Give your Achilles Tendon a Bit of a Lift? Part 2

Further Problems/ Injuries that occur Paratenonitis is an acute Achilles injury causing inflammation usually due to overuse, affecting the Tendon Sheath or Paratendo “In really acute cases, the tendon can be a sausage shape, because of the severity of the swelling. This is a common one for runners especially after a long run. They may also feel stiffness and discomfort at the beginning of the run, but as you guys always seem to try to push through the discomfort. a word of warning “This will typically aggravated the injury, when you need to relieve it by rest please do so If left untreated, Paratenonitis will progress to the point that any running becomes extremely difficult.”

Further Problems/ Injuries that occur 

Paratenonitis is an acute Achilles injury causing inflammation usually due to overuse, affecting the Tendon Sheath or Paratendo “In really acute cases, the tendon can be a sausage shape, because of the severity of the swelling. This is a common one for runners especially after a long run. They may also feel stiffness and discomfort at the beginning of the run, but as you guys always seem to try to push through the discomfort. a word of warning  “This will typically aggravated the injury, when you need to relieve it by rest please do so If left untreated, Paratenonitis will progress to the point that any running becomes extremely difficult.”

The area approximately two inches above the Calcaneus attachment is most susceptible. In this area, the Achilles tendon does not have good blood supply or cell activity, so injury can be slow to heal. The tendon receives nutrients from the tendon sheath or Paratendon. When an injury occurs to the tendon, cells from surrounding structures migrate into the tendon to assist in repair. Some of these cells come from blood vessels that enter the tendon to provide direct blood flow to increase healing. With the blood vessels you also get nerve fibres’.

It is believed, that these nerve fibres are the cause of the pain. So while it is healing it will cause you a lot more pain, some say “It is like having an Arrow in your heel” Not very fair but unlike Achilles painful fate, you’re not going to die from it and there are things you can do to help yourself, but recovery from an sever Achilles tendon injury can take anything up to 12 or even 16 months, a long time if you are a runner that is why I always say “Early Intervention is better than long recovery time’s”

So what is Tendinosis? Well the point is most pain within the Achilles tendon, may be classified as Tendinosis. This may be because it involves tendon degeneration, whether it has inflammation or not. In addition, the tendon may become weakened and lose its structure. Aging plays it own part in this process, repetitive injury, or a minor trauma, through occupation or sports. Whatever the reason, “Without proper treatment and healing time, of the area Tendinosis will eventually progress to partial or complete ruptures, if you continue to put high pressure on them, that are physically demanding.

So what is Tendinosis?

Well the point is most pain within the Achilles tendon, may be classified as Tendinosis.

This may be because it involves tendon degeneration, whether it has inflammation or not. In addition, the tendon may become weakened and lose its structure. Aging plays it own part in this process, repetitive injury, or a minor trauma, through occupation or sports. Whatever  the reason, “Without proper treatment and healing time, of the area  Tendinosis will eventually progress to partial or complete ruptures, if you continue to put high pressure on them, that are  physically demanding.

What Can You Do To Help or Prevent Achilles Problems?

 

Let’s start with the obvious

Preventive exercises aimed at strengthening the gastrocnemius and soleus muscles,

This means,  repetitions of slowly raising and lowering the body while standing on the affected leg, (Calf Raises)   using the opposite arm to assist balance and support if necessary, starting with the heel in a hyperextended position. (Hyperextension is typically achieved by balancing the forefoot on the edge of a step, a thick book, or a barbell weight. so that the point of the heel is a couple of inches below the forefoot. You don’t have to wait till there is a problem to do this exercise use it in your regular stretches,

Don’t take on too much too fast, slowly Increase the intensity and the difficulty of an exercise and running program do not put strain on your Achilles.

An ultimate must here !

Always Use appropriate footwear. The more arch support, the less strain there is on the heel and associated muscles. Wearing heel pads to reduce the strain on the tendon, and remember, if you start to show signs that there is a problem occurring.

Don’t leave it and hope it goes away, you can’t run it off, and it won’t just go away.

Use Standard RICE Treatment with Ice, cold compression therapy then please seek help. Early intervention can save you from lots of problems later.

 If you have an injury and need more advice give us a call, but please don’t leave it.

A few weeks rest or less, from running is better than 12 months or not ever again. 

 

Give your Achilles Tendon a Bit of a Lift? Part 1

Achilles Tendon

He may have died in the Greek Trojan wars, this tendon is named after him, it is the thickest and strongest tendon in the body, but  to  to many a Runner it is synonymous to injury and be the cause of pain, most  know it as The Achilles Tendon. or the Calcaneal Tendon or the Tendo Calcaneus.

Over the years I have found myself treating many, Achilles Tendon Injures some, after surgery, but I am happy to see more people, getting treatment before the situation has deteriorated to the point that only option is that of surgery, I hope this information may help some of the runners to avoid.

Problems that Occur with the Achilles Tendon.

The Achilles is the tendinous extension of 2 muscles in the lower leg: gastrocnemius and soleus. It also serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus (heel) bone, In humans, the tendon passes the  posterior of the leg to the ankle It is about 15 centimetres (6 in) long, and begins near the middle of the calf.

 The Achilles’ muscle reflex tests the integrity of the spinal root.  The tendon can receive a load stress 3.9 times body weight during walking and 7.7 times body weight when running. (Think about  that on your next run)  Achilles tendon ruptures are most likely to occur in sports requiring, sudden eccentric stretching, such as sprinting, also long runs pounding the pavement will do the job just as well.

Some of the Problems/ Injuries that occur Insertion Tendonitis This is an inflammation at the point where the Achilles tendon inserts into the heel bone. When you have this problem you will have tenderness directly over the insertion of the Achilles tendon, which is commonly associated with calcium formation, or a bone spur forming just above the insertion point. You may also suffer a Retrocalcaneal bursitis; this is caused by movement-related irritation of the Retrocalcaneal bursa, the fluid-filled cushioning sac between the heel bone and the Achilles tendon. The bursa can become inflamed or thickened and stick to the tendon, because of overuse or repetitive loading. You will feel pain when squeezing the tendon itself or the space just in front of the tendon.

Some of the Problems/ Injuries that occur

Insertion Tendonitis This is an inflammation at the point where the Achilles tendon inserts into the heel bone. When you have this problem you will have tenderness directly over the insertion of the Achilles tendon, which is commonly associated with calcium formation, or a bone spur forming just above the insertion point. You may also suffer a Retrocalcaneal bursitis; this is caused by movement-related irritation of the Retrocalcaneal bursa, the fluid-filled cushioning sac between the heel bone and the Achilles tendon. The bursa can become inflamed or thickened and stick to the tendon, because of overuse or repetitive loading. You will feel pain when squeezing the tendon itself or the space just in front of the tendon.

I know that retrocalcaneal bursitis are  associated with Rheumatoid arthritis ,but in most occurrences in athletes, only  one side is involved so may  not be associated with a “Systemic disease ” Please get this checked by your GP if you have any doubts”.

Tendonitis also involves pain in front of the Achilles tendon and a bony enlargement of the heel bone, known as Haglund’s deformity, which is referred to as a ‘pump bump.’ “Most cases of Haglund’s deformity will occur in ladies who wear high-heeled shoes, but runners are also prone to this sort of injury.

Painful shoulder injury then he came to Getfitstayfit Norfolk

Shoulder Trauma in Norwich

Norman had a very Painful Shoulder Injury.

He came to us after he had been struggling for 12 years, his body had adapted to his injury  and he tried to cope with it, compensating in things like turning his head , lifting his arm , putting on a shirt or jacket. “He believed he would just have to live with it”

Being a self employed man feeling he could not take time off work because he had a family to look after, Norman continued to work ,but was always in pain.

Don’t take it from us have a look at His Testimonial, how we helped him to get back to fitness, how he can turn his head again and how he now gets a good nights sleep something he had not had since the accident.

Severe Pain Across Lower Back And Down Both Legs

Severe Pain Across Lower Back And Down Both Legs

I had severe pain across my lower back and down one or both legs.

This is Jennie’s story, she came to me with a number of issues and it was a long process, it had its ups and downs , but Jennie is a determined woman and we worked through the downs  to achieve the very positive ups , she wanted her life back and not a drug induced existence, of which she was having to deal with because of the Morphine Patches , of which I can happily say she no longer needs. At first it she came to me  weekly, but as she progressed she only needed to see me once a month, now it is and when she feels she needs too and the difference in Jennie is quite something.

I was unable to carry on a normal life. I was then put on to Morphine patches which did help -but for the rest of my life? Steve has given me hope. After 18 months, with treatment on the Bioneuro Dry System I am taking little or no painkillers. I have just walked 3 miles with my dog and can look forward to a future.

“Hello

I contacted Steve Kirby on August Bank Holiday 2011,he offered me help straight away. I had been in severe pain for over 4 years after pulling my wet dog out of the river. I had severe pain across my lower back and down one or both legs. No specialist-Orthopaedic, Neurologist or Rheumatoid offered any help. Following MRI scans[which showed several bulging discs I was given steroid and analgesic injections with no effect.

I was also given Denervation [burning of the nerves]  to stop the pain. That did not work either.

I was unable to carry on a normal life. I was then put on to Morphine patches which did help -but for the rest of my life?

Steve has given me hope. After 18 months, with treatment on the Bioneuro Dry System I am taking little or no painkillers. I have just walked 3 miles with my dog and can look forward to a future.”