advertisement
Question
Posted by: Bella | 2010-11-17

Ankle pain

Hi,
I am a long distance runner and have now developed a pain in what appears to be my achilles tendon and also the bone on the side of your ankle. I dropped an extension cord plug on my foot and that is when the pain started so I do not know if this referred pain or not. I also tore my calf muscle in Feb during a marathon but had extensive physio on it and ran an completed the Comrades so I do not know if it is also from this cos i do know that the calf muscle attaches to the achilles and could be the problem. What do you suggest, RICE???
Thanks

Not what you were looking for? Try searching again, or ask your own question
Our expert says:
Expert ImageFitnessDoc

Hi Bella

I would guess (and it is a guess) that your problem is more related to the calf injury. I don't know of a referred pain to the Achilles like that. But a strained calf muscle could well be a problem, even with your good rehab and treatment. I don't know what your training has been like in the last few weeks, but maybe you've ramped up the training and that's exacerbated the same injury as before.

The key now is to reduce training volume right away - down to 50% of normal, then build up very gradually, never going above 80% of your normal volume. So if you run 50km a week, take a week off, then go to 25km, then maybe 30km, but never up beyond 40km until the pain has gone.

If it persists despite less training, then you may need to see a physio again. I hate to pass the buck, but that's what you need to diagnose the problem if rest and easier training don't solve it.

So give it a few weeks, if it persists and starts to limit your running and daily activity, then definitely consider seeing someone about it.

Good luck

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

1
Our users say:
Posted by: fitnessdoc | 2010-11-26

Hi Bella

I would guess (and it is a guess) that your problem is more related to the calf injury. I don't know of a referred pain to the Achilles like that. But a strained calf muscle could well be a problem, even with your good rehab and treatment. I don't know what your training has been like in the last few weeks, but maybe you've ramped up the training and that's exacerbated the same injury as before.

The key now is to reduce training volume right away - down to 50% of normal, then build up very gradually, never going above 80% of your normal volume. So if you run 50km a week, take a week off, then go to 25km, then maybe 30km, but never up beyond 40km until the pain has gone.

If it persists despite less training, then you may need to see a physio again. I hate to pass the buck, but that's what you need to diagnose the problem if rest and easier training don't solve it.

So give it a few weeks, if it persists and starts to limit your running and daily activity, then definitely consider seeing someone about it.

Good luck

Reply to fitnessdoc

Have your say

Thanks for commenting! Your comment will appear on the site shortly.
Thanks for commenting! Your comment will appear on the site shortly.
advertisement