Thread: Achilles Injury
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Old 04-04-2012, 10:31 AM   #10
i_heart_ib
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Quote:
Originally Posted by Bobby Jr View Post
A couple of links which you might find interesting as part of learning more:
A good thread on this site: http://tt.tennis-warehouse.com/showt...ight=achillies

One of the best related stretches you can do. I do this twice daily and credit it with much of the success I've had with alleviating my issues: http://www.youtube.com/watch?v=DgHoe...eature=related

A general info site on the various types/causes/levels etc: http://www.achillestendon.com/Injuries.html
Thanks for the links! Haven't had time to look through them thoroughly yet, but they seem helpful.

Quote:
Originally Posted by Bobby Jr View Post
For me it's been a long discovery of what I can do to be able to play sport still - and the limits there, as well as what I need to daily to address the issue. My issue still exists but, as I said above, has massively reduced through careful self-therapy (which has never included icing) of daily stretches, strengthening exercises and self-massage. I have, based on the pic above, noninsertional tendonitis - in fact that pic represents almost exactly where my tenderness was located.
Ah... how limiting are those limits? Can you still play tennis competitively or just lightly? Also, how long has it taken your achilles (after days/weeks/months of stretches, strengthening, massage) to get to the point where you can manage playing sports?

Quote:
Originally Posted by charliefedererer View Post
How is your shoulder doing by the way?


Many with long term "tendonitis" don't have pure inflammation ("-itis" connotes active inflammation) but some amount of "tendonosis" a well (-"osis is short for "fibrosis", which is the replacement by fibrous "scar tissue" of the healthy tissue that was abnormally present.)


Tendons are meant to glide easily past one another, and past adjacent bone and ligaments.
With "tendonosis", the fibrotic, scarred tendon areas don't slide smoothly, leading to more inflammation - "tendonitis".


At any one time there can be more or less active inflammation - "tendonitis".

Over time, remodelling of fibrotic "scarred" tissue can occur so that the tendon glides more smoothly.


[Only occasionally does the tendon get so diffusely fibrotic or "scarred", that it will never glide smoothly, or so "stuck" to adjacent tendon, ligament or bone, that it will not respond to any other treatment but surgical removal.]


The best way to preventing "tendonosis" from occurring is to stop play during episodes of "tendonitis", to let the tendon rest and heal.



Realize that after periods of tendonitis, that just because the pain is gone, the remodelling of the tissue at the microscopic level is nowhere near complete.
That remodeling of tissue at the microscopic level goes on for months.



Too many who play sports don't realize they have microsopic tears in their tissues all the time.
The body is busy repairing those injuries all the time.
Those who play at a rate where the microscopic tears accumulate faster than the body has time to repair them develop clinical pain.
Those who return to heavy play too soon after the pain goes away, but before the tissue fully heals, likely will end up with some element of chronic fibrosis [tendenosis].
(Fibrotic tendons are not as supple and strong as "normal" tendons - in the below figure an estimation of 20% loss of strength in the tendon is given, but the exact percentage can vary widely, depending on how much of the tendon is replaced by fibrotic tissue.)

Thanks for the info, as always! My shoulder is doing a lot better; probably a month or so away from recovery. Since my thread on my shoulder has been resurrected, I'll post a comment over there on what exercises my orthopedic told me to do. They seem to be working pretty well.

Last edited by i_heart_ib : 04-04-2012 at 10:37 AM.
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