Tips on recovering from partial achilles tear?

Discussion in 'Health & Fitness' started by travlerajm, Feb 11, 2018.

  1. travlerajm

    travlerajm Legend

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    Tweaked it 2-1/2 weeks ago. Now every time out on court since then (twice per week), it takes fewer minutes before it flares up and has me hobbling. On Wednesday night it took half an hour of doubles before it flared up. Today it took only 10 minutes of singles baseline points before I was limping badly today.

    This follows a period of remarkably good health for past 2 years. I was gaining confidence in my singles game, as when I'm healthy my speed and court coverage is my biggest weapon and I was getting pumped to use my speed advantage to be a force in over-40 4.5+ USTA singles.

    But now, I worry that this could be a major setback. I'm thinking I need to take at least a month off from tennis and see if that helps.

    Any tips for faster recovery of this worrisome injury?
     
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  2. ollinger

    ollinger Legend

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    1) it's not a "tweak," it's a partial tear. What is a tweak??
    2) most experts recommend months away from tennis, sometimes as much as 6 to 12 months but that's usually for a more serious tear.
    3) what this injury "follows" is irrelevant. Why mention it other than to delude yourself that all is really fine?
     
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  3. travlerajm

    travlerajm Legend

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    You have a way of making an injured person feel so much better.
     
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  4. travlerajm

    travlerajm Legend

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    You have a way of making an injured person feel so much better.
     
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  5. spun_out

    spun_out Rookie

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    How do you know that your achilles is partially torn? There are many reasons why that part of the leg can hurt.
     
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  6. ollinger

    ollinger Legend

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    when you're going out and playing immediately after a partial achilles tear, you absolutely need to be made to feel worse about it, as you're risking a complete tear. Were you expecting a little smoke blown up an orifice with the advice to only use natural gut??
     
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  7. Gemini

    Gemini Hall of Fame

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    Not a physician but if you know it's a partial tear you need to give it significant time to heal the tear. I'd suspect that would be weeks of rest. It sounds you might have a sever case of tendonitis. I believe the prescription for that is rest as well along with a good stretching program to increase the flexibility in the calves and the associated tendons. Just my 0.02
     
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  8. ace18

    ace18 Professional

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    I suffered from achillies tendonits for months. Right around Christmas time, I went to a running store to see if they had any type of support sleeve. I purchased this, https://os1st.com/product/foot-compression-sleeve/, and it helped immensely. I wore them day and night for a few weeks and I'm now pretty much healed. Best of luck..
     
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  9. travlerajm

    travlerajm Legend

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    Thanks. I might try that out.

    I've had tightness/soreness in my achilles tendons in the past, but this time is different. The first tweak was in front of the tendon on the ankle. Each time I try to play, the flare-up soreness is higher up the tendon. Now the sore spot is up more spread out and near the base of the calf muscle.

    I'm going to see if I can get a referral for physical therapy before the scarring gets too bad.
     
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  10. travlerajm

    travlerajm Legend

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    Thanks. I'm actually encouraged that my sorest area is higher up on the tendon, so might be partly in the muscle. In the past, I was able to make full recoveries from a severe hamstring injury by incorporating a stretch-while-warm regimen into my treadmill workouts. I don't think tendon responds to stretching quite as well as muscle.
     
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  11. ByeByePoly

    ByeByePoly Legend

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    I typed a longer response that got deleted ... I have no idea why. But briefly:
    1) back of leg is all connected ... stretch calf and hamstring
    2) replacement insoles with heel pad (I use sof sole airr orthodics) cured my Achilles issues years ago ... still use same sof sole. My soreness wasn't as bad as yours, you should be careful. I know two players that had complete rupture. They both came back 100% after surgery.
    3) when I researched Achilles issues, many were suggesting using heel pads (thin) under your insoles to slightly raise the heel. The thinking was reducing the upward flex of the foot reduced the stress/pull on achilles. I have no idea if this is valid, but I recently did this myself when I changed to shoes that appeared to be lower in the heel. I cut heel pads out of the cheap insoles that come with tennis shoes, and put them under the sof soles. I liked the way it feels, and have played with them for months.

    My Achilles pain was impact pain landing ... like after an overhead. It was Edit: NOT constant pain during the point. I think the heel cushioning helped reduce that landing impact.
     
    Last edited: Feb 13, 2018
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  12. ace18

    ace18 Professional

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    you got it... Now, I ended up using gel inserts for the first time and switched shoes, all of which helped. In the morning, I still wake up with some tightness that loosens after a little walking, but when wearing the sleeve at night, I don't experience the tightness. My chiropractor that keeps me put together, has an achillies tear and I recommended to him. They are helping him as well. Good luck on your recovery. I switched to Asics Court FF shoe and they fit like a glove at the ankle. There is no movement at the ankle at all. Again, a bunch of changes were made and I'm so happy to be back on the courts pain free.
     
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  13. Simon_the_furry

    Simon_the_furry Hall of Fame

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    I had a partial tear of mine this past summer. I had to take multiple months off of tennis and go to physical therapy.
    The butter knife that they run you over with is going to suck. Bad.
    But the tendon has not been an issue since.

    See a good physical therapist and take a good amount of time off. If in doubt, sit out.
     
    #13
  14. travlerajm

    travlerajm Legend

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    Update. I shut it down for last two weeks to give it some rest.
    Been walking pain free for last week. But brought my racquets with on last minute trip to Cali, and opportunity strikes. Tomorrow will test out the Achilles against a fellow TTW forum member.
     
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  15. drak

    drak Professional

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    I have had a boatload of Achilles issues (do a search in this section), including bouts of tendonosis and a partial tear as well. IMO if you are walking normally after two weeks and feel nothing it is likely not a partial tear but tendonosis. I cured my partial tear by putting myself in a walking boot for 5 weeks and then very, very slowly doing rehab and did not play tennis for 4-5 months. The only real thing that worked for me was SLOWLY starting a regimen of "eccentric heel drops", something I do 3-4 times a week now and will for the rest of my tennis life. My achilles are now like iron and I have not had issues for 3 years. I am not a doctor but I would lay off tennis for at least several more weeks and strengthen the Achilles thru those "eccentric heel drops" (I prefer a slant board for them). Start slow and slowly build up, a little discomfort is ok but pain is not. Also foam rolling the entire calf/achilles area, hamstrings, IT band, hips and quads is great for the entire lower body as all that stuff can affect each other - again start slow and with a softer roller. Good luck and you may want to get a diagnosis, but the doc I saw knew less than I did and I did not have good insurance at the time.
     
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  16. travlerajm

    travlerajm Legend

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    It’s my understanding that tendinosis is the result of many tiny tears. Since my present Achilles issues started low in the ankle and worked their way up my leg, i think maybe there is some zipper like thing going on, with the micro-tears propagating up my legs.
     
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  17. drak

    drak Professional

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    hard to say, but tightness in other areas can lead to these issues which is why I strongly suggest a regimen of foam rolling the entire lower body and even lower back and hips. The tendonosis "fraying" IMO can be stopped and strength rebuilt thru those eccentric heel drops, there are some good threads on it here (or google it as well) in this section. But taking TIME off to properly heal and strengthen IMO is a must, can't "play" thru this IMO
     
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  18. travlerajm

    travlerajm Legend

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    Today will be a test. If it acts up again today, I’ll shut down the on-court singles activity for another 3-4 weeks before giving it another go.
    Thanks for the stretching tips - will try the eccentric thing.
     
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  19. drak

    drak Professional

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    I will reiterate because it is IMO SO important - ECCENTRIC HEEL DROPS were the only thing that did and continue to work for me, it is a slow process (several weeks and months) to strengthen the achilles but this for me absolutely worked, and if you are fortunate enough to not have a partial tear, doing these for several weeks and then longer should result in a big improvement, good luck!
     
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  20. ubercat

    ubercat Rookie

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    There's a fair bit of research that you should do the tippy toes exercise first before you do eccentric ones i.e. with stairs to drop Sahil down
     
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  21. ubercat

    ubercat Rookie

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    There's a fair bit of research that you should do the tippy toes exercise first for you Booth eccentric ones i.e. with stairs to drop heel down
     
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  22. travlerajm

    travlerajm Legend

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    Update. I spent a couple hours hitting today with Mad dog1, including about 45 minutes of singles baseline games, and I’m pleased to report that my Achilles did not flare up!
    The 2-week layoff seems to have helped with healing significantly.

    My back is a bit tight after hitting serves for first time in awhile, but that’s just me getting old.
     
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  23. Nick777

    Nick777 Rookie

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    Usually chronic tendonitis becames calsific tendinopathy and is difficult, a good phusio is a must, shock wave helps a lot along with exersises and rest
     
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  24. Rabbit

    Rabbit G.O.A.T.

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    bump
     
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