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Achilles Tendonitis?

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Achilles Tendonitis? Empty Achilles Tendonitis?

Post  Michael Mitchell on Wed Jun 15, 2011 2:56 pm

I am curious. I have pain in my achilles ( actually on the side with a nodule). It comes and goes. I was told by my Orthotic Nurse and DC ( who is also a Nurse Practioner) to keep running. Eventually, with massage, ART, icing and stretching, it will go away. I was thinking, to keep the pounding at a minimum, I would run 5 miles today and swim for 30 minutes today, as opposed to 7 miles. I was going to do this until Saturday. What do you all think?
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Post  Michael Mitchell on Wed Jun 15, 2011 3:20 pm

This is what it is doing....

Pain Behind the Heel
If you have pain behind your heel, you may have inflamed the area where the Achilles tendon inserts into the heel bone (retrocalcaneal bursitis). People often get this by running too much or wearing shoes that rub or cut into the back of the heel. Pain behind the heel may build slowly over time, causing the skin to thicken, get red and swell. You might develop a bump on the back of your heel that feels tender and warm to the touch. The pain flares up when you first start an activity after resting. It often hurts too much to wear normal shoes. You may need an X-ray to see if you also have a bone spur.

Treatment includes resting from the activities that caused the problem, doing certain stretching exercises, using pain medication and wearing open back shoes.

•Your doctor may want you to use a 3/8" or 1/2" heel insert.
•Stretch your Achilles tendon by leaning forward against a wall with your foot flat on the floor and heel elevated with the insert.
•Use nonsteroidal anti-inflammatory medications for pain and swelling.
•Consider placing ice on the back of the heel to reduce inflammation.

The pain is managable right now.....I saw a GP Friday and she confirmed I have a spurlike item. The Orthotic nurse said it would not go away and my DC said yes, by massaging it, I would see it go away. I have an appointment with the Orthopediast June 29, 2011.
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Post  Kenny B. on Wed Jun 15, 2011 3:56 pm

I had AT issue back in 2009 and I can tell you it was the exact symptoms you stated above. It is the type of injury that does not heal quickly and only can get worse until a possible rupture. (you don't want that). It took me a few weeks of on and off running to realize it won't go away without proper rest.

Solution for me was rest and let it heal 100%. I was out totally for 4 weeks no running at all 6 weeks before that on and off running. I also ended up wearing custom orthodics. Since putting in the orthodics I have had zero issues with AT.

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Post  Michele "1L" Keane on Wed Jun 15, 2011 3:56 pm

I had Achilles tendonitis (and I know Kenny did as well). Mine resulted from my notoriously tight calves, and I did a lot of stretching and wore a boot at night to keep the calf stretched. I also "self massaged" the tendon 2x per day (and I still do) which really seemed to help. My ART practioner told me to do that. Waht I ahve noticed is that the tendon is no longer inflammed or larger than that on the other leg (and it was), so I guess it worked.

I was able to run through most of it, but I was shut down for 2-3 wks when it was its worst.
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Post  Michael Mitchell on Wed Jun 15, 2011 3:59 pm

Well I have custom orthotics and they were adjusted Monday. She ( the orthotic nurse) states she can "fix" this. It is just the pain, although managable, scares me at times. I did reduce my size of shoe from 9 to 8.5. My DC told me to do that because of the slippage. You could see the heels of the shoes wearing at the heels. That had been happening for 3 years now. 4 weeks huh? Man oh man.
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Post  Michael Mitchell on Wed Jun 15, 2011 4:01 pm

@Michele "1L" Keane wrote:I had Achilles tendonitis (and I know Kenny did as well). Mine resulted from my notoriously tight calves, and I did a lot of stretching and wore a boot at night to keep the calf stretched. I also "self massaged" the tendon 2x per day (and I still do) which really seemed to help. My ART practioner told me to do that. Waht I ahve noticed is that the tendon is no longer inflammed or larger than that on the other leg (and it was), so I guess it worked.

I was able to run through most of it, but I was shut down for 2-3 wks when it was its worst.

Yeah, my DC is my ART guy and he told me to do the same thing. He has not shut me down yet, but was leaning toward it. Sigh. I was going to brick ( swim and bike) each day until getting back on the horse. 2-3 weeks? Sigh?
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Post  Michael Mitchell on Wed Jun 15, 2011 4:04 pm

The longest I have ever gone was two weeks and that was in 2009 and that was due to plantar facitis. Sigh....
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Post  Kenny B. on Wed Jun 15, 2011 4:06 pm

@Michele "1L" Keane wrote:I had Achilles tendonitis (and I know Kenny did as well). Mine resulted from my notoriously tight calves, and I did a lot of stretching and wore a boot at night to keep the calf stretched. I also "self massaged" the tendon 2x per day (and I still do) which really seemed to help. My ART practioner told me to do that. Waht I ahve noticed is that the tendon is no longer inflammed or larger than that on the other leg (and it was), so I guess it worked.

I was able to run through most of it, but I was shut down for 2-3 wks when it was its worst.

When it is server however, the only thing that will help is rest. The slightest touch to it was hurting me. So ART, stretching etc was just out of the question. But, yes calf stretching is crucial to avoid AT issues but not during it IMO.
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Post  Michael Mitchell on Wed Jun 15, 2011 4:07 pm

How much fitness did you two lose? I am thinking one hour of swimming and 45-50 minutes of biking 6 days per week should keep me good..
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Post  Michael Mitchell on Wed Jun 15, 2011 4:15 pm

Just called my ART guy. I told him I was taking two weeks off and still needed ART twice a week during that time. I am also calling my Orthotic folks so they know. Good gosh, two weeks. Well, I would rather be running in July than be completely out in the heat, as it were.
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Post  Michele "1L" Keane on Wed Jun 15, 2011 4:18 pm

I lost some, but I was still able to run (not race) Mardi Gras on Feb 28th after being shutdown for a lot of January. I did a lot of biking, swimming, and the elliptical (no pain on this machine as it is non-weight bearing). By April, I ran Boston though still not in top form, but that was also not my goal at the time.
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Post  Michael Mitchell on Wed Jun 15, 2011 4:20 pm

Good to know. I just want to keep some form of fitness up. I figured the bike and swimming would do it.
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Post  Kenny B. on Wed Jun 15, 2011 7:27 pm

I swam and really did not maintain great fitness it took 8 weeks to feel good again 18 weeks and I was back and in better shape. kerp in mind I came back slowly playing it very cautiously.
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Post  Michael Mitchell on Wed Jun 15, 2011 8:18 pm

Swam 1200 meters today and will bike 50 minutes tonight. I figure if I at least swim for 60 minutes a day, I should be ok. I hope. LOL
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Post  Michael Mitchell on Wed Jun 15, 2011 8:31 pm

@Kenny B. wrote:I swam and really did not maintain great fitness it took 8 weeks to feel good again 18 weeks and I was back and in better shape. kerp in mind I came back slowly playing it very cautiously.
\
I figure if I just swim one mile in one hour per day for 14 days alone, I should be ok. I plan to add biking to that as well. I figure if I can come back to running at a 7:30 pace to start, that would be great, but I am figuring it would be a 9, then 8, then 7 minute progression.
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Post  wendy_miller on Wed Jun 15, 2011 9:59 pm

I had severe AT on the right...missed only one day of running because I had Graston therapy done on it. It is FAR superior to ART...I cannot stress that enough. I have been injured a lot. Graston > ART...by a lot. You don't have to take two weeks off as long as you get all that scar tissue out of there. Graston is usually done by PTs and sometimes chiropractors.
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Post  Michael Mitchell on Thu Jun 16, 2011 7:34 am

@wendy_miller wrote:I had severe AT on the right...missed only one day of running because I had Graston therapy done on it. It is FAR superior to ART...I cannot stress that enough. I have been injured a lot. Graston > ART...by a lot. You don't have to take two weeks off as long as you get all that scar tissue out of there. Graston is usually done by PTs and sometimes chiropractors.

Graston, humm...I will look it up. Thanks Wendy..
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Post  Michael Mitchell on Thu Jun 16, 2011 7:35 am

tireman wrote:
@wendy_miller wrote:I had severe AT on the right...missed only one day of running because I had Graston therapy done on it. It is FAR superior to ART...I cannot stress that enough. I have been injured a lot. Graston > ART...by a lot. You don't have to take two weeks off as long as you get all that scar tissue out of there. Graston is usually done by PTs and sometimes chiropractors.

Graston, humm...I will look it up. Thanks Wendy..

Yeah there are two providers near me ( The Woodlands). I will inquire..
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Post  Michael Mitchell on Thu Jun 16, 2011 8:13 am

I am going to try an experiment. I am going to swim for 30 minutes first and then and run for 37 minutes and 30 seconds (5 miles). If there is no pain, then Tea is onto something here. I might just have to loosen up the Achilles before I run. Sigh. Oh and there is a little bit of pain in the morning, but lessens as the day goes on.
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Post  Schuey on Thu Jun 16, 2011 9:29 am

Ok just a long shot here. One thing that is good about forums is that you can get all kinds of advice. Which is good because different things work for all of us. Now since I'm not a big fan of insurance companies or giving my co-pay to doctors. Don't get me wrong we have great insurance that covers everything and I go to the doctor when I know I can't or what I do at home doesn't heal me.

So with being said one of the best things I bought for at home as a runner is a home electric stim unit and a home ultrasound unit. Both which help runners muscles and help break up scar tissue. The great thing about this is that I can use them multiple times a day. The price of them pay for themselves quickly. For how much I have used mine my god I would had made some dr office rich! Again don't get me wrong I do believe there are times for PT and doctors. I just had to use a PT and see my doctor over my piriformis syndrome issue along with doing my stim and ultrasounding at home.

Hope you get it all worked out and are feeling back to 100% again
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Post  Tom H on Fri Jun 17, 2011 11:58 am

@Schuey wrote:Ok just a long shot here. One thing that is good about forums is that you can get all kinds of advice. Which is good because different things work for all of us. Now since I'm not a big fan of insurance companies or giving my co-pay to doctors. Don't get me wrong we have great insurance that covers everything and I go to the doctor when I know I can't or what I do at home doesn't heal me.

So with being said one of the best things I bought for at home as a runner is a home electric stim unit and a home ultrasound unit. Both which help runners muscles and help break up scar tissue. The great thing about this is that I can use them multiple times a day. The price of them pay for themselves quickly. For how much I have used mine my god I would had made some dr office rich! Again don't get me wrong I do believe there are times for PT and doctors. I just had to use a PT and see my doctor over my piriformis syndrome issue along with doing my stim and ultrasounding at home.

Hope you get it all worked out and are feeling back to 100% again

Schuey, what did you use as your selection criteria for the home stim unit, and where did you get it? When I did PT 6 months ago they used one on me and I believe it was a great contributor to speedy recovery, so like the thought of having one at home.
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Post  Michael Mitchell on Sat Jun 18, 2011 3:46 pm

The Achilles is ok right now. I have not been warming up (yeah I know, I know), but I have not had any time at all. It is get it done, right now...LOL
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Post  Michael Mitchell on Mon Jun 27, 2011 2:22 pm

Well, the Achilles is really starting to respond to the ART. Very nice. My mobility in the ankle of the said foot ( left) has really improved. The gastroc spasms, well that might take longer. I will go see my orthotic folks today at 4 pm and ART tomorrow at 6 pm. I will get this figured out. LOL
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