Mississauga Chiropractor Presents: Student Report on Achilles Tendinopathy

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Categories: Lecture Series

Here`s a blog from a Coop-Student with a Chiropractor in Mississauga…

Achilles Tendinopathy

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Cause:

  • Increased gastroc-soleus contraction will overstress the tendon
  • Overuse activities, ie. running
  • Excessive Stretch of the tendon will cause strain
  • Weight gain/ pregnancy/ overweight
  • Toe running causing increased gastroc-soleus activity
  • Over pronation & whipping of tendon (sideshear)

 

 

Signs and Symptoms:

  • May/may not have visible swelling
  • Increased pain with Achilles Squeeze Test
  • Increased pain along lateral/medial margins of Achilles tendons
  • Trouble bending your foot downward and/or problem standing up on your toes

 

 

Muscles/ Joints Affected:

  • Gastronemius
  • Soleus

Treatment/ Management:

  • Graston Soft Tissue Techniques or Gua Sha Techniques to the Achilles Tendon
  • Kinesiotaping to Achilles Tendon
  • Gentle Stretching
  • Muscle Stimulation to relax gastroc-soleus
  • Higher heeled shoes (athletic)/Heel lifts
  • Eccentric Heel Drops
  • Cross training, ie. cycling

 

 

Rehab Exercises:

Heel Drops:

  • Stand on the stairs and have one heel slightly off the side.
  • Slowly lower your heel to the ground and hold for 3 seconds bring Heel back to starting position
  • Repeat 10 to 20 reps per leg

 

Resistance Band Plantar Flexion:

  • Hold resistance and use it to apply resistance as you point foot away. 2 sets a day of 10 once a day up to 3 sets of 20

 

Seated Calf Raise:

  • Sit on a chair and raise up onto your toes. 2 sets of 10 twice a day

 

Stretches:

  • Face a wall and have your heel touch the wall at knee level.
  • Lean gently forward keeping your leg straight and repeat 10 times each leg.

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Prognosis:

  • Decreased in pain in less than 7-10 days
  • If untreated may lead to Achilles Rupture

 

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