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Year of first Tri race?

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  1. Hey guys, I'm hoping to tap on the collective wisdom and experiences of others to see if you can help me work out what to do next to try and get rid of a nagging issue I've been having with my achilles since January this year. I have seen 2 or 3 different physios, podiatrist, masseurs and I don't think any of them have been able to figure out exactly what my problem is. The issue seems to be localised somewhere near the heel bursa rather than your typical achilles area - from what I can understand this is where the achilles tendon connects with the heel. This area swells after my runs (there is a noticeable bump) and there is residual pain for at least a day or sometimes two depending on how I manage it straight after the runs. I can literally put my finger where the pain is and there is absolutely no pain around the mid-achilles area. Icing seems to help a lot, as does (I think) rubbing a bit of voltaren gel in the area, wrapping it in cling wrap and putting socks on before going to bed (this was a tip from a physio). The typical calf raising exercises don't seem to help at all, in fact I think they actually aggravate the problem. The same goes for calf stretches. It's been 3 weeks since my last run (Cairns IM) and even though there is no pain as such (1 on a scale of 1 to 10), if I put pressure on the source of the problem I can feel a kind of "nerve" pain. As I was writing this I actually tried to find it and it seems to be a bit on the side rather than right in the middle of the heel now. On the image below, I'd say the pain is located closer to where the arrow is pointing at the calcaneous, maybe slightly above it. I guess the things I am trying to work out are 1) Have you had anything similar to this and if so, how did you treat it? 2) Given the background above and all the things I've tried so far, what else can I do to try and identify what's causing this and make it better? X-Ray? MRI? I have no idea! 3) Anything else I haven't done / thought of that you think might help? Cheers, Rog
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