Other for Achilles Tendinitis

Latest reviews
MORE FILTERS
4.6out of 5
Not improved(7)
Improved(6)
Almost cured(7)
Cured(16)
  • 10
    Feb2016
    • Chronicity 4 - 6 Months

    Treatment Ratings

      Cured
      Surgery
      Almost Cured
      Boot
      Improved
      Eccentric Protocol, Rest, Massage, Physical Therapy, Other
      Not Improved
      Platelet Rich Plasma Injection, Acupuncture, Orthotics

    I could write volumes about achilles tendinosis. I've had it off and on (bilaterally) for the better part of 18 years. It has been a significant limiter to my training and race participation over the years. I've spent $1,000's in wasted entry fees and canceled travel plans. Looking on the bright side, I've learned to think positively, to persevere, and most importantly not to take this sport too seriously. Anyhow, here's a summary of my experience:

    July 4, 1997: pain started in left AT. After 4 months of physical therapy including all the standard stuff: rest, ultrasound, cross friction massage, iontophoresis I could run again at an acceptable level of pain.

    1997-2006: fluctuating pain levels in both ATs. These nine years of running/cycling frequency dictated by pain levels. Saved hard/long runs mostly for race day. Tried just about every non-surgical remedy under the sun, multiple times. gazillion doctor visits, more physical therapy, MRI's, eccentric calf raises, pissed a lot of money on useless orthotics. I spent a significant amount of time researching tendinosis and discovered that most orthopedics and podiatrists really don't know what to do. I saw a dozen different doctors over this time period confirming this at least for me. You can confirm this as well: arm yourself with list of questions requiring concrete, detailed responses prior to visiting your doctor and watch them squirm for answers. (One supposedly world-renowned ankle reconstruction orthopedic didn't even attempt to find a solution, looking me straight in the eye instead and said nothing could be done; I should stop running and play golf)

    July 2006: By this time, I couldn't run more than 10 feet. Left AT was a mess. After more research, I concluded that topaz microdebridement surgery might work for me. I flew from Fla where I was living at the time to Santa Monica, CA to have the procedure done by a podiatrist who appeared to have some success with procedure. Surgery required general anesthesia. Post surgery, non-weight bearing boot for 2 weeks, followed by weight bearing boot for another 4 weeks. I wasn't able to run for 7 months - long rehab period. However, after 7 months I was cured. No more pain. Unfortunately, soon afterward, my right AT became more of a limiter.

    Nov 2009: Went back to Santa Monica for my right AT (now living in CA). Tried PRP. Fail.

    Dec 2009: Topaz microdebridement on my right AT. I was a better patient this time so rehab was more like 5 months. However, this time I'd say the success was about 80%. A portion of the painful tendon didn't fully heal but was good enough to run somewhat unimpeded.

    ~2012: right AT getting more bothersome and hampered running.

    ~2013: MRI on right AT. Tendinosis confirmed. tried acupuncture, more PT, loads of eccentrics to no avail.

    August 2014: pain in right AT (which had been pain free for 8 years) came on strong day after race. Now I have it in both legs again.

    October 2014: went back to Santa Monica. Tried PRP twice in both legs over 8 week period. FAIL. In my view, PRP sucks and is a waste of time and $. I knew that before but, against my better judgement, allowed the doc to talk me into it. $1,500 down the tubes.

    March 2015: Here's where it gets interesting, at least to me. After more research and internal reflection, I decided to go to the king of achilles tendons. So, I contacted Hakan Alfredson in Sweden (of the Alfredson eccentric protocol fame) and booked an appointment to see him.

    March 28, 2015: Flew from CA to Umea, Sweden. Three days later, I was on the table and Prof. Alfredson was performing bilateral AT surgery (ultrasound+Doppler-guided mini-surgical scraping). It was under local anesthesia. I felt no pain. The surgery took about 1 hour and I got up from the table and walked back to my hotel room which was about 200 yrs from his office. By the way, nobody in the U.S. is doing this yet. And, it's been a successful procedures to the many professional athletes that travel from all over the world to see him. I flew home on 4/2.

    April 4, 2015: Here it is less than a week after bilateral surgery and I am walking almost normally and with no pain. I can't believe it. The rehab procedure calls for me to begin light running in 5 to 7 weeks, and I am very hopeful that this works. Here's some info on his procedure:

    http://omicsgroup.org/...ts-2165-7025-213.pdf


    Read more  
  • 10
    Feb2016
    • Injury Status Cured
    • Runner Yes

    Treatment Ratings

      Cured
      Dry Needling, Rest, Other, Strengthening Exercises

    I had three episodes. The key each time was 8 weeks or so NO, zero, nada running. It has been a year since the last episode. I did have ART, Graston, needling......it greatly improved recovery time. The assessment isolated the root cause and I began a functional strength routine for hips, gluteus.


    Read more  
  • 10
    Feb2016
    • Injury Status Cured
    • Runner Yes

    Treatment Ratings

      Cured
      Ice, Massage, Rest, Other

    stop running until it gets better. keep doing the ice, heat, roller while not running on it. hit the deep end and do pool running to keep the muscles firing and don't push it.

    when i get massages now, about twice per month, my therapist sometimes goes to town on my achilles and it feels ohh so good after!


    Read more  
  • 10
    Feb2016
    • Injury Status In Pain
    • Chronicity 2 - 3 Months
    • Runner Yes

    Treatment Ratings

      Not Improved
      Ice, Massage, Stretching, Other, Strengthening Exercises

    I started back running after doing the NYC MARATHON last year and developed sharp pain in my achilles. Saw a dr and PT 1st week in January. Diagnosed it as achilles tendonosis. I have been doing the stretches, strenthening, ice, heat, rolling and now 4mths later I am still in pain and not better off then early january. I see a sports dr who works with the pacers/Colts in april. Would it help if they put a boot on me for a few weeks? Anyone have any luck overcoming this? Getting depressed not being able to run anymore..


    Read more  
  • 10
    Feb2016
    • Injury Status Cured
    • Chronicity 4 - 6 Months
    • Runner Yes

    Treatment Ratings

      Cured
      Ice, Rest, Compression, Supportive Shoes, Stretching, Other

    I have dealt with Achilles issues for years too, starting way back in 2008. Derailed multiple seasons for me, and there was a time when I thought 10k was the max my body would allow for. Knock on all the wood but I've been drama free for two seasons of marathon and now Ironman training. Here's how I roll: (btw, 41 years old, 6 feet, 185, MOP everything):

    The thing I recommend right now is this portable ultrasound machine. I have something similar. I worked it into my RICE routine, especially when it was really bad. Ice 2-3x a day and Ultrasound 2-3x day for 10 minutes. In about 10 days I started to notice a change. It helps break up some of the scar tissue that can make achilles issues the plague they can be. Even now, if I feel a bit of ache or twinge after a workout I'll sit with the machine for ten minutes while I watch TV or something and it helps. YMMV, but I can't recommend this highly enough from my experience - I think it was the most significant thing I did to get on the path to wellness. And no, not affiliated with them or anything, probably there are other/cheaper, different/better models out there, this is an example. http://amzn.com/B00T8UH8EE
    I quit trying to be the fastest guy in the world. So many seasons I'd do one too many speed workouts and be out for 6 weeks, and I'd think - I don't care how slow I'd go, I just wish I could be out there. So I limited speed work for several seasons. And I still don't do it as often as most. I'm not out to win any reasons, just enjoy myself. That means intentionally slowing down, and only - diligently, patiently - paying back my training and never going beyond myself. It means I pace much more conservatively than maybe I need to, but I don't care. FWIW, I'm almost as fast this season as I was 8 years ago, I think because I'm not wearing down so hard.
    More proactive rest. I take 2 days off a week. I don't obsess about everything. I do yoga/stretching on one of my days off and treat it like a long run or ride - not negotiable.
    The minimalist shoe fad really did me in. I tweaked my Achilles the first time doing speed workouts on Newtons, and it was years before I felt like myself again. I train and race in Hoka's now. I don't love everything about them, but they're cushy and forgiving and they help keep me out there instead of stuck inside.
    Crossing my legs or sitting for long periods with my elbows on my knees is a major aggravation for me, and can start issues happening if I'm not careful. I'm really mindful of anything limiting blood flow to my lower legs.


    Read more  
  • 10
    Feb2016
    • Injury Status Cured
    • Chronicity 4 - 6 Months
    • Runner Yes

    Treatment Ratings

      Cured
      Rest, Night splint, Eccentric Protocol, Other

    I've struggled with Achiles issues since I started tri's / running (2009). Got through last year and IMMOO, but had a flare-up in the last week or so.

    I dialed back my running, but kept at it. If your pain allows do shorter runs for a week or two (3 miles or so). You won't lose much run fitness. After a week or so, see if you can do a day or 2 of 2x the runs.

    Slowly rebuild from there. You have plenty of time to hit top form for August, but you gotta take the steps now to correct it.

    Are you doing your heel drops with a weighted backpack? If not, start it now. Otherwise you are wasting your time with the exercise.

    You mentioned pain while riding...are your cleats all the way back (towards the heel)? If not, do it now. Helps alleviate stress on the Achilles while riding.

    Get a wobble board and do one-legged stands on it. Get a balance pad and do one-legged squats. Anything to help stabilize the kinetic chain of your leg.

    Strongly suggest looking into run / walk as well. Start off at 3-4 min run / 1 min walk. Work your way up to 1 mile run / 1 min walk. This conveniently comes close to the aid station placement for a HIM. It will help alleviate the stress on your calf while running and give it a chance to relax.

    I have found a heating pad to be therapeutic, as well as a night splint. Swimming was also massively therapeutic for me, so take this time to up your swimming.


    Read more  
  • 10
    Feb2016
    • Injury Status Cured

    Treatment Ratings

      Cured
      Boot, Massage, Rest
      Almost Cured
      Other

    did many ART sessions. Not scientific, but, I think these helped the most: Boot (at night), deep sessions with roller and lacrosse ball/triggerpoint) AND time off from running. For me that area right above the top of the tendon really needs constant rolling, etc.

    When I was hurting and read "it will get better" I didn't believe it - but, it will; just not as fast as you want it to :-(


    Read more  
  • 10
    Feb2016
    • Injury Status In Pain
    • Chronicity 2 - 3 Months
    • Runner