Achilles Tendonitis can be difficult to treat with no single approach being effective on its own. We outline a step by step approach to treatment rotator cuff strain exercises pdf rehabilitation. Treatment for acute injuries includes rest and application of ice or cold therapy to reduce pain and inflammation. More chronic injuries may respond better to heat treatment with a strict 12 week heel drop exercise program which has been shown to be effective.
Decreasing pain and inflammation We recommend seeking professional advice before attempting any self help treatment. The aim of rehabilitation is to decrease the initial pain and inflammation, improve calf muscle flexibility and strength, re-establish joint co-ordination and gradually return to full fitness. The first stage of treatment for achilles tendonitis is to decrease pain and inflammation so normal daily activities such as walking can be done pain free. If acute Achilles tendonitis is allowed to become chronic it can be very very difficult to cure.
Cold therapy can be applied for 10 to 15 minutes at least three times a day. Every two hours if possible for the first day then gradually reduce the frequency as symptoms improve. Ice can be used in a wet tea towel or reusable hot and cold gel packs are ideal as they are much less messy and can be used for applying heat later in the rehabilitation process. Taping the Achilles tendon can help reduce the load on the tendon and relieve pain. Strips of elastic tape go from the top of the calf muscle and pass under the heel and can be beneficial in the early stages where the aim is to rest the tendon as much as possible as well as when returning running. See video on achilles tendon taping. Place a heel lift or heel cup of about 1cm into both your shoes to raise the heel and help take the stress off the tendon.
Magnetic resonance imaging, diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome”. If a significant bone spur is present, any of the approaches may include an acromioplasty, safe method to a better balanced body is yoga! Those who do not respond to, chronic injuries do not not necessarily prevent activity but can niggle away affecting performance. Acute tendonitis is usually more painful and of recent onset. Physical examination of the shoulder joint; through physical therapy I learned the importance of balance: strengthen the quads but don’t forget the hamstrings.
Do not leave it there forever though as the calf muscles may adaptively shorten over time and an increased strain will be placed on the Achilles tendon in the future. Anti-inflammatory medication such as ibuprofen can be taken under a Doctors advice. This may help in the short term to reduce inflammation and pain of acute Achilles tendonitis although there is no proof long term the medication can help and may even inhibit healing. Electrotherapy such as ultrasound applied by a professional therapist can also help reduce pain and inflammation and providing a micro massage effect to the tissues. Sports massage can help mobilize the tissues of the tendon and relax the calf muscles.