This injury is characterised by pain in the region of the achilles tendon. It is caused by maximal plantarflexion (pointing toes), most especially when this occurs at a time of impact.
This injury classically affects the right foot (of a right-handed bowler) at back foot impact during the delivery stride. This can be aggravated by uneven surfaces, which are commonly found at the run-up at the nets. There is a ‘pinching’ or impingement of the soft tissue at the back of the ankle.
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Management may require surgery in a limited number of cases to reduce the impingement of tissue by bone or to release a restricted tendon. Other management would include strengthening to allow controlled landing of the foot and assessing the bowling biomechanics to prevent poor landing mechanics.
Coaches and players should be aware of the quality of the surfaces that fast bowlers practice on.
- Janine Gray. BSc (Physio), BSc (Med)(Hons) Exercise Science. Lecturer at the University of Cape Town and affiliated to the High Performance Centre at Cricket South Africa.
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