Insertional Achilles tendinitis involves the lower portion of the heel, where the tendon attaches (inserts) to the heel bone. In both non insertional and insertional Achilles tendinitis, damaged tendon fibers may also calcify (harden). Bone spurs (extra bone growth) often form with insertional Achilles tendinitis. Insertional Achilles Tendinitis is pain and inflammation at the insertion of the Achilles Tendon on the heel bone. It is often associated with swelling, redness, and calcium buildup (small bump) located at the back of the heel (see picture). Pressure at the back of the heel tends to be sensitive and painful. In the clinic, some of my clients often report that certain tight shoes might cause more pain in this area from the pressure and have to sometimes resort to open back shoes.
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A muscle strain, or pulled muscle, occurs when your muscle is overstretched or torn. This usually occurs as a result of fatigue, overuse, or improper use of a muscle. Strains can happen in any muscle, but they’re most common in your lower back, neck, shoulder, and hamstring, which is the muscle behind your thigh.
These strains can cause pain and may limit movement within the affected muscle group. Mild to moderate strains can be successfully treated at home with ice, heat, and anti-inflammatory medications. Severe strains or tears may require medical treatment.
Muscle injuries is a broad term encompassing many pathologies and these are common injuries in both elite and amateur athletes as well as in the general population.
Skeletal muscle injuries represent a great part of all traumas in sports medicine, with an incidence from 10% to 55% of all sustained injuries. The muscles and muscle groups more frequently involved are the hamstrings, rectus femoris, and the medial head of the gastrocnemius. They should be treated with the necessary precaution since a failed treatment can postpone an athlete’s return to the field for weeks or even months and increase the risk of re-injury.