Achilles Tendon Strains,
Rips, Tears And Help…
 

› [Achilles Tendon]
The Achilles Tendon is the thickest tissue of its type in the body with the ability to push three times your body weight on a regular basis...

The 'Achilles' runs down the back (posterior) portion of the lower leg; attached at the bottom of the calf muscle and inserting into the bone of the heel (calcaneus bone)…

Refer to the picture and have a look at the anatomy…

What is obvious here is that this tendon is under a lot of tension, between the attachment and insertion…

This is necessary as it is a prime component in enabling you to walk…

If this tendon is completely torn – your foot will hang limp and there will be a big ball of muscle higher up the back of your calf than you are accustomed to in the form of a rolled up calf muscle…

This will be extremely painful and there will be no ability to walk as the whole of the lower leg, foot and ankle will have become destabilized…

Remember, this is the thickest tendon in the body and it has the major job of being the provider of tension that allows us to walk and run…

If torn, it is considered an emergency situation and surgery will be required to fix this type of injury, followed by a non-weight bearing cast and bed rest, graduating to a weight bearing boot and crutches over six to eight months +…

If your injury is not this extreme, you may have tendinitis…

What The 'Itis' Is About When
It has To Do With Your
Achilles Tendon…

If you start to feel a dull, achy stiffness in the back of your heel in your tendon, this can be the beginning of swelling in the tendon which is what the suffix ‘itis’ refers to….

If you are a runner, the pain will go away as you start running...

But may re-appear somewhere along the track during your training session...

Or, if you do not exercise regularly, the pain will occur and like the runner, will disappear as you move around but will re-appear as damage increases...

If you are feeling dull or sharp pain in the area of your Achilles Tendon please do not let it come to this by ignoring it...!

Low ‘heeled’ flat running shoes, or conversely, the high heels of the office worker can aggravate the your tendon…

If you have a flare of tendinitis these shoes should be avoided until the pain resolves as stays away consistently over several weeks…

Your tendon may also be telling you that your foot, ankle and the mortise joint between the Tibia and Talar bones is not angled or shaped in a way that agrees with the type of shoes you have been wearing...

You may not only be experiencing pain in the tendon but ankle pain in general will be there also...

The pain associated with injury to this particular tendon is ‘sharp’ and will grow in intensity as this condition worsens…

  •  An imbalance of stress transmitted through the tendon that is more than what it can handle due to assorted bio-mechanical imbalances...
  • Too much pronation…
  • Hind foot valgus and varus bone deformities…
  • Weak or imbalanced calf muscles…

These are some of the causes of Achilles tendon dysfunction; I would also say that there are a few more factors that could be considered, but these are your main pathways to pathology…

Two Types Of
Achilles Tendon
Injury…

  • Midpoint Injury…

The majority of injuries occur at the midpoint of the tendon about three and a half inches above the calcaneus (heel bone)...

  • Injury At The Insertion

The lesser third of them occur about an inch above the heel at the insertion of the tendon into the bone…

This one can be more complicated and take longer to heal, in that the calcaneus has a bursa that lays over the bone, and under the tendon…

This bursa can become irritated and inflamed landing you with additional difficulties while healing and rehabilitating...

This area is also more difficult to heal due to a lesser blood supply; this is common in injuries near to a bony insertion…

Ankles and feet as well as shoulders all feature with joint pain derived from this matter of fact, nothing we can do about it, difficulty...

Why The Achilles Heals With
A Lumpy Thickening In
The Tendon…

When a friend of mine tore her Achilles Tendon straight through during a corporate sports day, in addition to keeping her adjusted (with Activator Methods) I got the opportunity to see all phases of her tendon healing…

The wearing of stilettos at work and sitting for the better part of the day, leaving her with weak calf muscles, would have been one of the culprits that contributed to this freak accident…

Also her Chinese ethnicity dictated that the shape of her sacrum (the triangle bone at the bottom of the spine) was/is flat…

I believe this also contributed to the situation-  creating some interesting and awkward tensions between weak calf muscles and her Achilles Tendon…

This injury would have been going on a slow burner for years...

Then, with a sudden introduction of a flat athletic shoe combined with physical movement on a ‘corporate sports day’…

POP!

This aggregate of sudden changes under the stress of sporting activity resulted in a complete tear…

As she was healing and after she had her boot off, she was assigned exercises to increase the range of motion of the tendon, but I still noticed that her tendon tissue had come back together in a lumpy mass…

Stages of Achilles Tendon injury..

This was partly due to getting surgically stitched up, but also partly to do with what our body does post trauma…

The micro- strands of the Achilles Tendon came back together, but instead of a smooth flowing uni-directional fibers, now they were in a bit of dis-array and entanglement…

You could liken it to long strands of hair, uncombed, and suffering from bed-head...

You Will Need To Smooth
The Achilles Tendon Out
Post Injury…

Whether it is an early stage tendonitis…

Or post surgery (you need to have your doctors or physios go ahead if you are post surgery because you could do greater damage if you are not ready)...

You will need to increase your range of motion in a way that will smooth and re-shape the tendon properly...

In this situation, the Achilles Tendon is going to need to be manipulated…

You can do this initially with massage, but eventually your will need to go further with your efforts...

The good news is that you can use the weight of the body to do this yourself…

The exercise itself is called the Eccentric Heel Drop…

It has been researched and the findings reveal that this works more effectively than traditional stretching because it reshapes the tendon…

So from here, I recommend you click on the link at the bottom of the page and go over to the guys at RunnersConnect where you will find detailed directions and pictures of how to perform this exercise…

Even if you are not a runner, this is the exercise you need to smooth the fibres of your Achilles Tendon out. If you are overweight or are just out of the surgical boot, please check with your doc or physio first as we don’t want to cause more damage to this area...

In the mean time be well and keep reading and learning so that you can heal and go on to achieve your chosen goals in sport, and in life…!

Use this instead of stairs with a chair assist to stretch and untangle your Achilles!


https://runnersconnect.net/running-injury-prevention/achilles-tendonitis-and-insertional-achilles-tendinopathy-in-runners/

Natural Pain
Relief...

Over the counter as well as prescribed pain relief medications are fast acting and potent, but what happens if you need to take them to manage your pain over a period of years, or for the rest of your life...?

You may wish to do some research and look into some natural pain relief remedies that will not have the toxic effects on your internal organs that most pain medications do after a lengthy period of time...

I have provided some basic information regarding supplementation that provides natural pain relief to help get you started - just click on the link below...

Natural Pain Relief

› [Achilles Tendon]

Disclaimer – This is information on joint pain. I teach, but I do not diagnose, prescibe or treat people who contact me. You are responsible for your condition using your own best judgement combined with what you have learned. Just a heads up - bodies carry unusual differences from time to time, in saying that, you could be one of those rare and unusual beings; if you are in doubt, please contact a physician in your area, so you can rule it out.

Move Freely and Knowledgeably and Be Well!

Dr. Jo

P.S...    “Greater certainty of your condition alone can be a powerful form of pain relief.”