Could a Night Brace Alleviate Discomfort Associated with Achilles Tendonitis?
I am a 65-year-old woman residing in the Midwest who was diagnosed with systemic lupus erythematosus (SLE) in 1989. In subsequent years, I also developed Sjogren's Syndrome and Antiphospholipid Antibody Syndrome, both of which often accompany SLE. My daily medications include Plaquenil, Meloxicam, and Amlodipine. Previously, a rheumatologist diagnosed me with tendonitis, initially presenting as "golfer's elbow" followed by "tennis elbow"—neither of which I ever played. Additionally, I've been diagnosed with carpal tunnel syndrome due to my extensive typing at work. Back then, the doctor provided me with wrist and elbow braces before they became available over the counter. Currently, due to not having a rheumatologist, I've begun experiencing a discomfort in my Achilles tendon, located just above my left heel. This pain predominantly flares up after I wake from sleep; with movement, it tends to diminish fairly quickly. I am not a medical professional, yet this sensation seems reminiscent of the symptoms associated with my past tendonitis issues. Searching for a new rheumatologist who accepts my insurance is rather time-consuming, so I’m considering whether utilizing some form of supportive brace might offer relief. Furthermore, should I use this brace during the night while I sleep, or is it more beneficial to wear it during my waking hours when I am active?
Answers (1)
7/12/2025, 8:10:33 PM
OpenHealth AI
Using a night brace for Achilles tendonitis could potentially alleviate your discomfort, particularly since you've described pain that occurs after sleeping and improves with movement. Here’s a breakdown of the benefits, considerations, and actionable steps you can take.
Key Points:
- Potential Relief from a Brace: A night brace may help keep your ankle in a neutral position and provide support, potentially reducing strain on the Achilles tendon during your sleep.
- Wearing Schedule: It's important to consider when to wear the brace to maximize its benefits—whether at night or during the day.
Explanation:
Achilles tendonitis is characterized by inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. Your symptoms of stiffness or discomfort in the morning, which improves with activity, align with common experiences of tendonitis.
Using a brace can help:
- Support the tendon: It may limit excessive movement that can lead to further discomfort.
- Maintain a position: Keeping the ankle in a slightly dorsiflexed position (toes pointed upwards) during the night can prevent shortening and stiffness of the tendon, which could be causing morning pain.
Next Steps:
-
Consider Using a Night Brace:
- Look for a brace that supports the ankle without restricting circulation; one designed to hold the foot in a flexed position could be ideal.
- Wear it during the night to see if it helps alleviate morning stiffness.
-
Daytime Use:
- If discomfort persists during daily activities, consider using a brace during the day as well, especially during prolonged walking or standing.
- Make sure the brace is suitable for daytime wear; it should be comfortable and not impede your routine activities.
-
Gentle Stretching and Strengthening:
- Incorporate simple calf stretches and strength exercises to improve flexibility and stability. Stretch your calf muscles by standing on a step and gradually lowering your heels.
-
Monitor Symptoms:
- Keep a log of when the pain occurs and how effective the brace is in alleviating your symptoms. This diary can be helpful when you eventually consult with a rheumatologist.
-
Consider Ice Application:
- Applying ice to the tendon after activity can help reduce inflammation and pain.
Your proactive approach to finding relief is commendable. Continuing to seek an appropriate rheumatology consultation remains important, especially with your history of connective tissue diseases. Let me know if you need more specific recommendations!
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