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Axhilles tendonitis/tendonosis/tendinopathy, call it what you like but I cant get rid of it!
Anyone else had it and what treatments worked/didnt work, did you persist with NHS treatment, go private or to a specialist physio?
Where on your Achilles is it? in the middle or where it inserts into your heel? treatments and exercises for each are different.
If you do a search you should find quite a lot as I recall a few discussions about this not so long ago.
Edit: Cougar beat me to it
Ive read quite a bit about it and was interested in peoples real experiences, didnt realise there had been so many discussions about it on here, thanks!
Mine is mid section on both legs, ive been doing eccentric stretching, recently had stripping injections, but still got lumpy scarred achilles and the left has recently got worse with no excercise and only stretching.
What aggregates it?
I did pretty much everything short of surgery and in the end stopped what aggrevated mine, giving up 20+ years of running. Luckily cycling is ok and doesn't cause any pain so it's filled the void.
Mine is mid section on both legs
Yes mine too. Read Gluptons posts and read up on the Alfredson protocol.
BTW ignore my comments on the 3rd thread. Wanamanylung was spot on and I was being an argumentative arse that day 😳
Cheers 🙂
Aggrevated by running and walking, same as mr blobby i've give up running after 25 years, cycling is ok but feel I still cant truly go for it and hold back once it gets a bit painful. I'll have a good read through those threads when Iget home later.
Im on the point of throwing money at physios to see if that helps.
What turned mine around (mid portion, both legs) was finding an interview with Alfredson (pioneer of the eccentric exercises). Doing them with additional weights appears to be mission critical.
Have listen to the attached sound file of the interview. I maxed out at over 80lbs of additional weight.
[url= https://soundcloud.com/bmjpodcasts/treating-tendinopathy-with ]Alfredson Interview[/url]
Re Alfredson, if you want to pursue this and live near London then Pure Sports Medicine deal with Alfredson directly. If you need it they'll even ship you off to Sweeden for surgery. They are probably the top place for Achilles issues.
My question and I make no apologies for being direct is this: what have you done to try and get rid of it?
By using the word "persist" with regards NHS treatment it tells me that you're being half arsed in your approach to the exercises that they've given you. Half arsed never got anyone anywhere.
My boss a consultant msk physio has a poster behind their desk it says this: You have three options with physio: 1) You can do exactly as I say, 2) You can do nothing, 3) You can leave.
He is the best physio I know.
Unfortunately im not near london and fear that could be a very expensive option, currently being treated throgh the NHS but I dont think this is going to get the end result I want, or as quick as I want, but if I step off this route and go private I dont think there is any going back and it could become very expensive very quickly.
Why do you not think that you are going to get the result you want by persisting with the NHS treatment? What do you think private physio will do differently?
Its not as effective as first hand expert advice and a diagnosis but there is plenty of information about the Alfredson protocol online. As long as you start gently and proceed with care its relatively safe.
*I am not an expert
thank you for this thread, Im suffering from this very lately (started 2 weeks ago) can't find to go to GP yet
Wanman - no issues with your question, im not currently seeing a physio as I was referred back to the podiatrist but I am still doing eccentric stretches 90 reps each leg twice a day (as per the prorocol).
I had 5 sessions with an NHS physio, once every 3 weeks, they gave me stretches and excercises which I followed religiously, and they also done some massage but an appointment every 3 weeks seemed too infrequent for massage to be effective (my oppinion).
Physio ended about 8 months ago and ive been going from podiatrist to hospital since with a stripping injection done on each side, left in october and right in december. Thsse did improve things but the left seems to have got worse with no real reason.
In that case I'd be getting back to the ortho consultant and seeing what else they could do for me.
Thanks - thats the place I am at, go back to hs or splash on private.
The NHS physio did say they no longer use ultrasound or electrotherapy as its not effective so I was wondering if others have found it effective. Maybe going back witb a second oppinion is a valuable option?
You'll get the same people working in the NHS as you do working privately, so go down the NHS route. Yes it might take longer, but it wont be too long.
For instance, I did my meniscus two weeks ago, through the NHS I would be getting my MRI this week and getting operated on in a couple of weeks time. That's better than private (because I wouldn't be paying).
Seems to be a lot of comments about dry needling being successful, any recent experiences?
How frequently should deep tissue massage becarried out and for how long each time?
This post is very good if sufferers havent seen it already.
http://www.runnersworld.co.uk/forum/health--injury/achilles-tendonitis/188083.html
How frequently should deep tissue massage be carried out and for how long each time?
There is no real evidence to support deep tissue massage. But I usually do it until it feels like the muscles have loosened off. This can take from 5 minutes to 55 minutes. As for frequency - depends how long they take to tighten up. Some can tighten up the next day, some never tighten up again.