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Achilles Tendonitis?

Time to work into the pain


Achilles tendonitis can be an annoying thing to deal with. As a Chiropractor/ Athletic Therapist I have a number of athletes (Runners, Triathletes, Crossfit athletes etc that come to me for Achilles! tendonitis. A better term for it is Achilles! tendonopathy because there doesn!t appear to be any inflammation that is occurring. Achilles!s tendonopathy often can be frustrating because you can stop activity and have the pain disappear but then it will come bac" when the activity is reintroduced. I have seen success with using Active Release Techni#ues, acupuncture, stretching, assessing and treating for hypomobility and $oint instability as well as movement mechanics when treating Achilles! tendonitis. %ot everything wor"s for everyone. &o what can I give my patients that they can do for themselves' The Alfredson protocol may be helpful, if you can handle wor"ing through the pain. The Alfredson Achilles tendonitis protocol goes like this: Type of e(ercise) *+, slow heel drops off a step/ledge performed daily (increase speed of drop or weight as pain diminishes -uration) *. wee"s (some people may need to continue beyond this Note: I recently (August 20, 2013) discovered more about the protocol !he protocol involved using 3 sets o" 1# repetitions $ith the %nee "ully e&tended and 3 sets o" 1# repetitions $ith the %nee partially "le&ed !his program $as repeated t$ice daily, every day "or 12 $% 'roducing patients( tendon pain during the e&ercises $as e&pected, but patients $ere told that pain should not be progressive or disabling Additional resistance $as added (e g , by $earing a bac% pac% $ith $eights) $hen the e&ercises became easier The "ey to this protocol is that you will e(perience pain while performing this e(ercise. %ow this seems to be bac"wards to what most therapists would say for treating Achilles!s tendonitis/tendonopathy but the research has shown that for those

who have mid/tendon pain 0,1 of them will have success with the protocol. If you have pain at the insertion into the heel though the success rate is only 2,' After a * to 3 year follow up 20.41 of the patients were completely pain/free and 5+.21 had received one or more alternative treatments. Also, the thic"ness of the tendon decreased and the structure of the tendon appeared normal. %ow this is all and good but *+, calf raises daily' 6ow many people will be compliant' Can similar results be made performing less aggressive approaches' The research has found using 2 sets of *3 to have a tendency towards being beneficial but it has not been compared to *+, repetitions a day. &o for now this seems to be the most effective method. I have been suffering with this problem on and off for years. I thin" it!s time for me to do the protocol. 6ave you tried this method' If you haven!t tried then tal" to your healthcare provider about the method. If you do try it leave me a comment. -r %otley 7innipeg!s only dual credentialed Chiropractor and Athletic Therapist