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         Achilles Tendonitis:     more detail

21. What Is Achilles Tendonitis?
achilles tendonitis affects many athletes. Sports literature states that approximately11% of lower extremity injuries involve achilles tendonitis.
http://www.maxsportsmag.com/strengthendurance/issue29/29se1.htm
by Angella Conrard Achilles tendonitis affects many athletes. Sports literature states that approximately 11% of lower extremity injuries involve Achilles tendonitis. It is a chronic overuse condition and with out proper rest and treatment may result in a serious irreversible damage needing surgical intervention. Achilles tendonitis involves small micro tears to the tendon fibers or its connective tissue covering. This micro tearing is mostly associated with chronic overloading of the tendon as opposed to a sudden acute injury. It can also be caused by biomechanical problems such as excessive pronation (foot turns inward too much) or supination (foot turns outward too much). The Achilles tendon

22. Tarsal Navicular Stress Fracture
achilles tendonitis Achilles Tendinitis. Achilles Peritendonitis. Book,Home Page.
http://www.fpnotebook.com/ORT138.htm
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23. ACHILLES TENDONITIS
achilles tendonitis. What is achilles tendonitis? The Achilles tendon connects thecalf muscles to the back of the heel bone. What causes achilles tendonitis?
http://www.mydr.com.au/default.asp?article=2369

24. ICB Medical - Achilles Tendonitis
achilles tendonitis. Defined. achilles tendonitis is inflammation inand around the achilles tendon. There are two varieties
http://www.icbmedical.com/conditions/achillestendonitis

ICB Medical Distributors
Company Profile Products Fitting Instructions ... Wanted Achilles Tendonitis
Defined
Achilles tendonitis is inflammation in and around the achilles tendon. There are two varieties of achilles tendonitis:
  • Caused predominately by excess pronation identified as non-insertional; and Caused mainly by supination or high forefoot deformity identified as insertional.
  • Symptoms
    The patient presents with a sharp and nagging pain above the heel. Limited ankle flexibility and inflammation over the affected area are often present.
    Biomechanical Aetiology
    As shearing and tractional forces are placed on the achilles tendon, at the back of the heel inflammation can occur. The calf muscles assist inversion of the calcaneus at the heel lift, however when the foot accelerates into an excessively pronated position and the calcaneus is everted, increased medial tendo-achilles traction can result in transverse shearing of the tendon and sheath leading to inflammation and pain. As the rear foot pronates and a calcaneal valgus occurs, it causes misalignment and abnormal stresses on the tendon, lumpy scar tissue may occur, commonly called "pump bumps". The same biomechanical mechanism has been linked to Restless Leg Syndrome, Sever's Disease and "growing pains".

    25. Achilles Tendonitis
    achilles tendonitis. by, achilles tendonitis is an inflammation of the tendonand/or its surrounding sheath and is primarily caused by repetitive stress.
    http://www.uoguelph.ca/hapc/feature3.htm
    ACHILLES TENDONITIS by Robin Collins,
    Registered Physiotherapist Working as a physiotherapist at the HPC, I encounter a number of overuse type of injuries. Among elite and recreational exercisers, achilles tendonitis is a common injury that can be very frustrating to both the client and the physiotherapist. Achilles tendonitis is an inflammation of the tendon and/or its surrounding sheath and is primarily caused by repetitive stress. The following are some of the more common causes of achilles problems. Improper footwear Change your shoes before they are worn out. A good rule of thumb is to change your shoes approximately every 500 km. Walking/Running up hills This type of training puts incredible forces through the Achilles tendon. Be sure to gradually add this type of intensity to your training. Running on uneven terrain To avoid injuries, be sure to run on a variety of terrains. Drastic change in activity levels Avoid being a weekend warrior! Jumping activities Jumping requires the tendon to contract and stretch at high speeds which can lead to tendon breakdown and inflammation. Be sure to gradually add this type of training to your program.

    26. Achillotrain The Achilles Tendonitis Support Or Brace
    achilles tendonitis. Achillotrain, The active Achilles tendon supportby Bauerfeind, The Achillotrain has a viscoelastic heelwedge
    http://www.supports4u.com/a.htm
    Achilles Tendonitis
    Achillotrain , The active Achilles tendon support by Bauerfeind The Achillotrain has a viscoelastic heel-wedge to raise the heel for relief of Achilles tendon A silicone insert on the back of the Achillotrain leaves tendon pressure-free and provides intermittent compression for the reduction of swelling and edema Additional heel-wedge provided for unaffected foot thus preventing leg length discrepancies Lightweight, breathable knit will not retain heat and is completely machine washable Indications: Achilles tendonitis, Acute Achilles paratendonitis, Achillobursitis, Post-operative treatment after Achilles tendon ruptures, Posterior Achilles tendon bursitis. Colors Titanium Black Nature For sizing measure the circumference at the narrowest point of the ankle and specify left or right. Achillotrain Titanium Color Size Circumference of ankle Right Item # RIGHT VERSION Left Item # LEFT VERSION I II III IV V Achillotrain Price $84.95 Toll Free 1-800-580-4768 am- pm CST Mon-Fri
    Supports 4U Home page
    Ask the Physical Therapist a Question - Click Here
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    Ask the Podiatrist a Question (foot specialist) - Click Here Click for type of Support or browse Products Wrist Elbow Back ... Return Policy For questions regarding this web contact Info@Supports4u.com

    27. 'Hot Calf' --- HealthandAge
    Another possibility is anterior achilles tendonitis, which can be caused by anytype of strain on the Achilles tendon or arthritic or systemic inflammatory
    http://www.healthandage.com/Home/gid7=414
    English site German site March 30, 2003
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    'Hot Calf' January 22, 2003 Question I am a 42-year-old male. Over the last few days I have developed an intermittent hot flash in the back of my left calf and upper ankle. The skin feels the same temperature as the surrounding area, but I have a definite sensation of warmth for about 15 - 30 seconds. Is this symptomatic of something?
    Answer The area that is concerning you can be a trouble spot for many types of problems related to the Achilles tendon. This large tendon lies beneath the area that you describe. It sounds as if the bursa of your Achilles tendon may be inflamed, but there can be many reasons that can cause this. The most common is an Achilles tendon bursitis, which is an irritation of the tendon as a result of different heel positions and functions. I have seen this in overweight patients where the heel tends to function in an inverted position throughout the gait cycle causing excessive pressure on the soft tissue between the posterior outside aspect of the calcaneus (the large bone that forms your heel) and the shoe counter ( the back of your shoe.) In the beginning stages you may feel some tightness and warmth in the area you describe, especially after walking. Look at the bottom of your shoe and eyeball the bottom of the heel. If it is worn more on the outside compared to the inside this could be causing your problem. The fix is to have your shoes re-heeled. In the meantime you can buy some foam rubber heel inserts that will cushion the heel and elevate it slightly.

    28. Manhattan Footcare P.C. - Foot Conditions - Achilles Tendonitis
    achilles tendonitis. Definition achilles tendonitis causes inflammationand degeneration of the achilles tendon. The achilles tendon
    http://www.manhattanfootcare.com/conditions/achilles_tendonitis.html
    Foot Conditions
    Achilles Tendonitis
    Arch Pain / Arch Strain

    Arthritis

    Bunions (Bunionettes)
    ...
    Sesamoiditis

    Achilles Tendonitis Definition
    Achilles Tendonitis causes inflammation and degeneration of the achilles tendon. The achilles tendon is the large tendon located in the back of the leg that inserts into the heel. The pain caused by achilles tendonitis can develop gradually without a history of trauma. The pain can be a shooting pain, burning pain, or even an extremely piercing pain. Achilles tendonitis should not be left untreated due to the danger that the tendon can become weak and ruptured.
    Achilles Tendonitis is aggravated by activities that repeatedly stress the tendon, causing inflammation. In some cases even prolonged periods of standing can cause symptoms. It is a common problem often experienced by athletes, particularly distance runners. Achilles Tendonitis is a difficult injury to treat in athletes due to their high level of activity and reluctance to stop or slow down their training.
    Individuals who suffer from achilles tendonitis often complain that their first steps out of bed in the morning are extremely painful. Another common complaint is pain after steps are taken after long periods of sitting. This pain often lessens with activity.

    29. Achilles Tendonitis Information At MyFootShop.com!
    achilles tendonitis. Keywords retrocalcaneal bursitis Achilles tendon rupturesare also discussed. Acute achilles tendonitis. Acute Achilles
    http://www.myfootshop.com/detail.asp?Condition=Achilles Tendonitis

    30. Relieving Your Own Pain(TM)
    achilles tendonitis Pain Videos. achilles tendonitis Your Achilles tendon is nota complete structure by itself. So, how do you develop achilles tendonitis?
    http://www.relievingpain.com/achilles_tendonitis_pain_videos.htm
    VIDEO TITLES
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    Achilles Tendonitis Pain Videos
    Achilles Tendonitis
    : Your Achilles tendon is not a complete structure by itself. It actually connects muscles to the bottom of your foot, allowing you to plantar flex (point) your foot. So, how do you develop Achilles Tendonitis? I've already given you one hint. There are MANY contributing factors that influence the development of Achilles Tendonitis. Although the pain and inflammation is in the Achilles Tendon, the CAUSE can be from a completely different structure. Many times cortisone injections are given but provide little or temporary relief. If you don't address the structures that are causing the initial irritation, you won't get long term relief! Find out what other influences or structures need to be addressed and how you can release these YOURSELF!
    Includes 4 tapes.
    • The cost of one video title can save you hundreds of dollars in other health care expenses, useless gadgets, or time off from things you enjoy. You would have to spend thousands of dollars in education, go to numerous trainings, and spend years in the clinical and health fields to get the equivalent of what you will receive in each of these videos.

    31. MEDLINEplus Medical Encyclopedia: Achilles Tendinitis
    The initial treatment for achilles tendonitis is usually nonsteroidal anti-inflammatorydrugs (NSAIDs), like aspirin and ibuprofen, and physical therapy to
    http://www.nlm.nih.gov/medlineplus/ency/article/001072.htm
    Skip navigation
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    Achilles tendinitis
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    Illustrations
    Inflammed achilles tendon Alternative names Return to top Tendinitis of the heel Definition Return to top Achilles tendinitis is inflammation, irritation, and swelling of the Achilles tendon (the tendon that connects the muscles of the calf to the heel). Causes, incidence, and risk factors Return to top There are two large muscles in the calf, the gastrocnemius and soleus. These muscles generate the power for pushing off with the foot or going up on the toes. The large Achilles tendon connects these muscles to the heel. These are important muscles for walking. This tendon can become inflamed, most commonly as a result of overuse or arthritis, although inflammation can also be associated with trauma and infection. Tendinitis due to overuse is most common in younger individuals and can occur in walkers, runners, or other athletes, especially in sports like basketball that involve jumping. Jumping places a large amount of stress on the Achilles tendon. Tendinitis from arthritis is more common in the middle aged and elderly population. Arthritis often causes extra bony growths around joints, and if this occurs around the heel where the Achilles tendon attaches to the heel bone, the tendon can become inflamed and painful.

    32. Achilles Tendonitis
    achilles tendonitis ( achilles from Greek mythology) What is it?achilles tendonitis is a condition wherein the Achilles tendon
    http://www.sportsrehab.info/orthotics/PhysArchTend.html
    Orthotics How Your Patients Can Benefit Articles for Your Review For Physicians Only Chondromalacia Patella ... Ilio Tibial Band Syndrome ACHILLES TENDONITIS - ("achilles" from Greek mythology) What is it? Achilles tendonitis is a condition wherein the Achilles tendon, at or near its insertion to the posterior aspect of the calcaneus, becomes inflamed and causes pain. The Achilles tendon is one of the longest and strongest tendons in the body. It is avascular and therefore slow to heal. The Achilles tendon is formed in the lower third of the posterior aspect of the tibia. Two muscles join to form the Achilles Tendon: The Gastrocnemius which originates on the posterior aspect of the femur, and the Soleus which originates on the posterior aspect of the upper third of the tibia. The Achilles tendon is an anti-pronator. What are the common symptoms/complaints? Patients complain of severe pain felt in the back of the ankle How is it caused?

    33. Achilles Tendonitis Plagues Athletes And Other
    achilles tendonitis Plagues Athletes and Other. If so, you might have achillestendonitis, a condition that plagues athletes and nonathletes alike.
    http://www.fitmoves.com/ArticleArchive/achilles_tendonitis_plagues_athl.htm
    Achilles Tendonitis Plagues Athletes and Other A Monthly Foot Fact from Foot.com
    Teaneck, NJ (May 11, 2001) - Do you sometimes experience a burning pain above the heel with every step you take? If so, you might have achilles tendonitis, a condition that plagues athletes and non-athletes alike. Achilles tendonitis is caused by inflammation and degeneration of the achilles tendon, the large tendon located in the back of the leg and inserted into the heel. This tendon can be aggravated by activities that repeatedly stress the area, such as running, jumping or other pounding sports, or can be injured by a single traumatic event. Achilles tendonitis can also be caused
    by not stretching regularly before exercise or wearing high heels that cause the tendon to shrink and become more vulnerable to injury. In some cases a heel bone deformity, or even prolonged periods of standing, can cause symptoms. The pain sometimes lessens during activity. According to Dr. Suzanne Belyea, D.P.M., Medical Director of Foot.com, symptoms of achilles tendonitis include a shooting or burning pain, or an extremely piercing pain. "The pain will be in the area in the back of the heel, and can also be perceived as tenderness upon rising first thing in the morning or after sitting for an extended period of time. If the condition is aggravated by a shoe rubbing against the tendon, you might see redness and feel soreness to the touch."
    Dr. Belyea notes that several factors can contribute to the onset of achilles tendonitis. The most common is over-pronation, or flat feet, which occurs when the arch of the foot collapses upon weight bearing, putting stress on the achilles tendon. Improper shoe selection can also lead to the condition, or aggravate it. "Choosing your footwear is important if you are suffering from achilles

    34. Achilles Tendonitis Treatment Injury Pain Swollen
    achilles tendonitis, achilles tendonitis treatment, achilles tendonitis injury,achilles tendonitis pain swollen. achilles tendonitis treatment.
    http://www.sportsinjurybulletin.com/archive/0031a-achilles-tendonitis.htm
    Funded by private subscription, SIB is a free archive of practical sports injury advice for Physios, Coaches and Athletes
    achilles tendonitis, achilles tendonitis treatment, achilles tendonitis injury, achilles tendonitis pain swollen
    Achilles tendonitis treatment
    Achilles tendonitis interrupts many training programmes and ruins many plans for PBs. It is also the most common injury in athletes over the age of 40, and - unfortunately - it's a problem which doesn't go away very quickly: Traditional achilles tendonitis treatment (ie, rest, non-steroidal anti-inflammatory drugs, orthotics, cortisone injections, icing, ultrasound, and conventional physical therapy) are not very successful, and about 25 per cent of athletes who suffer from chronic Achilles tendonitis problems end up undergoing surgery.
    How can Achilles tendonitis be prevented - or cured once it develops? Although everyone seems to agree that calf-muscle strength plays a key role in both the development and resolution of Achilles tendon difficulties (functionally strong calf muscles should ease stress on the Achilles, lowering the risk of injury or promoting healing), not a single scientific study has been published which actually links calf-strengthening with toughening of the Achilles - until now
    That deficiency has fortunately been corrected, thanks to some recently published research carried out at the Sports Medicine Unit of the University Hospital of Northern Sweden in Umea, Sweden. There, investigators divided 30 athletes with chronic Achilles tendonitis into two groups. One group of 15 received only traditional Achilles tendonitis treatment (non-steroidal anti-inflammatory medications, rest, orthotics, shoe changes, cortisone injections, and physical therapy), while 15 others engaged in 'heavy-load eccentric calf-muscle training' (to be explained in a moment). All 30 subjects experienced morning stiffness in one of their Achilles tendons (athletes with problems in both tendons were excluded from the study) and suffered from pain while running

    35. Pathology Achilles Tendonitis
    Search Our Database to find a practitioner using the Footmaxx system near you.achilles tendonitis ( achilles from Greek mythology). What is it?
    http://www.footmaxx.com/footcare/achilles.html
      to find a practitioner using the Footmaxx system near you. ACHILLES TENDONITIS - ("achilles" from Greek mythology) What is it? achilles tendonitis is a condition wherein the achilles Tendon, at or near its insertion to the posterior aspect of the calcaneus, becomes inflamed and causes pain. The achilles Tendon is one of the longest and strongest tendons in the body. It is avascular and therefore slow to heal. The achilles Tendon is formed in the lower third of the posterior aspect of the tibia. Two muscles join to form the achilles Tendon: The Gastrocnemius which originates on the posterior aspect of the femur, and the Soleus which originates on the posterior aspect of the upper third of the tibia. The achilles Tendon is an anti-pronator. What are the common symptoms/complaints? Patients complain of severe pain felt in the back of the ankle How is it caused? Overstress of the tendon. During a normal gait cycle, the femur and the tibia rotate in unison (i.e. internally during pronation and externally during supination). However, when a person over-pronates, the tibia is locked into the talus by the saddle joint and therefore continues to rotate internally past the end of the contact phase while the femur receives its orders from the brain and begins to rotate externally at the beginning of midstance. The resulting counter rotation of the femur and the tibia causes a shearing force to occur in the achilles tendon because the Gastrocnemius muscle is attached to the femur and rotating externally while the Soleus muscle is attached to the tibia and fibula and rotating internally during over-pronation. This shearing force twists the tendon at its weakest area, namely the achilles tendon itself, and causes the inflammation. Since the tendon is avascular, once inflammation sets in, it tends to be chronic.

    36. Achilles Tendonitis--A Great Massage In Colorado
    achilles tendonitis by Michael L. Hauser, Foot Specialist Denver, Colorado. Probablythe most common tendonitis seen in sports medicine is achilles tendonitis.
    http://www.strive4impact.com/massage_files/Articles/foot_articles/achillies_tond
    Great books and web sites relating to foot pain, taking care of your feet, and overall health.
    Happy Feet Plus
    Achilles Tendonitis
    by Michael L. Hauser, Foot Specialist
    Denver, Colorado
    (This article is part of the Foot Health Series at A Great Massage. See below for more articles about feet and foot health.) Tendonitis is, basically, inflammation of a tendon. Probably the most common tendonitis seen in sports medicine is Achilles Tendonitis. The achillies tendon connects the calf muscle to the heel and allows you to raise up the ball of your foot. Achilles tendonitis can be caused by a direct blow to the tendon or from partial tears in the tendon. Both cause inflammation in the tendon sheath which narrows the orifice into which the tendon glides. Some inflammation is actually beneficial in that it enables the tendon to heal. If the tendon is not properly rested, a vicious cycle is set up whereby the motion of the tendon in the inflamed sheath causes additional inflammation, which is detrimental and results in increased swelling and pain. Initial treatment consists of ice applied for 30 minutes four or five times/day for the first 48 hours. Rest, elevation of the limb, and ice all help to decrease the swelling. Local steroid injections should not be used in the initial phase as they tend to retard healing. As a general rule, the greater the amount of swelling, the longer it will take for healing to be complete.

    37. Ankle Tendonitis - Achilles Tendonitis, Goode Wraps For Tendon Pain
    Advanced ankle wrap for achilles tendonitis. Clinically tested a five majorUniversities. Recap of University Clinical Trials achilles tendonitis.
    http://www.200.com/achilles2.htm
    Goode Wraps Reduce Pain, Swelling and Stiffness by Relaxing Muscles and Tendons ANKLE TENDONITIS - ACHILLES TENDONITS TENDON PAIN ankle tendon,tendonitis, tendon pain,tendon,achilles tendonitis,ankle pain, achilles tendonits Click Here for Complete Product Information, Clinical Studies, Testimonials, Online Ordering or Call at 1-888-972-7200, if we are not here leave a message Achilles Tendonitis - ("Achilles" from Greek mythology) Achilles tendonitis is a condition wherein the Achilles tendon, at or near its insertion to the posterior aspect of the calcaneus, becomes inflamed and causes pain. The Achilles tendon is one of the longest and strongest tendons in the body. It is avascular and therefore slow to heal. The Achilles tendon is formed in the lower third of the posterior aspect of the tibia. Two muscles join to form the Achilles tendon: The Gastrocnemius which originates on the posterior aspect of the femur, and the Soleus which originates on the posterior aspect of the upper third of the tibia. The Achilles tendon is an anti-pronator. Achilles tendonitis is difficult to cure. Charles A. Krohn, Retired Lt. Colonel US Army, Author of The Lost Battalion.

    38. Achilles Tendonitis
    PRODUCTS Useful for achilles tendonitis To decrease swelling *Instant Cold Pack *McDavid© Thermal Wrap *Safe T Gard© Cold
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    PRODUCTS...
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    Only your doctor
    can diagnose and treat. Achilles Tendonitis
    ACHILLES TENDONITIS
    is a very common "overuse" injury affecting recreational and competitive athletes. The Achilles Tendon, located at the back of your ankle, is the strongest tendon in the body. Overuse activities, such as distance running, can irritate the Achilles Tendon. The end result, usually after strenuous activity, is pain and swelling along the back of your ankle.
    SELF CARE involves temporary cessation of activities such as jumping, sprinting, hill climbing, or long distance running to rest the Achilles Tendon. Cold application for the first 72 hours has been shown to decrease swelling . Warm moist heat is beneficial after the initial swelling has subsided. Additionally, products that compress and support will help lessen the strain on the Achilles Tendon. Finally, to prevent Achilles Tendonitis from returning, it's important to stretch thoroughly prior to activity. Stretching aids may be of great value.
    back to Point of Pain

    39. Achilles Tendonitis (back Of Heel Pain)
    Achilles Pain (achilles tendonitis). achilles tendonitis commonlyoccurs from shearing and stretching (tractional) forces placed
    http://www.orthaheel.com/achilles.html
    Home Foot Biomechanics ORTHAHEEL Range FAQ's ... Letters Conditions: Heel Pain Knee Pain Back Pain Aching Legs ... Morton's Neuroma Achilles Pain Shin Pain Outside Knee
    and Hip Pain
    Children's Complaints
    Other: Anatomy of
    the foot
    Stretching Exercises Achilles Pain (Achilles Tendonitis)
    Achilles Tendonitis commonly occurs from shearing and stretching (tractional) forces placed on the Achilles tendon at the back of the heel. Excess Pronation causes the heel bone to tilt excessively and places extra strain on the tendon. Inflammation of the tendon is a common result along with tightening of the calf muscles. ORTHAHEEL aligns the heel bone and significantly reduces the shearing and stretching forces on the Achilles Tendon, thereby providing relief from Achilles Pain.
    Click here for full Medical Etiology

    (Achilles Pain section for health professionals) Recommended products:

    40. Achilles Pain (Achilles Tendonitis)
    Achilles Pain (achilles tendonitis). Medical Etiology (informationfor health professionals) Definition Inflammation of the Achilles
    http://www.orthaheel.com/achilles2.html
    Home Foot Biomechanics ORTHAHEEL Range FAQ's ... Letters Conditions: Heel Pain Knee Pain Back Pain Aching Legs ... Morton's Neuroma Achilles Pain Shin Pain Outside Knee
    and Hip Pain
    Children's Complaints
    Other: Anatomy of
    the foot
    Stretching Exercises Achilles Pain (Achilles Tendonitis) Medical Etiology:
    (information for health professionals)
    Definition:
    Inflammation of the Achilles Tendon, commonly found in athletes.
    Symptoms:
    The patient presents with a sharp and nagging pain above the heel. Limited ankle flexibility and inflammation over the affected area are often present.
    Biomechanical aetiology:
    Achilles Tendonitis commonly occurs from shearing and tractional forces placed on the Achilles Tendon at the back of the heel. The calf muscles assist inversion of the calcaneus at heel lift. When a condition occurs where the foot accelerates into an excessively pronated position and the calcaneus is everted, there’s an increase in medial tendo-achilles traction and this results in transverse shearing of the tendon and sheath - this commonly leads to inflammation and pain. Often, a lumpy build-up of scar tissue occurs. This mechanism has been linked to Sever’s Disease, Restless Leg Syndrome and ‘growing pains’ etc.
    Treatment: By preventing excess subtalar joint pronation orthotics reduce medial tendo-achilles traction, therefore helping to alleviate the problem.

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