achilles tendonitis treatment

eswt treatment,go to heelspurs.com good luck

You may have weak hips. Try this, it helped with my PF:

http://footloose.runnersworld.com/2009/04/to-prevent-leg-injuries-look-to-the-hips-not-the-feet.html

I do 50 reps in the AM and 50 in the PM at the gym on a hip abductor machine. I've been doing them for about a month and I'm able to run a lot more now than before but still have some heel pain.

Try Electro-shock therapy, I received 2 sessions about three weeks apart and it really worked. My achilles had hot spots where the procedure was performed for about 6 weeks. The Therapy wasn't approved by my insurance company (it was only approved for planter) so I had to pay for it on my own, but the sports med doctor gave me a discount. That was 4 years ago and I have been fine, although I have done a lot of preventative maintenance like stretching, leg strength excercises.

eccentric exercises

They really work wonders. I've tried everything and they are what finally fixed me.

Sorry to be lazy, and I know the eccentric exercises have been discussed a lot on the board, but does one perform these exercises even while the achilles pain is still present, or are you supposed to wait/do something else until it has calmed down?

Any more tips?

There is nothing you can do. You're better off just ending the pain. I suggest a Colt .45 with a hollow point slug.

Kidding. But seriously, I have felt that way sometimes about my achilles. Nothing has worked for me, although I don't have the resources to try some of the stuff suggested above.

Good luck.

Pray about it maybe? (Leave me alone)

I suffered from achilles tendinosis for about 5 years, which sometimes improved a little, sometimes got so I would have to lay off for a month or so. I regularly used icing, eccentric exercises, anti-inflammatories (mostly Aleve)to control it. Finally, I got a stress fracture in my foot after a 1/2Mar, and was off my foot for almost a month and not running for over 4 months. When I started back to running, I started very gradually and was doing the eccentric calf exercises. Finally, the achilles inflammation was gone. I have built up slowly and paid attention to calf stretching and exercises since then, and now have 3 years with no more achilles problems. It's hard for runners to lay off long enough for achilles conditions to actually heal.

Frankie Goes To Hollywood wrote:

Sorry to be lazy, and I know the eccentric exercises have been discussed a lot on the board, but does one perform these exercises even while the achilles pain is still present, or are you supposed to wait/do something else until it has calmed down?

PT had me doing them from the very first visit (and they killed). I kept doing them all through the rehab process, and still do 2 sets of 10 twice a week.

I thought I had achilles tendonitis. But I didnt. The Bursa sac behind my achilles was swollen and had been for 1yr. I showed a doctor my MRI and the next day he gave me a cortisone shot in the bursa. he told me to take 5 days off and come back light. I have never felt better.

This doc told me that most people think they have an achilles problem when in reality the Bursa is the thing that is causing trouble.

Eccentrics are one of the best ways to treat them. The keys are doing them heavy enough (should be high enough weight that you cannot concentrically lift it) and frequently enough (at least 5 days per week, preferably twice per day). Also it is important to try them both straight-legged and bent-kneed to see how you respond better. It is usually okay to do them when you have pain. If it is insertional, you should only go down to parallel, otherwise you can go below parallel.

Incidentally, I have come across a new technique known as "myofascial disruption technique," developed by Malcom Conway (who is a chiropractor). This is not to be confused with anything else with the word "myofascial" in it, as there are plenty of other techniques. If you can find somebody who practices it (there aren't many), I have personally found that technique to be absolutely amazing in treating many running injuries, and he claims it is very useful in bursitis and Achilles tendinopathies.

Hope that helps!