/ Achilles tendonitis
Would you bother going the GP / NHS physio route (presume that's slow, I've never tried) or just go straight to a private physio?
Go straight to a physio if you're in doubt, get a full assessment & treatment. I'm about to do that after 4 months and wish i'd gone sooner as it was obvious the pain was more than a usual over use injury.
My GP was helpfull in that he's snapped his so understood and confirmd a diagnosis. All they can do is reccomend rest, ice, anti-imflamatories, gentle stretching etc. and if that not improving things after several weeks then they'll refer you to a physio which will take many weeks.
Good luck & hope you have a speedy recovery.
But don't leave it, it tends to get worse if you don't get it looked at!
> Would you bother going the GP / NHS physio route
No. I've never had any joy with GPs dealing with muscular problems. The captain of our running club is a GP and he goes straight to a private physio any time he has a problem.
> Would you bother going the GP / NHS physio route (presume that's slow, I've never tried) or just go straight to a private physio?
I've been plagued with this and after an informal diagnosis over a pint with my mate who is in the 2nd year of 3 year physio degree, it is more likely tendonosis (eg. from chronic overuse as opposed to an acute tear), but that's getting pedantic.
We came to the conclusion that there's not much you can do apart from stop running for a while. Some ice will help and I've found it helps after runs. Ibuprofen is a waste of time.
Potentially some deep massaging on what is essentially scar tissue on the tendon can help, but sounds very painful to me at the moment based on how tender they are so I've wimped out (and not managed to find a physio yet).
Please note don't take anything I say too seriously. However seeing a Dr is just likely to result in him/her telling you rest. I've used private physio who are normally much more helpful (as they're taking your money, or BUPA in my case) so they might shed some light on it.
have a go with a foam roller - loads on the net - worked for me
PM me if you think any more info would be helpful.
I've been plagued with this over the past six months. I recently saw a pri vate physio (mate)who has given me some exercises to do and also recommended stretching the calf and hamstrings every day. A thorough stretch too, not just a few minutes messing around. This has made a massive difference already (3 weeks since I saw the physio). You have my sympathy as this appears to be a real pain to get rid of.
First, I would check your shoes. I got rid of my flats when I developed this condition. I also took up hot yoga, which kept me sane while I couldn't run. Might have helped as well, but who knows.
I can recommend this exercise. The Achilles heel-drop protocol. I looked up the cochrane reports. This is a medical organisation that combines a lot of scientific studies to determine the best treatments. Apparently the heel-drop is the best available treatment - do not do heel raises.
Here is a descripiton, it isnt too onerous http://img2.tapuz.co.il/forums/1_115845356.pdf
Also here is some background, i just got it from googling. The advice seems legit.
Main thing i have noticed, DO NOT run up hills until you have fully recovered. Also, DO NOT do any speed training. Just become a bumbler for a while.
Thanks for posting this - I have the same problem and have found the replies very helpful
Went to private physio, very useful. Lots of different root causes, mine ended up being cured by a combination of stretching and sorting out my posture.
As others have said - PM if you need more details.
I am entered in a 100mile walk in exactly 5 weeks time (48hr limit). Training (moorland running up to 20ish K) going really well until 4 weeks ago, then pain....sore tendons, mega tight calf muscles etc. As well as the running I have also walked a total of about 250-300K with a full back packing pack on alternate weekends since early feb.
So I rested from the running for 3 weeks (kept the walking going), just did the stretches and heel drops. Pain went finally, so last weekend tried to go for a run again. 6K along the sand my calf went so tight I could hardly walk let alone run! After 10min of stretching I limped home.
Sod it, no more rest, I am now running (stiffly) every day, kill or cure. Withdrawl from the event is not an option, so given the 5 weeks left, any ideas of exercise/regime I could try....anyone??
That's almost exactly what I did except I was training for a mountain marathon then a road marathon. I managed both, although the MM was in a fair degree of pain.
The tendonitis became chronic tendonitis and I have never run properly again. Every time I try to train again after about 3 weeks it flairs up so much it hurts just walking.
Please be very careful.
I have a tedious history of achilles tendon trouble. I did try my GP years ago, but he just scared me to death by telling me he thought I might have ankylosing spondylitis (which I don't have, luckily for me).
I have heard of people having good experiences of accessing podiatry and physio on the NHS, so I think it's always worth a try. Seems to vary a lot depending on where you live and who your GP is.
Based on my own experience (and no relevant qualifications), I would say that it's best to get proper advice even if it costs money. And don't leave it to get worse 'cos it just costs more and ... well, gets worse.
I've been doing eccentric heel drops as mentioned above but when reading about them I gleaned that they only work with certain kinds of achilles problems and got the impression they could make things a lot worse with other kinds (I think it depends whether the problem is as the insertion point or higher). I've also had success over the years with custom made orthotics, very painful and protracted cross-friction massage on the achilles and deep tissue massage on calves and with using a foam roller on my legs. But my experience and reading has left me thinking that really it all depends on why you have the problem - and it's hard to work that out without consulting somebody who knows what they're on about. For me, it all seems to be about hypermobile joints in my lower body. I have pain in my achilles but have been advised that there's not a massive amount structurally wrong with the tendons themselves (good news) and it's more about other issues to do with my legs and pelvis.
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