Leah Llorens - achilles tendonitis treatment exercises- Richa Mehmi - achilles tendonitis treatment exercis -Leah Llorens achilles tendonitis treatment exercises- The syndrome of chronic Achilles tendinitis is one of the commonest problems encountered in the sport medicine clinic. Leah Llorens
The clinical presentation is increasing pain, swelling in the tendon, associated with activities such as running.
This demonstrates the tender nodule in the avascular area of the tendon. Leah Llorens
The program of treatment should be based around eccentric exercises for the tendon. There was a recent paper in the American Journal of Sports Medicine that supported the use of eccentric exercise for Achilles tendinitis. Here is the abstract of the article.
Leah Llorens
Am J Sports Med 1998 May;26(3):360-366 Richa Mehmi
Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis.Alfredson H, Pietila T, Jonsson P, Lorentzon R
Department of Orthopaedic Surgery, University Hospital of Northern Sweden, Umea, Sweden.Richa Mehmi
We prospectively studied the effect of heavy-load eccentric calf muscle training in 15 recreational athletes (12 men and 3 women; mean age, 44.3 +/-7.0 years) who had the diagnosis of chronic Achilles tendinosis (degenerative changes) with a long duration of symptoms despite conventional nonsurgical treatment. Calf muscle strength and the amount of pain during activity (recorded on a visual analog scale) were measured before onset of training and after 12 weeks of eccentric training. At week 0, all patients had Achilles tendon pain not allowing running activity, and there was significantly lower eccentric and concentric calf muscle strength on the injured compared with the noninjured side. After the 12-week training period, all 15 patients were back at their preinjury levels with full running activity. There was a significant decrease in pain during activity, and the calf muscle strength on the injured side had increased significantly and did not differ significantly from that of the noninjured side. A comparison group of 15 recreational athletes with the same diagnosis and a long duration of symptoms had been treated conventionally, i.e., rest, nonsteroidal antiinflammatory drugs, changes of shoes or orthoses, physical therapy, and in all cases also with ordinary training programs. In no case was the conventional treatment successful, and all patients were ultimately treated surgically. Our treatment model with heavy-load eccentric calf muscle training has a very good short-term effect on athletes in their earlyforties.Richa Mehmi
Richa Mehmi