General Discussion Triathlon Talk » another achilles issue Rss Feed  
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2009-09-17 11:42 AM

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Papillion, NE
Subject: another achilles issue
Ok, so I had a very sore left achilles, a couple of months ago. This is when I first started training for a sprint tri. A couple weeks of rest/ice, and all was better. I believe the culprit was I increased things too fast. Also, it happened when running hills, mostly on the downside.
Fast forward to this week. I have now done two sprints.
I was running Monday, when, at about the 2mi. mark of a 3mi. run, I felt this sharp pain again in my left achilles. This time is was more down around the ankle area, whereas the first time it was more around the calf area. Once again, I was running hills, but, the course I was on, I had just ran last Friday, with no problems.
The only difference was I put in some new(higher) heel inserts. I don't know if that did it, or I wasn't running/landing properly, or what? I was pushing it harder than the last run.


2009-09-17 1:28 PM
in reply to: #2411832

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Subject: RE: another achilles issue

Sounds similar to the achilles issues I had earlier this year after training for, and running, a marathon. In my case, I tried to do too much speedwork (intervals, tempos, hill sprints) without enough of a mileage base. The result was achilles tendonitis in my right tendon. Lessons learned- gradually increase mileage (~10% per week), and do most (or all) of these runs at a conversational (slow!) pace before adding speedwork. The more slow mileage you add, the more your body adapts to the stresses of running and the less chance you have for injury.

Another thing- being a tendon, the achilles receives relatively little bloodflow. As a result, it can be very, frustratingly, slow to heal (in comparison to muscle tissue). Also, small tears in the tendon (let alone major issues, like ruptures) can result in the buildup of inflexible scar tissue.

My suggestions: see a podiatrist. Forget speedwork until you're confident that your achilles has healed. Work on strengthening and stretching your calf muscles. Look into self-massage (a foam roller, or The Stick). Keep icing. Get lots of rest.

Good luck! I feel have felt your pain.

2009-09-17 1:32 PM
in reply to: #2411832

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Subject: RE: another achilles issue
I read a book called Chi Running.
In this book, there is some information that the more a shoe is built up at the heel, the more it interferes with natural stride.
Also, the harder you push off (rather than just lifting your foot behind you and using your hip to swing it forward) the more stress is put on the Achilles and the calf, and the more likely you are to get tendon problems, plantar fascitis, shin splints, etc.

Again, this is just one source of info, but I have been able to increase my speed without injury by going to a more neutral shoe and employing the techniques in the book.
2009-09-17 2:49 PM
in reply to: #2411832

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Papillion, NE
Subject: RE: another achilles issue
Thanks.
Like I said, I ran the exact same course, 3 days earlier, with no problems. I did however go to a higher heel support and push the pace.
I am assuming, especially from reading your posts, that both of those things could be the cause. I have another tri I want to do in two weeks so we will see.
I don't want any permanent damage, ie: achilles tear.
2009-09-17 3:26 PM
in reply to: #2412338

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Subject: RE: another achilles issue
I have had some major Achilles problems off and on for the past 10 years - gotten REALLY bad this year, to the point that I can barely walk some days. I have a lot of built-up scar tissue from small tears (no complete ruptures, thank goodness), and very restricted blood flow in that tendon. A few weeks ago I went for an xray.

Turns out I have a pretty large bone spur on my heel that is 'catching' on the tendon, chronically inflaming it. The theory now is that if we can melt that bone spur (there is a protocol for that, although it's not well-known) the majority of my problems may go away as the tendon will actually have a chance to heal.

So - my advice is look for underlying problems, find a good physiotherapist if you don't already have one, before it becomes ultra-chronic and starts making you miss entire seasons.
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