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Achilles Tendinitis can you recover ?

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Created by CAPWP > 9 months ago, 23 Aug 2017
CAPWP
62 posts
23 Aug 2017 3:39PM
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I just got the prognosis for pain on the heel, and the result is Achilis Tendinitis... The problem may a results from repetitive stress to the tendon...

I start to surf with the WP 8.10 x 32 and down side to

Airborne 7.10 x 31.5
Hypernut 7.2 x 28

I tried to hard until i can surf on the Hypernut but that maybe was one of the caused.

And finally Upside to SB Pro 8 x 29 2015

On the last 3 month i feel pain on the back of the heel but not put full attention due i stop to surf for 45 day and back to surf 10 days after, this for my Job. But one day the pain was really bad and go with Doctor.

My surf spot always is tippy and never glide so i had to do a lot of foot work to keep balance...

The bottom line is you feel pain on your heel take a rest and go to doctor to avoid the achilles tendinitis

Is really painful and annoying.

For know i need to rest at least 6 month until see how is the recover, the doctor options is .... change the sport ... some more light ...

On the meantime i start to think back to my more stable board but not paddle stand , just prone once on the surf spot wait for the waves as regular surf...

regards

Sondra
NSW, 28 posts
23 Aug 2017 9:13PM
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have some dry needling for it from a physiotherapist or osteopath... Very effective

CarterSUPhysio
QLD, 174 posts
24 Aug 2017 7:32AM
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that is some of the worst advice i've ever heard - but sadly a classic from doctors. Complete rest DOES NOT fix a tendinopathy. Have a read through this reliable website here: www.physio-pedia.com/Achilles_Tendinopathy Achille's tendinopathy is rather complex - is it an insertional tendinopathy or a mid belly? (sounds like your's may be insertional) which means treatment is very different. As Sondra has mentioned - i'd be visiting a physiotherapist ASAP for a proper diagnosis and proper prognosis and education about the injury - no disrespect to your doctor but Achilles tendon issue's wont be their forte!

CarterSUPhysio
QLD, 174 posts
24 Aug 2017 7:38AM
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CarterSUPhysio said..
that is some of the worst advice i've ever heard - but sadly a classic from doctors. Complete rest DOES NOT fix a tendinopathy. Have a read through this reliable website here: www.physio-pedia.com/Achilles_Tendinopathy Achille's tendinopathy is rather complex - is it an insertional tendinopathy or a mid belly? (sounds like your's may be insertional) which means treatment is very different. As Sondra has mentioned - i'd be visiting a physiotherapist ASAP for a proper diagnosis and proper prognosis and education about the injury - no disrespect to your doctor but Achilles tendon issue's wont be their forte!


some more info for all here too semrc.blogs.latrobe.edu.au/10-things-not-to-do-if-you-have-lower-limb-tendon-pain/

poppykle
3 posts
24 Aug 2017 7:28AM
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I had Achilles tendonitis a few years back and used to roll a frozen bottle of water under my foot for 20 minutes each night together with one of those electronic circulation boosters for 10 minutes per night. The circulation booster puts an electronic shock through your feet. Took about two weeks of this nightly cured the problem and it hasn't returned since.
Good luck, I know how much discomfort this can cause.

CAPWP
62 posts
24 Aug 2017 8:57AM
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Thanks for the advice, i will search a physiotherapist for better treatments...

thanks to all....

goggo
NSW, 60 posts
24 Aug 2017 8:01PM
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Do you get gout?

CAPWP
62 posts
10 Nov 2017 5:23PM
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Aquileia Bursitis, something about tendon calcification, caused inflamed bursa.

Dr say at least 6 month without exercises for reduce inflammations, the inflammation reduce but still. Now at least is allow me to walk, with some restriction. Apply heat on local spot and take collagen II pills. Used shoe insoles 4 mm

Now I become to win weight and get ungry, frustrating for the restrictions about this.

i tried physiotherapy but the Dr recommended to keep time and wait for reduce inflammations.

pumpjockey02
209 posts
10 Nov 2017 7:40PM
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CAPWP I am not a doctor or am not a physio so please seek further advice form some experts.
Why do you need to surf for your job are you a surfing instructor?
I would suggest trying to ride switch foot, to change the forces on your foot. You should be able to surf switch foot eventually
Also think about riding longboard and using a dropknee style while riding to ease pressure on your achillies.
Unlike surf boards, sup boards have a lot of board space for you to develop a board surface that is kinder to your feet. You could try putting rubber ontop of your board, like a tail pad and design a way to move the pressure away from the tendon. If it is stopping what you are doing go to a local shaper and work with them. Have you tried sticking a tail pad on your sup to change the forces.
There is quite a lot of work been done in this area to help kids with special needs ride surfboards. Happy hunting on the net.

Also just looked up your diagnosis and their are a few you tube clips on the topic. Rest and icing the joint are strongly recommended also eating anti inflamatory foods could help, tumeric and herbs, fish oil for the inflamation. Good luck with it.
We also have a local who has moved onto a knee board due to fluid inflamation in the joints and he still rips up the local break.

billekrub
60 posts
10 Nov 2017 10:24PM
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Sometimes it is just tight calf muscles, as it was for me. Just stretched the soleus and gastrocnemius calf muscles and it went away. Theory: took a load off the achilles. Calf massage as previously suggested might help a lot as well. Of course do not do anything that aggravates it more.

benjl
140 posts
11 Nov 2017 1:47PM
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I've had a twice snapped archillies in the last year and then tendinitis and an inflamed bursa eighth afterwards following my recovery.

Bursa inflammation requires anti inflamatories and rest. This is not an injury worth pissing off. Go to a bigger and more stable board if it means you can keep at it. I've almost spent the last 1.5years out of the water and being able to do almost any exercise

lizard17
QLD, 1 posts
11 Nov 2017 7:05PM
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I am having Extracorporeal Shock Wave Therapy, so far I have had 3 sessions, 1 week apart, and have possibly 3 more to go. I have had a marked improvement in pain as a result of this treatment. Prior to this, I had a course of 3 Platelet Rich Plasma Injections, which resulted in minimal improvement. I have also had physio treatment consisting of calf massage, ultrasound, taping (rock tape), and strengthening exercises.

A small wedge in my shoe is helping to take the load off my tendon as well, make sure you have the wedge in both shoes, as even a 2mm difference could hurt your back.

I do have the added problem of heal spurs in the area.

I am trying everything to avoid surgery, as that would be many many months of not much activity. I have an excellent sports doctor, source one, rather than a GP

JosephBetts
154 posts
11 Nov 2017 6:01PM
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These Achilles injuries sound like the mark daddy of injuries. had an epic
captian of our footy team go down with one. Used to be in the army, built like a truck, tough as they get and a really nice bloke. Never played again after this.

subber
50 posts
12 Nov 2017 12:38AM
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My Achilles tendon on my right foot gets sore sometimes. It started when I started to SUP Surf about seven years ago.
It was far worse at first, back then. I decided it was from standing in parallel stance as I was paddling out - going through a wave
would push the nose up and the front of my foot along with it - thus, stretching my Achilles (for some reason it
really only bothers my right foot).

So, I decided when paddling out in anything but the smallest waves I would switch to a staggered stance so that paddling
over the wave will not stretch my right Achilles as much. It seems to have worked fairly well. It rarely gets sore
any more.

JosephBetts
154 posts
22 Nov 2017 3:32AM
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Had my feet in the wet sand with my daughter yesterday and pulled out of it quickly as she ran to the waters edge and then felt it pull. Already done this in the past five years;....knees, neck, disc bulges in the back, rotator cuffs. Every time a holiday is coming up I do something. I should have seen this coming haha.

Can an you use flippers with this injury?

Slab
872 posts
22 Nov 2017 3:50AM
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You got to stay off the surfing or whatever aggravates it and do exercises and stretches to build it back....you should be doing eccentric exercises most likely to lengthen and strengthen the fibres. You need a diagnosis from someone who is qualified in the stuff then follow the advice. Anti inflamms do not a lot if this is ongoing wastage of the tendon.....rather than a sudden injury

CarterSUPhysio
QLD, 174 posts
22 Nov 2017 9:48AM
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JosephBetts said..
Had my feet in the wet sand with my daughter yesterday and pulled out of it quickly as she ran to the waters edge and then felt it pull. Already done this in the past five years;....knees, neck, disc bulges in the back, rotator cuffs. Every time a holiday is coming up I do something. I should have seen this coming haha.

Can an you use flippers with this injury?


I wouldn't recommend it early on for two reasons. 1) depending on the fin - it will likely sit on, or close to, where your tendon is sore. Tendinopathy will hate direct pressure. 2) Your increasing the amount of torque through your ankle joint when you put a fin on, which may also aggravate the tendon early on. Just my two bob

CarterSUPhysio
QLD, 174 posts
22 Nov 2017 9:56AM
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CAPWP said..
Aquileia Bursitis, something about tendon calcification, caused inflamed bursa.

Dr say at least 6 month without exercises for reduce inflammations, the inflammation reduce but still. Now at least is allow me to walk, with some restriction. Apply heat on local spot and take collagen II pills. Used shoe insoles 4 mm

Now I become to win weight and get ungry, frustrating for the restrictions about this.

i tried physiotherapy but the Dr recommended to keep time and wait for reduce inflammations.


Retrocalcaneal bursitis get's better in about 4-6 weeks doing the right things.... in most casesI mean no disrespect at all mate, but perhaps the training of physio in aus vs mexico is quite different and even GP training?The heel raises are a good temporary measure. But long term will shorten your calf muscle and tighten it - therefore coming back to square one with extra tension on the tendon and bursa. Use the heel wedges in short term to settle pain, then wean out of them slowly as you can without exacerbating pain.About the weight gain - all you need to do is some cross training. Rowing machine with single leg or double leg, swimming with minimal kick, upper body gym, arm ergo, paddling another form of craft such as kayak or surfski. Stress and frustration and fear avoidance all increase your resting inflammatory chemicals in your body and also creates neurological changes that make you more sensitive to pain - get out there and enjoy other forms of exercise and you will feel better in yourself. Good luck

JosephBetts
154 posts
23 Nov 2017 5:55PM
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Physio said it was not Achilles but the tendon next to it and more or less implied that my hamstrings are ****ed and I'm an accident waiting to happen if I don't stretch them, as they are some of the tightest he has seen in a while.

only a small tear and should be right in 10 days. Every time a physio says a time frame however, you have to triple it or in some cases times it by ten.
probably has something to do with not doing the excersizes and stretches though haha I think I might actually do them this time

billekrub
60 posts
23 Nov 2017 7:14PM
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It helps a lot to warm up thoroughly before stretching and strengthening. How did your legs get so tight? Surfers all seem to be quite limber.

CarterSUPhysio
QLD, 174 posts
24 Nov 2017 7:32AM
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JosephBetts said..
Physio said it was not Achilles but the tendon next to it and more or less implied that my hamstrings are ****ed and I'm an accident waiting to happen if I don't stretch them, as they are some of the tightest he has seen in a while.

only a small tear and should be right in 10 days. Every time a physio says a time frame however, you have to triple it or in some cases times it by ten.
probably has something to do with not doing the excersizes and stretches though haha I think I might actually do them this time


haha perhaps it's to do with that. Also we're trying now to move away from giving timeframes, or I am anyways. I might still say, yes on average this takes x weeks or x days - but I will put you through physical objective testing to see when you can return to sport. Such as measuring ankle mobility, single leg balance, jumping single leg etc etc.. when you can pass those physical tests as well as your non effected side, you can return to sport. Good luck!

JosephBetts
154 posts
24 Nov 2017 2:07PM
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CarterSUPhysio said..



JosephBetts said..
Physio said it was not Achilles but the tendon next to it and more or less implied that my hamstrings are ****ed and I'm an accident waiting to happen if I don't stretch them, as they are some of the tightest he has seen in a while.

only a small tear and should be right in 10 days. Every time a physio says a time frame however, you have to triple it or in some cases times it by ten.
probably has something to do with not doing the excersizes and stretches though haha I think I might actually do them this time





haha perhaps it's to do with that. Also we're trying now to move away from giving timeframes, or I am anyways. I might still say, yes on average this takes x weeks or x days - but I will put you through physical objective testing to see when you can return to sport. Such as measuring ankle mobility, single leg balance, jumping single leg etc etc.. when you can pass those physical tests as well as your non effected side, you can return to sport. Good luck!




Oh yeah, saying' you being able to do this and your good to go ' is better than 'Three weeks and your sweet'. Mentally though you need some sort of a time frame. Roughly one month versus a year or never are big differences that you need to know in your head. Maybe the best way to frame it is 'if you do these excersixes and stretches and can pass my test it could be two months...and then if you don't do the excersizes nine months or never.'

JosephBetts
154 posts
26 Dec 2017 2:27PM
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Followed the stretching excersixes from physio and then did the one with two hand on wall and back leg about a few feet off the wall and then it said on the sheet to lower my back knee and it will stretch the lower part of my leg and I did it and my ****ing Achilles pulled now it's sore like the tendon next to it. Every Christmas holidays....

KenM
NSW, 52 posts
26 Dec 2017 6:03PM
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Several years ago I had a plethora of leg and feet issues. At the time I had been doing a lot jogging and developed chronic calf tears, planta facitis and perpetual achilles soreness. I had to give away jogging completely because within a couple of minutes of starting jogging I would retear one of my calves. I saw physios, massage therapists and podiatrists. Nothing seemed to work for me and I was frustrated and despairing.
I did a bit of googling and looked at my footwear and saw that my work boots and running shoes were all very stiff and rigid. I bought myself a pair of flexible Nike free runs (they also have a low heel) and started doing some walking gradually increasing distance and intensity. My reasoning was that the flexible foot wear allowed my feet to flex and strengthen and do their job of reducing strain on my achilles and calves.. Maybe it's coincidence but now I am back to jogging again in my Nike frees (at 61years old) and don't any achilles soreness or calf issues.

billekrub
60 posts
27 Dec 2017 6:42AM
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Some history, FWIW,

One wonderful exercise to rehab a sore lower leg is spinning on a bicycle. If running aggravated anything below my knee, going for a 3+ hour cycle in the hills would eliminate it. Esp. tight calf, foot, etc. If not a cyclist, then spin an exerbike at high reps in low gear (low torque). Then do the following:

Runners often complain of sore achilles, and they stand with their forefeet on a stair step, facing the stair, and gently lower their heels. This eccentric contraction is one of the most common treatments backed by impressive studies (from Karolinska Institute in Sweden?). Raise the feet back up using both ankles and lower again slowly with more weight on the side being trained. For me, this took the load off the achilles doing normal activities and allowed it to heal. It healed very quickly.

Stretching the calf is safer for me if I stretch the calf with knee bent and then afterwards unbend the knee a bit; rather, than stretching with the knee already fully extended (unbent).

I also made a massage stick this week out of PVC electrical conduit tubing that works great on calf, and upper leg (hamstring, quad, lateral and medial). Ten pieces of 32 mm diameter, threaded on a single 25 mm diameter, with detentes made from slices of the 25 mm connectors. Ten pieces about 3.5 cm each. In my current rural location such an item is not easily available from a commercial source. But, surprise, the homemade version is just as good!!

If once you get it healed, you want to prevent a recurrence, consider walking or running in the hills, building up carefully over time. Running on trails has done wonders for my lower legs. Assumes you are fully healed and do very little at first.

PT SUP
117 posts
29 Dec 2017 5:06PM
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I KEPT RACING WHEN IT WAS PAINFULL. FULL RUPTURE WAS THE RESULT.12 MONTHS OF WORK.
TAKE CARE AND LISTEN TO YOUR PHYSIO

CAPWP
62 posts
14 Jan 2018 3:12PM
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Good news after visit 2 doctor i found a doctor with sport specialist, they put a injection close tho the pain spot after that go to physical therapy (Ultrasonic and Laser bean) and is work fine now i can walk without pain. Also i ask if i can tried to surf, he said yes.
I tried 2 days no more than 2 hours feel ok, on my left ankle

But after of that start to feel pain on the right ankle....jejeje

But know finally i see a good recover ...

What doctor says for this problems:

He's theory is that almost all the surfer populations start to surf young and that create that the articulations and muscle get used of this and make strong.

I learning at 39 year to paddle board only for flat water, after to see some videos on the youtube i saw people that is possible to surf, i start to learn on the youtube tutorials, how to surf. I never take surf lesson that take me time for learning.... at the moment was confused ( Timing, position, read the waves ) and still have problems but i have fun. and the end i learn with the tools i have. But still surfing bad but i really enjoy now i have 44 years

Finally my SOLOSHOT3 arrived after almost 2 years i make this short video with small waves on my regular surf spot




/ec4dd80928

LastSupper
VIC, 123 posts
14 Jan 2018 8:19PM
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Select to expand quote
CAPWP said..
Good news after visit 2 doctor i found a doctor with sport specialist, they put a injection close tho the pain spot after that go to physical therapy (Ultrasonic and Laser bean) and is work fine now i can walk without pain. Also i ask if i can tried to surf, he said yes.
I tried 2 days no more than 2 hours feel ok, on my left ankle

But after of that start to feel pain on the right ankle....jejeje

But know finally i see a good recover ...

What doctor says for this problems:

He's theory is that almost all the surfer populations start to surf young and that create that the articulations and muscle get used of this and make strong.

I learning at 39 year to paddle board only for flat water, after to see some videos on the youtube i saw people that is possible to surf, i start to learn on the youtube tutorials, how to surf. I never take surf lesson that take me time for learning.... at the moment was confused ( Timing, position, read the waves ) and still have problems but i have fun. and the end i learn with the tools i have. But still surfing bad but i really enjoy now i have 44 years

Finally my SOLOSHOT3 arrived after almost 2 years i make this short video with small waves on my regular surf spot




/ec4dd80928


Stoked 4 ya

CarterSUPhysio
QLD, 174 posts
15 Jan 2018 7:18AM
Thumbs Up

Select to expand quote
CAPWP said..
Good news after visit 2 doctor i found a doctor with sport specialist, they put a injection close tho the pain spot after that go to physical therapy (Ultrasonic and Laser bean) and is work fine now i can walk without pain. Also i ask if i can tried to surf, he said yes.
I tried 2 days no more than 2 hours feel ok, on my left ankle

But after of that start to feel pain on the right ankle....jejeje

But know finally i see a good recover ...

What doctor says for this problems:

He's theory is that almost all the surfer populations start to surf young and that create that the articulations and muscle get used of this and make strong.

I learning at 39 year to paddle board only for flat water, after to see some videos on the youtube i saw people that is possible to surf, i start to learn on the youtube tutorials, how to surf. I never take surf lesson that take me time for learning.... at the moment was confused ( Timing, position, read the waves ) and still have problems but i have fun. and the end i learn with the tools i have. But still surfing bad but i really enjoy now i have 44 years

Finally my SOLOSHOT3 arrived after almost 2 years i make this short video with small waves on my regular surf spot




/ec4dd80928


Great news!

CAPWP
62 posts
15 Jan 2018 9:02AM
Thumbs Up

Select to expand quote
CarterSUPhysio said..

CAPWP said..
Good news after visit 2 doctor i found a doctor with sport specialist, they put a injection close tho the pain spot after that go to physical therapy (Ultrasonic and Laser bean) and is work fine now i can walk without pain. Also i ask if i can tried to surf, he said yes.
I tried 2 days no more than 2 hours feel ok, on my left ankle

But after of that start to feel pain on the right ankle....jejeje

But know finally i see a good recover ...

What doctor says for this problems:

He's theory is that almost all the surfer populations start to surf young and that create that the articulations and muscle get used of this and make strong.

I learning at 39 year to paddle board only for flat water, after to see some videos on the youtube i saw people that is possible to surf, i start to learn on the youtube tutorials, how to surf. I never take surf lesson that take me time for learning.... at the moment was confused ( Timing, position, read the waves ) and still have problems but i have fun. and the end i learn with the tools i have. But still surfing bad but i really enjoy now i have 44 years

Finally my SOLOSHOT3 arrived after almost 2 years i make this short video with small waves on my regular surf spot




/ec4dd80928



Great news!


Thanks bro..!

pumpjockey02
209 posts
23 Jan 2018 8:44AM
Thumbs Up

CAPWP, that is great news, keep talking to your doc, you should also be able to develop those muscles at your age, 44. Its also not to old to retrain your technique. You may benefit from getting a big arse long board and strengthening the muscles that way,
Just think of it as cross training.



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"Achilles Tendinitis can you recover ?" started by CAPWP