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I have chronic Achilles tendonitis inthe base of my heel. I have not run in over 6 months and th epain will still not go away. X-rays and an MRI do not reveal anything significant. I have tried pads, cups, and shoes with higher heels. It seems it heels best when it I am wearing a heel with no pressure put on the back of the heel. I would like to avoid surgery -- had surgery on this Achilles (not a tear) 17 years ago. Driving is particularly painful (it is my right heel). Any ideas? Will stretching help or hurt it?
Thanks.
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Your question does not address any physical therapy. Achilles tendinitis can be harder to deal with than a complete rupture. If it tore, most of the time you fix it , cast it for 4 to 6 weeks and go from there.
Tendinitis can be extremely difficult to treat. You mention two key features, one is that you had surgery 17 years ago and second, that you heal when you are wearing a heal. Without examining you I can be quite sure that you have and equinus or a tight Achilles ind lay men's terms. The Achilles needs to be immobilized in a cam walker for several weeks and a course of physical therapy should be started. Initially I think stretching on your own is a poor idea. Let the tissue heal , than institute a program of stretching passively and actively. It is imperative you do it under the watch of a therapist.
Depending on the injury that was the reason for the surgery, there may be other factors causing this tightness. MRI's and x-rays not read by a musculoskeletal radiologist or performed poorly lack much information. I work closely with a doctor In Hartsdale who excels in finding these details to further enhance a treatment plan.
I treat a lot of Achilles tendinitis in my practice and avoid surgery at all costs. I work with my patient, therapist , radiologist and my staff as a team with me being the director. The most important thing with treating Achilles tendinitis is being patient.
Dr. Viscovich
914 244 0244
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Achilles tendinitis is a common overuse problem due to uneven distribution of stress on the Achilles tendon. Usually the foot turns in or out putting abnormal stress on the tendon. This can cause micro-tears which results in tightening of the tendon as well as inflammation and tenderness. When inflamed, rest and ice will help lessen the pain and inflammation. In order to treat the cause, the normal foot stance has to be corrected. A posture evaluation should be performed as well as evaluation of the foot knee and hip. Cross-friction massage as well as ultrasound will help reduce scar tissue and improve the tendon and muscle functionality. If you are interested in having a complimentary consultation and evaluation to determine if we can help call us so we can set up an appointment.
Dr. Paul C. Maselli
Optimum Wellness
100 Mamaroneck Ave. 2nd floor
White Plains, NY 10601 (914) 220-0226
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Stretching will help your condition. I would recommend getting a referral from your primary care physician for physical therapy. The immediate goal of physical therapy will be to reduce the inflammation which we can achieve by ultrasound, electrical stimulation, and hand on massage. Once the inflammation is reduced we could begin strengthening exercises. We would also educate you as to what home exercises would be helpful for your condition. This would be the prudent conservative approach to avoid surgery. The physical therapy would be for 4-6 weeks 3x a week. The length will be determined by how well you respond to the therapy.
Once you have a prescription/referral from your doctor please feel free to call us for an appointment at 914-328-3888.
Sincerely yours,
Eugene Sala
Elite Physical Therapy and Rehabilitation LLC
222 Westchester Avenue
-
Suite 103
White Plains, NY
10604
Phone (914) 328-3888
Fax (914) 328-2228
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