
Q I am an office worker in my 40s who enjoys playing soccer every weekend, but the area above my heel keeps hurting. Why does Achilles tendinitis occur?
A Achilles tendinitis occurs when micro-damage accumulates in the tendon tissue due to repetitive impact and overuse. Stress is concentrated on the tendon if you suddenly increase exercise intensity without warming up or engage in activity for a long time on hard surfaces. A lack of flexibility in the calf muscles is also a major cause of excessive tension on the Achilles tendon.
Detailed Answer
The Achilles tendon is the thickest tendon in the human body, connecting the calf muscles (gastrocnemius and soleus) to the heel bone, and it serves as a shock absorber for repetitive impact. Overuse, a sudden increase in training volume, insufficient stretching, wearing hard shoes, and foot structural abnormalities such as flat feet or high arches concentrate stress on the tendon, causing micro-tears and inflammation. In the early stages, stiff pain appears when taking the first step in the morning, and if left untreated, it can progress to tendon degeneration. In Korean medicine, Achilles tendinitis is viewed as a condition where the liver's function of governing muscles and tendons declines, and kidney energy weakens, resulting in a lack of nutrition to the bones and tendons. When the qi and blood in the meridians passing through the calf and heel become stagnant due to overwork or stress, the nutrient supply to the tendons and ligaments is cut off, leading to pain and stiffness. At Dongjedang, we perform treatment that restores meridian circulation through acupuncture and revives blood flow by separating adhered tendon tissues using needles.
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