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The Best Treatments for Achilles Tendinopathy: A Comprehensive Guide

The Best Treatments for Achilles Tendinopathy: A Comprehensive Guide

Achilles tendinopathy is a common condition that affects the Achilles tendon – the largest tendon in the body – causing pain, inflammation, and stiffness. It’s often seen in athletes and active individuals who engage in sports that require a lot of training, such as running, jumping or tennis. If left untreated, it can lead to chronic pain and disability, but with the right treatment, most cases of Achilles tendinopathy can be resolved within a few months. In this blog post, we’ll discuss the best treatments for Achilles tendinopathy, from rest and stretching to rehabilitation exercises and surgery.

Rest and Ice:

The first line of treatment for Achilles tendinopathy is often rest and ice, which can help reduce inflammation and relieve pain. It’s best to avoid activities that irritate the tendon, such as jumping or running, until the pain subsides. Ice can be applied to the affected area for 15-20 minutes every few hours to help reduce inflammation and discomfort. In severe cases, crutches may be needed to limit weight-bearing on the affected leg.

Stretching and Physiotherapy:

Stretching and physio exercises can help improve flexibility and strength in the Achilles tendon, reducing the risk of further injury and improving healing. A physiotherapist can create a personalized program of stretching and strengthening exercises, such as heel drops, calf raises or eccentric exercises. Eccentric exercises are particularly effective in treating Achilles tendinopathy, as they involve lengthening the muscle while it’s under tension, which can help rebuild the tendon and reduce pain.

Bracing and Support:

Wearing a brace or support can help reduce the strain on the Achilles tendon and prevent further injury. A heel wedge or arch support can help relieve pressure on the tendon, while a compression sleeve or bandage can provide support and reduce swelling. A night splint can also help stretch the tendon while sleeping, reducing stiffness in the morning.

Medications and Injections:

In some cases, medications and injections may be used to treat Achilles tendinopathy. Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation, while corticosteroid injections can provide more potent pain relief and reduce inflammation. However, these treatments should only be used under the guidance of a healthcare professional, as they can have side effects and may not be appropriate for everyone.

Surgery:

In severe cases of Achilles tendinopathy, surgery may be needed to repair or reconstruct the tendon. This is usually a last resort option after conservative treatments have failed and may involve open surgery or minimally invasive techniques such as endoscopy. Surgery can be effective in resolving chronic pain and restoring function, but it can also involve a long recovery period and may not be suitable for everyone.

How to Treat Achilles Tendinopathy

Achilles tendinopathy, also known as Achilles tendonitis, can be a painful and frustrating condition for anyone who experiences it. Fortunately, there are effective treatments available to help manage and alleviate the discomfort associated with this condition. Chiropractors, registered massage therapists (RMT) and physiotherapists can all offer different types of treatment that target the affected area. Chiropractic adjustments aim to realign the spine and pelvis, which can help reduce the stress placed on the Achilles tendon. Massage helps increase circulation and reduce tension in surrounding muscles, while physiotherapy uses exercise and stretches to improve strength and flexibility. By working with one or more of these professionals, individuals with Achilles tendinopathy can take steps toward healing and regaining their mobility.

How to Relieve Pain From Achilles Tendinopathy

Achilles tendinopathy is a common condition affecting athletes and individuals who put repetitive strain on their feet and leg muscles. The pain and discomfort associated with this condition can significantly affect one’s daily life, which is why seeking professional treatment is essential. Chiropractic doctors, RMTs, and physiotherapists can help relieve pain associated with Achilles tendinopathy. Chiropractic care can involve spinal manipulations, stretches, and exercises to decrease pain and promote healing. Massage can improve circulation and loosen tight muscles, while physiotherapy can help individuals strengthen their Achilles tendons and improve their range of motion. Combining these treatment modalities can significantly reduce pain and improve one’s quality of life. If you’re suffering from Achilles tendinopathy, seek professional care today to get back on your feet.

Who Should I See For Achilles Tendinopathy?

If you are suffering from Achilles tendinopathy, seeking the appropriate healthcare professional is crucial to your recovery. Three of the most effective healthcare professionals for this condition are chiropractors, RMTs, and physiotherapists. A chiropractor can ease muscle tension and joint restrictions to improve the alignment of your body, which can promote the healing of the Achilles tendon. Massage can enhance blood flow to the injury site, promote relaxation, and loosen tight muscles. Finally, physiotherapy involves exercises, stretches and strengthening techniques to rehabilitate the affected area. To determine which healthcare professional is the best fit for you, a consultation with each is recommended to assess your specific condition and needs. Seek professional help to alleviate your Achilles tendinopathy.

Top 5 Tips to Relieve Pain From Achilles Tendinopathy

Achilles tendinopathy is a painful condition that can affect anyone, especially athletes and physically active individuals. If you’re experiencing discomfort or pain in the back of your ankle, it’s important to seek professional help. Chiropractors, massage and physiotherapy are great options to alleviate pain and prevent the condition from getting worse.

Here are the top 5 tips to relieve pain from Achilles tendinopathy:
1) Rest and avoid activities that aggravate the condition
2) Apply ice to the affected area for 15-20 minutes at a time, several times a day
3) Stretch the calf muscles before and after exercise
4) Wear proper footwear that provides support and cushioning
5) Get professional help from a chiropractor, RMT, or physiotherapist to receive treatment and guidance on proper exercises and stretches to alleviate pain. Remember, early intervention is key to a speedy recovery and preventing further damage.

10 Best Ways to Treat Achilles Tendinopathy

1. Rest and modified activity: Give your Achilles tendon adequate rest by avoiding activities that exacerbate the pain. Modify your exercise routine to reduce strain on the tendon.
2. Eccentric exercises: Engage in specific eccentric exercises, such as heel drops, under the guidance of a healthcare professional or physiotherapist. These exercises help strengthen the tendon and promote healing.
3. Physiotherapy: Work with a skilled physiotherapist who specializes in treating Achilles tendinopathy. They can provide targeted exercises, stretching techniques, manual treatment, and other modalities to improve tendon function and reduce pain.
4. Orthotic devices: Custom orthotic inserts or shoe modifications can help support the arches, improve alignment, and reduce strain on the Achilles tendon. Consult with a healthcare professional or podiatrist to determine the most suitable option for you.
5. Proper footwear: Choose shoes with good arch support, cushioning, and stability to reduce stress on the Achilles tendon. A healthcare professional can provide guidance on selecting appropriate footwear.
6. Taping or bracing: Taping techniques or the use of a brace can provide temporary support and promote proper alignment of the Achilles tendon during activities. Consult with a healthcare professional or physiotherapist to learn proper taping techniques.
7. Massage: Seek the expertise of a RMT experienced in treating sports injuries and Achilles tendinopathy. Massage can help reduce muscle tension, improve circulation, and alleviate pain in the affected area.
8. Chiropractic care: Chiropractors can utilize various techniques, including joint manipulation, mobilization, soft tissue therapy, and rehabilitative exercises, to address imbalances, optimize alignment, and support the healing process of the Achilles tendon.
9. Extracorporeal Shockwave Therapy (ESWT): ESWT is a non-invasive treatment that uses high-energy sound waves to stimulate healing in the Achilles tendon. It can help reduce pain, promote tissue regeneration, and improve overall tendon function.
10. Load management: Gradually progress activities and avoid sudden increases in training intensity. Work with a healthcare professional or physiotherapist to develop a structured program that gradually increases load and allows the tendon to adapt over time.

It’s important to consult with healthcare professionals, such as physiotherapists, chiropractors, and RMTs, who specialize in treating Achilles tendinopathy. They can provide personalized care and guidance throughout your recovery process.

In summary, Achilles tendinopathy can be a painful and disabling condition, but with the right treatment, most cases can be resolved within a few months. Rest and ice, stretching, physio, bracing, medications, and surgery are all viable treatment options depending on the severity of the condition. However, it’s important to seek professional medical advice before beginning any treatment, as some treatments may not be appropriate for everyone and can have risks and side effects. If you’re experiencing symptoms of Achilles tendinopathy, don’t hesitate to discuss your options with a healthcare professional to find the best treatment plan for you.

If you have any questions or would like to explore further, please book a free, no-charge online appointment with either myself, Nitin Nair, BPT, R/TRO DIP, PT, or another Kitchener physiotherapy practitioner at CARESPACE. We are happy to listen and are here to help!

Picture of Nitin Nair, BPT, R/TRO DIP, PT

Nitin Nair, BPT, R/TRO DIP, PT

Physiotherapist
Nitin is an internationally trained physiotherapist and has been practicing in Canada since 2015. After graduating in 2009, Nitin started as a physiotherapist in a cardiothoracic and vascular surgery team under the guidance of an eminent cardiac surgeon. His interest and passion in the field of sports and musculoskeletal rehabilitation made him switch from acute care to a musculoskeletal rehabilitation setting. Nitin blends various hands-on physiotherapy techniques with therapeutic exercises to achieve his client’s goals. He is certified in the McKenzie method of Mechanical Diagnosis and Therapy (MDT): Lumbar spine, Mulligan concepts and personalized blood flow restriction rehabilitation (PBFR). His clients vary from weekend warriors to elite athletes. He is a huge advocate of the ‘Looking beyond the pain’ model to provide clients with the best care possible. Exercises and activity modification are always important components of his treatment plans to empower clients to reach their health goals.

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