I remember the day Robert B. first walked into my office like it was yesterday.
He was 54.
Had been playing tennis for over 30 years.
A fit guy who hit the courts twice a week.
His problem: For the past few weeks, he'd been feeling an uncomfortable tightness in his left Achilles.
Nothing serious, he thought.
Just a little burning after playing.
I examined him thoroughly.
Then I told him something he didn't want to hear.
"Mr. B., your Achilles tendon is showing clear signs of overuse. This isn't an injury yet – but it's a warning. If we don't act now, you're risking something much worse."
He looked at me skeptically.
"What do you recommend?"
I explained the connection.
His tennis shoes were worn out.
The insoles – that cheap foam material that loses its cushioning after just a few weeks – were basically dead.
With every explosive stop, every quick pivot on the court, his Achilles had to absorb all the impact force that should have been absorbed by the sole.
"I recommend specialized tennis insoles with professional cushioning technology," I said.
"They don't cost $300 like some custom orthotics. But they were specifically designed for tennis players and are extremely effective for keeping your Achilles stable."
"They can prevent what's coming if you don't."
Which insoles I specifically recommend to my patients – and have achieved a success rate of over 95% with – I'll tell you at the end of this article.
He smiled politely.
"Doc, I've been playing tennis for 30 years. This is just a little muscle soreness. I'll throw on some pain cream and take it easy for a few days."
I tried to warn him.
I explained that the pain cream treats the symptom, not the cause.
That his tendon will keep getting overloaded as long as his dead insoles aren't absorbing the impact.
He waved me off.
"Thanks for the advice. But I know my body."
Then he walked out of my office.