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Achilles Tendon Physical Therapy Exercises

Casey Said:

Is my Achilles Tendonitis coming back?

We Answered:

Tendonitis is a condition of inflammation. (Any "itis" means inflammation.) But inflammation is usually either short-term - less than two weeks - or else the result of some other underlying cause. In other words, if you don't fix the root problem, you won't be able to fix the inflammation (tendonitis).

If your injury is coming back again and again, especially after having rested your foot for six weeks, it's more likely that you have tendonosis. Tendonosis is an actual degeneration of the tendon from overuse, improper movement patterns, etc. It's nothing to fool around with; left untreated it can eventually require you to have surgery. Unfortunately, most doctors don't distinguish between tendonitis and tendonosis. They call any sort of tendon pain "tendonitis".

If you want to learn more about your condition, I suggest checking out my blog on the subject at the Target Tendonitis website.

Denise Said:

I've had achilles & peroneal tendinitis for 6 months now....?

We Answered:

I would say that you are at the point of "last resort." If your doctor has made you go through all that and does not want an MRI to rule our possible tears or other anomalies, then get a new doctor. You've been through the gammut of conservative care...time to find out what's REALLY wrong.

Patrick Said:

Having problems with achilles tendons?

We Answered:

For how long did you perform your exercises? Although most people feel better in about 12 weeks, persistence with the exercise is usually required for at least 6 months or else it almost invariably returns. Also, you may be in need of progression of your exercises. People who do higher level activity such as yourself should be doing eccentric loading and plyometric/ballistic movements by the end of their rehabiliatation.

Bracing is not effective for tendonitis. There is a possibility that kinesiotape may be of benefit, but I personally only find it effective for people when they are still in the "constant" pain phase.

Thomas Said:

Sore Achilles Tendon...Please Help!?

We Answered:

As for at home remedies, I don't know of anything other than stretching.

Because of how much the Achilles tendon is hurting you need to see a doctor for further evaluation of the situation. I know you don't want to see a doctor about this because the one that you saw did not offer any relief but I would recommend getting an opinion from a Podiatrist (a foot and ankle specialist). They have things available that may be able to help you such as orthotic inserts.

On the physical therapy front, if that is recommended check for a place that can offer financial help (I did this when I started going to physical therapy for my foot).

Shawn Said:

Ankle sprain(?) treatment?

We Answered:

Ashton,
1. No, stop the ice. Recent studies have shown that the use of ice stops or slows down the rate of healing. Use warmth but not hot. Warm moist compresses work the best.
2. You are describing difficulty in playing ball due to the fact that the tendons are tight. Since that is the case running or jogging is going to stress them when they are not in their normal length. This would be opening you up for another injury. Better to wait until you get full mobility and strength in the leg.
3. If you are going to see a doctor about this see a podiatrist. They are the foot and ankle experts. If you are not having any other problems except for the tightness I would say no. If on the other hand you are still experiencing pain and other problems then you should go.
4. The leg is a cylinder and all of the laws of physics apply to it. Since you are walking on a cylinder with limited muscular work the normal pumping mechanism is not working as well as it should. The fluid is always going to drop down to the lowest point unless you have a strong pump to push it back up. If you were to take a measurement of the opposite ankle when you first got up and then again when you went to bed you would find that it also was larger. You have to use your calf muscles more to pump the fluid out. I will give you a simple exercise to do that after these answers.
5. This is a little over 3 weeks off. It might be possible but in all honesty I would say no. The reason for the no is that unless your leg and ankle have full mobility and strength you are asking for another injury. As soon as the leg is strong enough you can return.
6. Do this movement to gain mobility and help to pump some of the fluid out of the leg. Assume a long sitting position on the floor. Have the muscles of the feet pull them backwards towards the shins. The only movement that should be taking place is at the ankles. You will know that it is being done correctly as you will feel a pulling sensation in the calves. Hold that pull for 10 seconds and then relax for 5 seconds. Repeat this until you have done 10. You can do this as many times a day as you want. Once you learn the basic movement you can also do this standing and sitting. The best position is lying down.
7. There is an exercise called the 180. That number stands for the total number of reps that you have to do for this exercise. In the beginning you are not going to be able to do this number so just do what you can. Stand on a step with the balls of the feet on the edge. Raise both heels up as high as they go. Now take the injured foot off the step and hold it up not touching anything. Now slowly lower the heel of the foot you are standing on. At the bottom of that movement replace the injured foot on the edge of the step. Now using both feet raise the heels up to the highest that they can go. Again take the injured foot off the step and lower the other foot down as low as it can go. Do this until you have done 15 reps. Now reverse positions of the feet and you are going to work the injured foot. Attempt to do as many as you can always attempting to get the heel as low as it can go. Do this exactly as you did the other foot until you have either tired or done 15. Now switch back to the original position and do 15 on that foot. If you are able do some more on the injured foot. In this way you only do what the leg is capable of doing. Don't force the leg to do more than it is capable.
8. You will be able to return to playing when you can run this drill. This is called a figure 8 drill. Make a large 8 somewhere like a basketball court. Walk the 8 as fast as you can. If you have no pain or restrictions then make the 8 a little bit smaller. Do the walk as fast as you can in that 8. No problems make the 8 smaller. Keep doing that until you have the smallest 8 you can. If you have no problems then go back to the largest 8 and jog it. No problems do the next smallest one and so forth until you are able to do the smallest one or you have a problem. Return to the large 8 and run it at 3/4 speed through all of the 8's. If you have no problems run it at full speed through all of the 8's. If you can run through the smallest 8 without any problems then you are ready to play.

Oscar Said:

I fractured my ankle and tore a ligament on October 3. I have pain in the back of my foot and when I turn it..?

We Answered:

sounds like you need a new xray and mri, at your age it should have went away by now, if you are having to pop your ankle to make it stop then the tendons and ligaments are not holding it where they should, they need to get stronger, maybe some strengthening exercises for the ankle would help also

Jerome Said:

Achilles tendon stretching?

We Answered:

Now, these sites should help you out -
* http://www.healthline.com/blogs/exercise…
* http://video.google.com/videosearch?rlz=…

Good luck to you

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