throughout this, happily the treatment worked on our first attempt. Denise continued to treat me during the entirety of my pregnancy. I experienced back pain which was completely eliminated with her help and I generally felt well during the time I was pregnant with our twins.

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Clare Christie

“Denise treated me for 3 months before I fell pregnant and then leading up to giving birth.

My fertility history had a been a sad one with one failed miscarriage after another including an ectopic pregnancy and 2 rounds of failed IVF. I went to Denise, knowing she was Zita West affiliated, with the hope of one, preparing my body to fall pregnant again and secondly to help maintain my pregnancy.

After weekly, sometimes twice weekly acupuncture sessions for about 3 months I fell pregnant for the 5th time. The first trimester was a tense time but I firmly believe I wouldn’t be here now with my baby boy if I hadn’t had Denise’s help and support with the acupuncture.

I am now visiting the clinic again for cranial therapy for my son as he was a ventouse delivery. This has helped immensely, he is now a very very happy little boy and I’m a very happy mum!

Many thanks to Denise, you have helped make our world complete!”

Hartly

“I can’t recommend Denise’s practice enough. From getting pregnant when I thought there was no hope…to helping me through the pregnancy and now helping me to cope as a new mother, Denise has been a friend and a trustworthy practitioner.”

Stacey Jacob Harwood

“I had researched accupuncture via the Zita West website and was looking to find an affiliated clinic in the Bromley area to support my egg donation treatment cycle. This was my second attempt and wanted to utilise as many positive methods to support my treatment. I spent many sessions with Denise prior to, during and following my egg donation treatment and she was always informative and supportive. I had not used accupuncture the first time but believe that this made a positive influence second time around as my treatment was successful and I became pregnant. Denise also supported me through the pregnancy with accupuncture sessions and these helped me to relax, focus and deal with any ailments associated with the pregnancy. I gave birth to a lovely boy in March 2012.”

Jemma Smith

“I was recommended by a friend who had seen Denise previously….I was unsure of what to expect but now there is no doubt that my baby is now a different child- so calm and happy. Isla‘s baby was suffering from digestive difficulties.”

Natalie Trent

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Michael Thrussell

“I had really bad back problems and arthritis. Since having treatment I am much better.”

Norma Glover

“I had foot problems following a bunion operation and my treatment has made my foot much less painful and increased my ability to dance and exercise again.”

Helen Badger

“I pulled my back at 34 weeks pregnant and was in agony. Acupuncture helped me really quickly to get back on my feet. I would recommend it [and Denise} to anyone.”

Kellie Davis

“Having had chronic back pain, the treatment I have received has been affective and not unpleasant. I would recommend Denise to anyone.”

Richard Grant

“I sustained a bad knee ligament injury whilst skiing. The acupuncture treatment reduced the swelling dramatically. Then future treatment exercise has hastened my recovery. I would not have been so mobile so quickly without my treatment with Denise.”

Kath Jones

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Jo Keyes

“Over the years I have had a number of occasions when I have needed treatment for example a bad back and following injuries such as an injured shoulder following a fall. Denise and acupuncture have never let me down.”

Ann Shepherd

“Prior to discovering acupuncture I had tried various forms of pain relief for osteoarthritis in the hands and feet. I was skeptical at first then felt the benefits and have returned on a regular basis for treatment. Again recently when I damaged the ligaments in my foot Denise has helped with the treatment, which has enabled me to get back to an active lifestyle.”

Lynn Sylvester

“I suffered a severe stroke in 2004 and after the hospital therapy had been exhausted I was unable to walk without the use of a stick as my balance was poor. I also had intermittent sharp pains through my left eye and a pins and needles sensation on my right side. The stroke specialist prescribed a drug to reduce the discomfort but unfortunately it had the effect of a very strong tranquilliser and I was unable to function at all. In 2006 it was suggested that I try acupuncture and I started a course of therapy with Denise Callaghan which improved the eye pain quickly and improved my balance to a stage where I rarely require a stick to walk. The treatment also reduced the intensity of the pins and needles which had been quite distressing, gradually ‘washing’ the sensation down my leg and then later down to my foot. When I had my first consultation with Denise there were no guarantees of success, but I only wish I had started acupuncture two years earlier. It worked for me!”

Mr B Samuels

“Working in the city as a trader is probably one of the most stressful jobs around. When a friend suggested acupuncture, I really thought nothing of it until the stress got so bad I realized it was worth a try. After just one session with Denise I felt an instant difference and as a result was able to carry on with my job and my stress levels dropped considerably. It is definitely worth trying.”

Daniel Hayes

“Following major dentistry I had a lot of pain from an irregular bite. Denise’s cranial osteopathy adjusted the bite and restored comfort. Was I grateful”

Lorna Winton

“I have been consulting Denise for many years. She knows how active I am and has kept me mobile, in spite of various knee and back problems, because of her wonderful needles. I have also recommended her to various other people who have also been delighted. I don’t know what I would do without her. Thank you for everything Denise.”

Madeleine Swift

“After a traumatic birth cranial osteopathy really changed Lucy’s temperament, from an irritable and unsettled baby into a very calm one.”

Sandra West

“I think I can say that I have been a patient of yours for a long time and I had dizziness and headaches, and Cranial osteopathy has helped me a lot in overcoming those problems. The same applies to my son Luca, who use to get a migraine that would last 4 or 5 days, the treatment helped him in not getting the migraines, or if he has them, they do not last long.”

Giovanna Elkouby

“The acupuncture for fertility most certainly worked.. I’m now coming in for cranial as Leah is suffering from sleeplessness and irritability. I have only been in for a couple of treatments so far but I have a lot of faith in Denise’s practice.”

Nicole Laya Yiakomi

“Thanks Denise- My knees are finally back to normal and I can return to playing football. I highly recommend Osteopathy if you are suffering from any sports injuries-both the Osteopathy and Acupuncture has really helped me out!”

Mark Bates

“I was always caught between Osteopathy and Physiotherapy as I didn?t know which was better- after receiving both, I have to say that it was the Osteopathy that got me back on track when I got whiplash after the car accident. Denise and her staff were so supportive and friendly I would definitely come back and send others here.”

Neil Marks

“After receiving a short course of treatment from Denise, my back pain began to get noticeably better and I was able to return to work and normal every day routines in no time! I would highly recommend this treatment to any one that suffers from a bad back, it really helped change my life.”

Jane Dunn

“I have been suffering from pain in my right forearm for longer than I can remember and just thought that it would be something I had to just put up with. I met Denise and booked in to try acupuncture, in 2 sessions Denise managed to cure me from my pain – I was worried about the pain of needles (I cannot stand them!) but it was painless and did the job, so if I’m ever in the situation where I have the pain again, I won’t be hanging around before calling Denise.”

Nathan Kelsey

“I trust you are well. I just wanted to drop you a short note to say that baby Finn was born at Kings College Hospital on 29th March, weighing 3.9kg. He is a great baby and I feel very blessed to have him. I can’t tell you how grateful I am for your help and support. I love being a mum and so glad I came to see you.”

CORNELIA STANFORD

“I deeply appreciate all the amazing work you do, Denise, especially the help you have given to Lisa, which enabled her to walk, again, without the aid of a walking stick. Thank-you so much!”

CECILE ABLE

“Touch wood I continue along this path but I wanted to get in touch to let you know how much your work is appreciated. A huge thank you for all you have done for me and I will certainly keep in touch and you will be my first call for any issues in the future.”

DANIELLE HYNAM

“After suffering with migraines for over twenty years and having all the conventional treatments with little success, I finally found Denise. In a relatively short space of time, with regular treatments I have noticed a vast improvement: with my migraines being less frequent and shorter lasting. It is a work in progress but not one I am willing to give up on.”

RAE VROOLJAK

“I have recently been seeing Denise for problems with my back and can honestly say that I am starting to feel much better. She has worked extensively on my back with her hands and an assortment of specialist equipment.

Denise was able to see my young daughter at short notice and quickly diagnosed ligament damage. My daughter is currently undergoing treatment and is improving rapidly.

I am very happy with all of the treatments so far and I would have no hesitation in recommending Denise to anyone who needs help.”

MICHAEL BIGGS

“I hate needles. But I hate pills more; so when I was introduced to Denise I thought I’d approach her as I was having more than minor pains in my wrist and elbows; mostly due to using a computer, iphone and ipad! Denise assured me that she could treat me without needles and she was right! After only one session I was cured and I haven’t had a problem since. Not only did Denise treat me, but she also advised me on how to prevent the pain coming back in the future.

Now I always tell my friends that when they think they need a pill, they actually need Denise. Everyone should have Denise Callaghan in their lives! A very happy and now loyal customer.”

STEPH LEE

“It is important for someone like myself, who relies a great deal on personal referrals that if I refer someone to an osteopath that I am confident that they will look after them and enhance their wellbeing. That is precisely the roll that Denise was able to do when I sent my father to her in an attempt to improve his arthritis suffering.

I would not hesitate in recommending her to other friends and family.”

Trevor French

“As a qualified solicitor based in Catford, I feel that I am qualified to give this testimonial.

For a long time I was troubled with a very painful wrist, which was mostly from overuse of a computer. At times my wrist was so painful that I could not bear any weight on it at all and getting dressed was becoming a struggle.

After just a few visits with Denise the change was remarkable! As a very active scout leader I was greatly inhibited by the pain but through electrotherapy and manipulation I was back putting up tents, sailing and running games. I have not been troubled with pain since.

I would thoroughly recommend Denise to anyone; she is highly knowledgeable and experienced in her field having undergone a remarkable list of training. Her calm nature makes you feel immediately at ease and I even looked forward to my appointments.”

Kirstie Edmondson

“Recently an old shoulder problem resulted in considerable pain and lack of mobility. Previous experience of this problem had resulted in the need for hospital treatment so when this injury reoccurred recently, it was a cause of some concern.

Fortunately, I had the opportunity to discuss the problem with Denise Callaghan, who has practiced Osteopathy and acupuncture for over 25 years. A visit to Denise’s practice was arranged and after a number of visits, I am delighted to say that I haven’t experienced such freedom of movement with this shoulder for many years.

A visit to Denise’s practice is a relaxing experience and her friendly staff reflects the professionalism and care that Denise brings to her work.

So, My thanks to Denise and her team and I would unreservedly advise anyone suffering similar ailments that really help is at hand. Denise’s business card is one I shall never throw away.”

Paul Grant