| Cause: Inflammation at the point of attachment of the Achilles tendon at the growth zone on the heel bone occurs with continued overload in the form of running and jumping.
Symptoms: Pain when activating the Achilles tendon (running and jumping) and with stretching of the tendon. Tenderness is experienced when applying pressure at the rear of the heel bone.
Treatment: Treatment is primarily comprised of relief from the painful activity (running, jumping). If the treatment is commenced early, the injury can in some cases heal within a few weeks. When the pain has subsided, the sports activity can be resumed preceded by stretching of the calf muscle (article). It is naturally crucial that footwear is in good condition (good running shoes with shock absorbing heel and close fitting heel cap). Pressure on the Achilles tendon can be relieved by using shoes with an elevated heel, whilst a heel cushion in the shoe is of less significance since the heightening achieved by this method is greatly limited. If experiencing tenderness at the point of attachment of the Achilles tendon during the rehabilitation period, treatment with ice for a period of at least 20 minutes is recommended. To relieve pronounced pain whilst walking, medicinal treatment in the form of rheumatic medicine (NSAID) (gel or crème) can be considered but is seldom indicated. Medicine must not be (mis)used in order to continue the sports activity. Injection of corticosteroid is not appropriate in the course of treatment (article). When a person reaches a state of being fully grown, the growth zone at the heel bone is closed and the problems disappear.