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This article was co-written by Miguel Cunha, DPM. Miguel Cunha is the founder of Gotham Footcare and a podiatrist based in Manhattan, New York. Cunha is a foot and ankle surgeon with experience treating a wide range of foot and ankle injuries, from minor problems to complex plastic surgery. Cunha received his MD from Temple University School of Medicine and completed residency as chief physician at Washington Hospital and Georgetown University, where he specialized in lower extremity injuries. limb rescue for people with diabetes, plastic surgery for feet and ankles. Cunha is a member of the American Association of Departmental Medicine, the New York Department of Medicine, and the American Board of Ankle and Foot Surgeons, and is a board certified member of departmental medicine.
There are 8 references cited in this article that you can see at the bottom of the page.
This article has been viewed 5,329 times.
Tendons are tissues that attach muscles to bones to help move parts. The Asin tendon is the tendon that connects the muscles in the calf to the heel bone in the lower leg. Asin tendinitis is a condition in which the Asin tendon becomes inflamed and painful. The most common cause of this condition is overwork of the tendon, especially in people who overuse the tendon without proper exercise, such as those who participate in sports. weekend. [1] X Trusted Source Mayo Clinic Go to Source Most cases of Asin tendinitis can be treated at home, but you still need to see your doctor for the exact steps to properly manage the wound.
Steps
Treatment of Asin tendon
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Go see a doctor. Before starting to self-treat the Asin tendon, you should consult your doctor. Your doctor will make an accurate diagnosis and come up with a personalized treatment plan for your case.
- Be sure to tell your doctor about any recent extra activity that uses your lower leg, as that’s likely to be the cause of the injury. Your doctor will tell you how long you should limit your activity.
- If you experience severe pain in your Asin tendon or if you suddenly lose the ability to flex and extend your foot, you should see your doctor right away. You may have torn or ruptured your Asin tendon, a condition diagnosed as more serious than tendinitis. [2] X Trusted Source Mayo Clinic Go to Source
- Other symptoms of Asinitis that should be seen by a doctor include mild to moderate pain in the back of the lower leg or above the heel, especially after exercising or playing sports. You may also experience soreness or stiffness in the affected area, which is usually most pronounced in the morning upon awakening. [3] X Trusted Source Mayo Clinic Go to Source
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Let the tendons rest. One of the first things you can do is give the injured tendon plenty of time to rest. You don’t have to completely avoid touching your feet, but you should avoid running, climbing stairs, and other factors that put pressure on your tendons. [4] X Research Sources
- Depending on the severity of your Asin’s tendonitis, you may need to rest the damaged tendon for days to months. [5] X Research Source Listen to your body and return to intense activity slowly.
- While you wait for your Asin tendon to heal, switch to other less stressful activities, such as cycling, elliptical exercises, or swimming. [6] X Research Source
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Apply ice to the calf to relieve pain. Applying ice to the injured area can help reduce swelling and relieve pain. Place an ice pack on the calf where it hurts for about 15 minutes. [7] X Trusted Source Mayo Clinic Go to the source Apply several times a day whenever you feel pain if needed. [8] X Research Sources
- If you know in advance that you will feel pain after exercising, you can also apply ice to your calves after exercise. [9] X Trusted Source Mayo Clinic Go to Source
- You can apply ice to the painful area for up to 20 minutes, but stop applying it to allow the skin to warm up if you start to feel numbness. [10] X Research Source
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Take over-the-counter pain relievers. You can take acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen to reduce pain and swelling associated with Asin’s tendinitis. [11] X Research Source[12] X Research Source Always follow instructions carefully and do not exceed the recommended dose.
- Try taking the drug with a short course of about 7-10 days.
- Even when used as directed, most over-the-counter pain relievers are not everyday medications. You should consult your doctor before taking any over-the-counter medication for more than 1 month. [13] X Research Source
- If you’re prescribed a stronger pain reliever, make sure you take it exactly as directed by your doctor.
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Use bandages or compression bandages. Wrap the foot and lower leg with an elastic bandage. Compression helps reduce swelling and limit movement in the injured tendon. [14] X Trusted Source Mayo Clinic Go to Source
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Elevate your feet above your chest to reduce swelling. Keeping the injured tendon above heart level also helps reduce swelling. If you find a comfortable position, keep your feet above your heart even while you sleep. [15] X Trusted Source Mayo Clinic Go to Source
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Avoid smoking cigarettes and tobacco products. Smoking will slow down the healing process, as it reduces the blood supply and slows down tissue repair. [16] X Research Source You can help shorten your recovery time by avoiding all tobacco products.
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Wear tendon-protective footwear. Sports shoes with arch support and heel cushioning can reduce pain and promote faster recovery. [17] X Research Source In addition, shoes that are softer in the back of the heel will help reduce irritation to the heel tendons. [18] X Research Sources
- In some cases, your doctor may recommend orthotics. These devices are inserted into the shoe to increase support at a specific location in the foot. [19] X Research Source
- Orthotic devices are often used to treat Asin’s tendonitis (the area under the leg where the tendon attaches to the heel) because this area is often irritated by certain types of shoes. [20] X Research Source
- In cases of severe pain, your doctor may also suggest that you use orthopedic shoes to keep your foot from stretching and tendons from being stretched. This measure is usually used only short-term, as the use of orthopedic shoes can weaken the calf muscles. [21] X Research Source
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Ask your doctor about cortisone injections. Cortisone is an effective anti-inflammatory drug. [22] X Research Sources Cortisone injections are commonly used in many cases to reduce pain and swelling. However, because of the high risk of tendon damage with injection, your doctor may not recommend this option, unless there is no other way. [23] X Research Sources
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Consult your doctor about surgical options. If a combination of medication and physical therapy doesn’t improve pain for 6 months or more, your doctor may discuss several surgical options. [24] X Research Sources Some options include: [25] X Research Sources
- Calf twinning – this surgery stretches the calf muscles to relieve pressure on the Asin tendon.
- Debridement and repair – this surgery removes damaged portions of the Asin tendon and is usually only used when the tendon is less than 50% damaged.
- Resection and Tendon Transfer – In cases where the damage is more than 50%, the tendon from the big toe will be transferred to the Asin tendon when the damage is removed, making the tendon strong enough to function.
Strengthen leg tendons
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Consult a physical therapist. In severe cases of Asin’s tendinitis, you should consult with a physical therapist to develop a strength training regimen that’s right for you. A physical therapist will usually have you start with easy exercises and gradually build up to more stretching exercises.
- Even if physical therapy isn’t necessary in mild cases, remember that gentle strength-training and stretching exercises are always recommended during tendon healing. [26] X Research Sources
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Do toe stretching exercises. Sit on a recliner, placing your heels on the floor. Bend down and pull your big toe up towards you. [27] X Research Source Hold the position for about 15 seconds at the beginning of the exercise and gradually increase this time to 30 seconds. [28] X Research Sources
- You can do this exercise up to 4 times at a time, 5 times per day. [29] X Research Sources
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Do exercises to stretch the plantar fascia. Sit on the floor or mat, legs extended in front, knees straight. Loop a towel around the injured foot, just below the toes. Pull the towel with both hands to lift your feet up and toward your torso. [30] X Research Source Hold this position for 15-30 seconds. [31] X Research Source
- You can do this exercise 4 times at a time, 5 times per day. [32] X Research Source
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Do calf stretching exercises. This basic exercise is great for stretching the calf muscles and the Asin tendon. Place one foot back, heel touching the floor. With your hands on the wall, lean forward, lower your front leg, and place your weight on the front leg. Slowly push your hips toward the wall, keeping your feet still behind you. Hold this position for 10 seconds. You should feel a strong stretch in your back leg. [33] X Research Sources
- This exercise can be done up to 20 times a day for each leg. [34] X Research Source
- You can find wikiHow articles on how to stretch your calf muscles.
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Perform a low heel move. Lowering the heels is an eccentric exercise, which means tightening the muscles while stretching, is great for stretching. [35] X Source Place the fronts of your feet on a ladder and raise your heels before lowering as low as you can. [36] X Source of Study Since the back of your foot is on the outside of the step, you can lower your heel more than the rest of your foot. Slowly and carefully do this movement 20 times. [37] X Research Source
- When doing strength training, you can start holding heavy objects to build strength while doing this exercise. [38] X Research Source
- You can also do a one-leg heel drop, which is essentially the same as the one above, but only with one leg. You should always start with the heel drop first and consult your doctor before doing it with one leg, as this can further damage the tendon. [39] X Research Sources
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Take steps to prevent future Asin tendinitis. There are several steps you can take in exercising to prevent your Asin tendon injury from coming back (or in the first place). You should: [40] X Trusted Source Mayo Clinic Go to Source
- Start slowly and gradually increase the intensity when exercising or playing sports.
- Stretch every day.
- Focus on exercises for the calf muscles.
- Alternate high and low intensity exercises.
Advice
- If you feel pain in your Asin tendon when you wake up in the morning, your doctor may recommend a nighttime foot brace to keep your foot from stretching while you sleep. [41] X Research Source
Warning
- This article provides information regarding specific injuries, but it is not a substitute for medical advice. You should always see your doctor in case of injury and consult a physical therapist before starting any rehabilitation regimen.
- Seek immediate medical attention if severe pain comes on suddenly in the tendon area or you can’t put weight on the painful leg. You should also seek help right away if you can’t get your toes down. Both of these symptoms are signs of tendon rupture, not simply tendinitis.
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This article was co-written by Miguel Cunha, DPM. Miguel Cunha is the founder of Gotham Footcare and a podiatrist based in Manhattan, New York. Cunha is a foot and ankle surgeon with experience treating a wide range of foot and ankle injuries, from minor problems to complex plastic surgery. Cunha received his MD from Temple University School of Medicine and completed residency as chief physician at Washington Hospital and Georgetown University, where he specialized in lower extremity injuries. limb rescue for people with diabetes, plastic surgery for feet and ankles. Cunha is a member of the American Association of Departmental Medicine, the New York Department of Medicine, and the American Board of Ankle and Foot Surgeons, and is a board certified member of departmental medicine.
There are 8 references cited in this article that you can see at the bottom of the page.
This article has been viewed 5,329 times.
Tendons are tissues that attach muscles to bones to help move parts. The Asin tendon is the tendon that connects the muscles in the calf to the heel bone in the lower leg. Asin tendinitis is a condition in which the Asin tendon becomes inflamed and painful. The most common cause of this condition is overwork of the tendon, especially in people who overuse the tendon without proper exercise, such as those who participate in sports. weekend. [1] X Trusted Source Mayo Clinic Go to Source Most cases of Asin tendinitis can be treated at home, but you still need to see your doctor for the exact steps to properly manage the wound.
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