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My latest never had injury - achilles soreness

Published: 04 Mar 2006 - 12:07 by Viper

Updated: 08 Mar 2006 - 21:07

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First of all thanks for all the advice on my ankle problems, this problem had dissapeared to a great percent.

Now I have tender achilles on the same foot.

Question:

What should I do and not do to stop it getting worse, I know once a achilles gets bad it can sideline you for months.

 

I have read the achilles stretches on the site, any other tips please ?

It is only one foot BTW.

I am playing in quite new high quality squash shoes.

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From Viper - 08 Mar 2006 - 21:07

If it persists I will take a look at my shoes, mind you I use new Askway (sp.) dedicated squash shoes so they are a quality product.

I am having to do a lot of driving at the moment and I have a thought that it might be pushing the accelerator with my right foot that is causing the problem, my soreness is confined to my right foot only.

The pain goes away on the weekends when I do not drive.

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From drop-shot - 08 Mar 2006 - 00:46   -   Updated: 08 Mar 2006 - 00:46

... and the echo says ... shoes ... shoes ... shoes ... shhhhhhh ...

Viper, check it better out. My case with sore feet was related to the shoe and insoles. I changed the shoes, I have the ortopedics insoles and everything is perfect now. Try Hi-Tec shoes, really good for your feet.

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From raystrach - 07 Mar 2006 - 20:54

hi viper

it is quite possible that it is the shoes that are doing it. i am more and more convinced that shoes are the most important piece of squash equipment. it may be that it is just the change of shoe that is causing the problem. after a while, after the body adjusts, the problem may disappear.

another thing you can do to help recovery, is some self massage on the affected areas. this can be done at times when watching tv or whenever

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From rippa rit - 04 Mar 2006 - 13:58   -   Updated: 04 Mar 2006 - 14:17

Hi Viper - I never like to deliver bad news, but news that will help you work through this problem, and most problems can be sorted through with a bit of persistence, and money too, of course.
Here is an extract from a link talking about the achillies tendon, ankle and calf muscles:-

"Controlling dorsi-flexion means keeping the ankle joint from collapsing as the foot hits the ground, e. g., keeping the shin and the top of the foot from getting too close together. Controlling prona-tion means preventing the foot from rolling too far inward - and the heel from turning too far outward after the impact between the foot and ground.
And those happen to be 'eccentric' activities of the calf muscles and their associated Achilles tendon, which means that the calf muscles are being stretched and strained by the force of ankle flexion at the same time that they're trying to shorten to control that flexion. Simultaneously, the ankle joint is rotating as the foot begins to pronate, placing a twisting and stretching force on the Achilles tendon and calf muscles as they attempt to shorten. These eccentric actions, repeated over and over again, are what actually damage the Achilles tendon."

I have had problems with a soreness at the back of the heel (which seemed to be caused by pinching the achillies as I pushed back from the front of the court), and it took ages to get right.  I used to wear an ankle guard when I played and that seemed to help, but it took about 12 months or more to get better, and I was dependent on that ankle guard alot.  This is how I would tackle the problem:
1. Try using a very firm fitting good quality ankle guard if you want to play squash.
2. RICE - as often as you like and definitely after playing and before and after doing a stretching session.
3. Physio will certainly be on the top of the list, where the ultrasound might help break up some of the scar tissue, plus some massage too, light exercises and stretches, etc.under supervision.
4. Podiatry visit to the person who attends to the Squash AIS Unit.  That person will look at the way you walk, how the weight is distributed through the foot/ankle as I think the both injuries are related in some way, especially if there is some inward pronation of the ankle..
5. Insist on getting a series of exercises to strengthen that area before getting back into heavy training, otherwise it may break down again once you resume full load .

I cannot emphasise too much how important it is to keep searching for an answer, and if you seek you are sure to come up with an answer - don't give up and let it beat you.  There is lots of life left to live and squash to play

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Nicely summarised tip, thanks! I think I'll note that into my squash folder!

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