Achilles Tendonitis in Teens: Causes, Symptoms, and Treatment - Rehabilitation

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Achilles tendonitis is a common condition, particularly among adolescents who are active in sports or physical activities. It involves inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. Understanding the causes, symptoms, and treatment options for this condition is crucial for effective management, especially for your 13-year-old child.


Causes of Achilles Tendonitis
1. Overuse: Repetitive stress on the Achilles tendon from activities such as running, jumping, or playing sports can lead to inflammation. This is particularly common in adolescents who may suddenly increase their activity level or intensity.

2. Biomechanical Issues: Flat feet or overpronation (where the foot rolls inward excessively) can place additional strain on the Achilles tendon. Your observation of your child having a duck-like walk and possibly flat feet may contribute to this condition.

3. Improper Footwear: Wearing shoes that do not provide adequate support or are too large can exacerbate foot mechanics, leading to tendonitis.

4. Tight Calf Muscles: Tightness in the calf muscles can increase the strain on the Achilles tendon during physical activities.


Symptoms of Achilles Tendonitis
- Pain and Stiffness: Pain is typically felt along the back of the heel and may worsen with activity, especially during walking or jumping.

- Swelling: There may be visible swelling around the tendon.

- Tenderness: The area may be tender to the touch, particularly just above the heel.

- Limited Range of Motion: While stretching may not cause pain, there may be discomfort during certain movements.


Treatment Options
1. Rest: Reducing or modifying activities that cause pain is essential. This may involve taking a break from sports or physical activities that exacerbate the symptoms.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and relieve pain. It is typically recommended to ice the area for 15-20 minutes several times a day.

3. Physical Therapy: A physical therapist can provide targeted exercises to strengthen the calf muscles and improve flexibility. They can also assess your child's gait and provide recommendations for proper footwear.

4. Orthotics: Custom or over-the-counter orthotic inserts can help correct biomechanical issues such as flat feet, providing better support and alignment.

5. Medication: Over-the-counter pain relievers, such as ibuprofen, can help manage pain and inflammation.

6. Gradual Return to Activity: Once symptoms improve, a gradual return to physical activities is important. This should be done under the guidance of a healthcare professional to prevent re-injury.


When to Seek Further Medical Attention
If your child's pain persists despite conservative treatment, or if there are signs of severe swelling, redness, or inability to bear weight, it may be necessary to seek a second opinion or further evaluation. A specialist in sports medicine or orthopedics may provide additional insights and treatment options.


Recommendations for Local Care
Since you are located in Keelung, it would be beneficial to consult with a pediatric orthopedic specialist or a sports medicine physician. You can inquire at the Keelung Municipal Hospital or other local hospitals for recommendations on experienced doctors who specialize in adolescent sports injuries. It’s important to find a physician who understands the unique needs of growing children and can provide a comprehensive approach to treatment.

In summary, managing Achilles tendonitis in your child involves a combination of rest, proper footwear, physical therapy, and possibly orthotics. Monitoring symptoms and seeking further evaluation if necessary will help ensure a full recovery and return to normal activities.