Achilles Tendon Overuse Injury | Tim Keeley | Physio REHAB
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- Опубликовано: 6 сен 2024
- #achillespain #achillestendon #achillesrehab #tendonitis
Today we are looking at Joe's acute onset Achilles pain during the warm up before playing football 3 weeks ago. He played the game out through, worsening the pain which aggravated the problem and flared up the tendon further. This occurred due to a 2-week increase spike in total tendon load, as he played increased game time and started mixed netball mid-week as
well - this increased load was obviously too much too soon for his Achilles
tendon, leading to this breakdown.
We originally thought it was a reactive Achilles tendinopathy - so after a week’s rest to let the acute inflammation settle we started loading the tendon daily - first with bodyweight isometric single leg
calf raises then progressing to heavier weighted isometrics, then progressing first to bodyweight through range calf raises before adding weight.
After 1 week with no improvement, and some days feeling flared up and worse, we realised there was still a decent amount of inflammation in and around the Achilles tendon - which isn’t normal in a true tendinopathy. So what it needed was rest and anti-inflammatory measures to let the area settle, plus some soft tissue release to the calf muscles.
With appropriate rest and anti-inflammatory measures this should settle in 1-2 weeks, and Joe will be able to return to his normal exercise of running and sport, without having to do any formal calf rehab or strengthening.
We'll touch base in 2 weeks and show you with some return to exercise testing and see how it's improving!
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Thanks for sharing your expertise with us! 👏👏👏👏👏
You’re very welcome!
Have similar situation. Right at the base and just inside the heel. It’s been 2 months. Initial physio aggravated it, I’m in turkey. Language and quality professionals is a problem. I’m having to try to heal myself but I’ve now missed half the season here. It’s depressing and I’ve let it affect me emotionally to the point I’ve gained a few kgs 🤦🏻♂️
Follow my program here: physiorehab.com/rehab-programs-achilles-injury-surgery-rehab
I hit a shot at football last week and I was in so much pain 🔥🔥
How long it took to Heals
Can’t find the link to a follow up of this? No dedicated Achilles playlist on your channel. Help please 🙏🏼
Have a look at the full program: physiorehab.com/rehab-programs-achilles-injury-surgery-rehab
Thanks TIm very informative. What are your thoughts on some therapists these days saying that there are no such things as "Knots" or "adhesions" in soft tissue structures. Thanks
Better to listen to surgeons who open people up and see it for themselves
I sprained my ankle 5 weeks ago and have had some mild pain around my Achilles pain since the start along with the other symptoms . Is this normal ? Or should I get reassessed
You might be either doing too much on it or not enough. Perhaps have the physio take another look
Hey Tim, great video! I have the same issue. When you say to rest for a week, what kind of exercise would you still allow? Cheers
Upper body, core etc. rest the lower body
@@physiorehab Cheers Tim! Also you mentioned at 5:40 that you'd show a progress update in 2-weeks to gauge if he's ready or not. Wondering where I could find that video? thx
@@nickhumph no update sorry
Had the same question. No worries then. Thanks for the first video anyway.
It’s the only video I’ve found online anywhere for 2 months since I got injured that is close to what I have. @@physiorehab
I have 2.8 rupture since May 34, 2021
I am able to walk with a slidely limping, squat, bend my knee to the wall with no pain. Is it true that the tendon is like a rubberband ? What are the consequences in a long term if I don’t do the surgery. I am 51 years old. Would I be ok if I don’t do surgery? Please tell me if I do need a surgery or not? Thank you so much.
If it’s healed up ok then you just need to work in long term strengthening
What did you say to help flush out the inflammation?
👍👍
Should I do this exercise if even walking is hard & painful for me?
Perhaps follow my rehab program for the best guidance for what to do: physiorehab.com/rehab-programs-achilles-injury-surgery-rehab
hey tim I have a question, after being able to do elevated calf raises with weights on one leg, do you think I can return sports if I have no pain the day after those exercises
Hopping 30 times on the spot with no symptoms and equal to other side is a good gauge of return to sport
@@physiorehab do you mean hopping normally or on one leg? and also do i wait a day to see if I have any symptoms
I think I have this same exact issue
Our program comes out this week - stay tuned for the notification on you tube!
Hi Tim,
I sprained my ankle about a month ago. rested it for 2 weeks, then resumed normal basketball activities to later experience achillies pain. Any tips?
Have a look at the Achilles program as it covers a lot of ankle issues too. Physiorehab.com
Fun question: Do physios get sports injuries?
All the time
What kind of cream do you recommend ?
?
@@physiorehab I think he's asking a out which anti inflammatory cream did you use