Previously, we took a look at exactly what an Achilles injury is. We had a look
at the muscles and tendons that make up the Achilles; what happens when an Achilles
injury occurs; and the major causes and risk factors that contribute to Achilles
injury.
Today, we're going to outline a detailed strategy for the complete treatment and
rehabilitation of Achilles tendonitis. Firstly, we'll look at the importance of
the immediate treatment (the first 48 to 72 hours), and then we'll outline the ongoing
treatment necessary for a full recovery.
Immediate Treatment
The immediate treatment of any soft tissue injury, such as an Achilles tendon injury,
is vital. Proper care and treatment now will go a long way towards a full recovery
later.
Without a doubt, the most effective, initial treatment for Achilles tendonitis is
the R.I.C.E.R. regime. This involves the application of
(R) rest,
(I)
ice,
(C) compression,
(E) elevation and obtaining a
(R) referral
for appropriate medical treatment.
Using the R.I.C.E.R. regime immediately after the occurrence of an injury significantly
reduces recovery time. R.I.C.E.R. forms the first, and perhaps most important stage
of injury rehabilitation, providing the early base for the complete recovery of
injury.
When an Achilles tendon injury occurs and the tendon has been damaged there is a
large amount of uncontrolled bleeding around the injury site. This excessive bleeding
causes swelling, which puts pressure on nerve endings and results in increased pain.
It is exactly this process of bleeding, swelling and pain that the R.I.C.E.R. regime
helps alleviate.
R.I.C.E.R.
R: (rest) It is important that the Achilles and lower leg be kept
as still as possible. This will help to slow down blood flow to the tendon and prevent
any further damage.
I: (ice) By far the most important part. The application of ice will
have the greatest effect on reducing bleeding, swelling and pain. Apply ice as soon
as possible after the injury has occurred.