Can Rehabilitation Help with Achilles Tendinitis Pain Relief? - Rehabilitation

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Achilles tendonitis


Hello Dr.
Chen! My heel is unable to perform dorsiflexion due to swelling and pain, and it is very painful even with light pressure.
The painful area is located 3 to 4 centimeters from the attachment site of the Achilles tendon.
I have seen an orthopedic doctor who diagnosed it as Achilles tendinitis.
Can seeing a physical therapist help resolve this issue? Thank you! Fanta

Fanta, 30~39 year old female. Ask Date: 2006/12/07

Dr. Chen Xianchang reply Rehabilitation


1.
You can go to the rehabilitation department for electrical stimulation and ultrasound therapy.

2.
Soak in warm water at home.

3.
Perform stretching exercises for the hamstrings regularly.

Reply Date: 2006/12/07

More Info


Achilles tendinitis is a common condition that can cause significant pain and discomfort, particularly in individuals who engage in activities that put stress on the Achilles tendon, such as running or jumping. The pain you are experiencing, especially when it is localized a few centimeters away from the tendon attachment, is indicative of inflammation in the tendon, which can be exacerbated by overuse or improper biomechanics.

Rehabilitation can indeed play a crucial role in managing and alleviating the symptoms of Achilles tendinitis. The primary goals of rehabilitation for this condition are to reduce pain, restore function, and prevent future injuries. Here are several key components of a rehabilitation program that may help you:
1. Initial Rest and Activity Modification: It is essential to allow the tendon some time to heal. This may involve modifying your activities to avoid those that exacerbate the pain. For instance, if running is causing discomfort, consider switching to low-impact activities like swimming or cycling until the pain subsides.

2. Physical Therapy: A physical therapist can design a tailored rehabilitation program that includes specific exercises to strengthen the calf muscles and improve flexibility. Eccentric strengthening exercises, where the muscle lengthens while under tension, have been shown to be particularly effective for Achilles tendinitis. These exercises can help improve the tendon’s strength and resilience.

3. Manual Therapy: Techniques such as massage, ultrasound, or other modalities may be employed by your therapist to reduce pain and inflammation in the affected area. These methods can help improve blood flow and promote healing.

4. Stretching and Flexibility Exercises: Tight calf muscles can contribute to Achilles tendinitis. Incorporating stretching exercises into your routine can help alleviate tension on the tendon and improve overall flexibility.

5. Gradual Return to Activity: Once your pain has decreased and strength has improved, your therapist will guide you through a gradual return to your normal activities. This process is crucial to ensure that you do not reinjure the tendon.

6. Footwear and Orthotics: Sometimes, improper footwear can contribute to tendon issues. Your therapist or physician may recommend specific types of shoes or orthotic inserts to provide better support and alignment for your feet.

7. Education and Prevention: Understanding the mechanics of your body and how to prevent future injuries is an essential part of rehabilitation. Your therapist can provide guidance on proper techniques for activities and exercises to help avoid recurrence.

In conclusion, transitioning to rehabilitation for your Achilles tendinitis is a proactive step that can lead to significant pain relief and functional improvement. It is essential to work closely with a qualified physical therapist who can monitor your progress and adjust your rehabilitation program as needed. By addressing the underlying issues contributing to your condition, you can achieve better outcomes and return to your desired activities with reduced pain and a lower risk of future injuries. Always consult with your healthcare provider before starting any new treatment or rehabilitation program to ensure it is appropriate for your specific situation.

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