Page 47 - Newcom

Back Behind the Wheel
Healing the heel
During the past few weeks, I have treated several truck drivers com- plaining of heel pain. Heel pain is a fairly common occurrence in profes- sional truck drivers. Although there are several causes of heel pain, for the purpose of this article, I will be concentrating on one specific condi- tion called Achilles tendinitis.
In order to understand this injury, you must first understand the anat- omy of the area.
The Achilles tendon is a fibrous band of tissue that connects the calf muscles to the heel bone.
This tendon is important for loco- motion and is used in many activ- ities such as walking, running and jumping.
Due to the high-tensile forces that it must endure, the Achilles tendon is very strong and rigid. In fact, it is one of the strongest tendons in the human body.
Achilles tendinitis is simply inflammation of the Achilles ten- don. In most cases, this injury occurs when the tendon is strained from excessive force or overuse.
For truck drivers, there are a few common causes of Achilles tendi- nitis, which include using improper technique when getting in and out of the truck and jumping off the back of the trailer. In addition, operating the accelerator for many hours may cause micro-trauma and irritation to the tendon over time.
There are several risk factors that may increase the chances of devel- oping this type of tendinitis. First of all, poor flexibility of the calf muscles and flat arches will decrease the abil- ity of the Achilles tendon to absorb shock. To add to this, not warming up before physical activity and wear- ing inappropriate footwear will also increase the likelihood of straining the tendon. As you can see, profes- sional truck drivers are at a higher risk of developing this type of tendi- nitis due to their job demands.
The most common symptom of Achilles tendinitis is pain at the back of the heel bone that develops grad- ually and worsens over time. Some people experience a dull ache in the back of the leg above the heel after participating in physical activity.
On visual inspection, you may notice swelling or a lump on the Achilles tendon. Often, the affected tendon will be significantly larger than the other.
It is important to address this injury at its onset in order to avoid developing a more serious condition. Most of the time, a health care pro- fessional will be able to assess and diagnose this condition after tak- ing a detailed history of the injury and performing a thorough physi- cal examination. Advanced diagnos- tic testing such as ultrasounds and MRIs may be necessary to identify and confirm the diagnosis.
The treatment of Achilles tendini- tis is usually simple. The first line of treatment consists of rest and ice to reduce the inflammation.
In addition, your doctor may rec- ommend anti-inflammatory medica- tions to further reduce inflammation and decrease pain.
Gentle stretches may also pro- mote healing of the tendon.
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As I always say, prevention is the best treatment. It is important for drivers to use proper footwear which provides adequate cushioning for the heel and support for the arch.
Warming up before performing any physical activity will loosen up the muscles and tendons of the legs. I recommend that drivers walk around their truck five to 10 times as
Dr. Christopher H. Singh runs Trans Canada Chiropractic at the 230 Truck Stop in Woodstock, Ont. He can be reached at 519-421-2024.
a good warm-up.
Until next time, drive safely. TN
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November 2018 • Truck News 47