#HEALTH: Strong yet vulnerable Achilles tendon

The achilles tendon, a powerful and robust tendon located at the back of the ankle, plays a vital role in our everyday movements. Unfortunately, for those who participate in weekend warrior activities or high-intensity workouts, this tendon can be susceptible to damage. Dr. Azmi Shah, a consultant orthopaedic and traumatology surgeon from Pantai Hospital Melaka, explains that the achilles tendon is the strongest in the body and is capable of bearing immense weight.

For example, a 50kg woman walking would subject her tendons to approximately 75kg of force, while jogging would increase this to about 100kg to 150kg. Running can place up to 400kg of weight on each tendon, especially when hopping or jumping.

However, the achilles tendon is prone to injury due to its imbalance between strength and activity levels. The primary risk groups for achilles tendonitis include weekend warriors, the elderly, and those with underlying conditions or chronic illnesses. Sedentary behavior during the weekdays, followed by intense exercise on weekends, can overwork the tendon and cause it to tear.

The elderly may also experience a degenerative tendons due to age, while those with conditions like obesity, steroid use, or diabetes face diseased tendons.

Once the achilles tendon is damaged, patients may experience symptoms such as aching or burning pain in the heel area, stiffness, swelling, and difficulty walking. Some may even hear a popping sound or feel a sudden weakness in the ankle or foot. Treatment options range from rest, ice compression, and physiotherapy to medication and surgery, depending on the severity of the condition.

Dr. Azmi Shah advises against being a weekend warrior and emphasizes the importance of proper stretching or warm-ups before participating in any sporting activities. Most importantly, it is crucial to seek treatment immediately if any problems arise.