Nice video, thanks. In some cases the source of pain is not something that can be seen, rather something that can’t be seen. To explain: the Achilles is the hardest working tendon in the body (also the patella tendon, but that’s a different discussion). If the Achilles gradually degenerates over many years, then with eventual tendon failure, intractable pain can come from the inability of the remaining tendon fibres to manage the workload. Rehab is always the vital cornerstone. Surgical decisions should be made carefully and for the right reasons only.
Just want to comment on what I've seen on other video's "quick recommendations" for surgery. I have this condition since having been a marathon runner for years. Essentially, when I do get a bursitis flare-up it is because I over-trained or I just "went for it" to finish a race. The flare-up usually goes away after a week(yes I can barely walk first few days). Then I just "be careful" about how much I accelerate my distance and training schedule, and I also include gradual stretching of the achilles tendon. A surgery to "cut off" the tendon and re-attach then rehabilitate from "absolute zero" cannot be good. By the way, I also have osgood schlatter condition on me knee's. Very similar physical situation. Yeah the bumps are ugly, but I never had to resort to surgery. I have been able to carefully strengthen my quads and also build up my ability to run many miles. I have had some periodic flare-ups(which lasts few weeks to a month), but I have always been able to rebuild from it. Essentially, the tendon is "anchored/calcified" to the tendon in a way that is susceptible to over-training. However, the "anchoring" is rock solid and will always be stronger than a surgical cut/shave/re-install. I think surgery is only necessary if it's for cosmetic reason, but patient must give up that sport or exercise. There is no "guarantee" that the bumps will not come back if the patient continues the same athletic intense training.
What would PRP do then?? The body is smart and can adapt. Just needs time. Educate the patient that they need to have patience and modify/optimise loading. That is my bias as a physio perhaps ;-)
Yes . But what does it cost the patient . Today it is out of pocket and no one can afford care any more . Thanks for your videos. I need a grinder and some painkillers . DIY health care
Nice video, thanks.
In some cases the source of pain is not something that can be seen, rather something that can’t be seen. To explain: the Achilles is the hardest working tendon in the body (also the patella tendon, but that’s a different discussion). If the Achilles gradually degenerates over many years, then with eventual tendon failure, intractable pain can come from the inability of the remaining tendon fibres to manage the workload.
Rehab is always the vital cornerstone. Surgical decisions should be made carefully and for the right reasons only.
Simple and efficient as usual. Good didactic video. Thanks Niek ;-)
Excellent video 👍🏻
thank you!
Great work buddy. I have it for a year and a half now. About to do surgery. Wish me luck!!
Have you done it yet? Did they have to go through your Achilles?
Did you have the Haglund's surgery?
Just want to comment on what I've seen on other video's "quick recommendations" for surgery.
I have this condition since having been a marathon runner for years. Essentially, when I do get a bursitis flare-up it is because I over-trained or I just "went for it" to finish a race. The flare-up usually goes away after a week(yes I can barely walk first few days). Then I just "be careful" about how much I accelerate my distance and training schedule, and I also include gradual stretching of the achilles tendon. A surgery to "cut off" the tendon and re-attach then rehabilitate from "absolute zero" cannot be good.
By the way, I also have osgood schlatter condition on me knee's. Very similar physical situation. Yeah the bumps are ugly, but I never had to resort to surgery. I have been able to carefully strengthen my quads and also build up my ability to run many miles. I have had some periodic flare-ups(which lasts few weeks to a month), but I have always been able to rebuild from it.
Essentially, the tendon is "anchored/calcified" to the tendon in a way that is susceptible to over-training. However, the "anchoring" is rock solid and will always be stronger than a surgical cut/shave/re-install. I think surgery is only necessary if it's for cosmetic reason, but patient must give up that sport or exercise. There is no "guarantee" that the bumps will not come back if the patient continues the same athletic intense training.
Brilliant video!
Thank you so much.
What would you do therapeutically? US-guided PRP-Injection into the Fat Pad?
What would PRP do then??
The body is smart and can adapt. Just needs time. Educate the patient that they need to have patience and modify/optimise loading. That is my bias as a physio perhaps ;-)
Very instructive. Thank you :)
Clearly understood, thank you
Yes . But what does it cost the patient . Today it is out of pocket and no one can afford care any more . Thanks for your videos. I need a grinder and some painkillers . DIY health care