There can be a lot of causes for Achilles/heel pain. Achilles tendonitis is not an entity in itself; something causes it. Shoes, inherent bone structure, Achilles length (genetic, structural in its connection with the rest of the leg, environment in an occupational sense), direct injury or repetitive injury are all part of the picture. Achilles pain, unless is caused by direct injury, most likely involves several of the factors above. Most everyone is familiar with the term repetitive injury and when you think about it, what other part of the body goes through so repetitive motion as the foot/leg. The Achilles tendon which attaches one of the strongest muscles to the heel can be in perpetual activity or perpetual dormancy depending on one's daily activity. Either way it is at risk for repetitive injury. The trick is to find our which of these factors (shoes, bone structure etc) is affecting your Achilles tendon. For that a thorough evaluation by a physician qualified in foot and leg is advisable. Once you know what factors are impacting your particular situation, your will be able to begin the slow, revisable healing process.
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