Achilles tendinopathy is the most common tendon injuries seen in our Boulder Physical Therapy practice. Patients often present with pain along the mid portion of the achilles tendon during walking, hiking, running, or jumping activities. The greatest risk factors for this condition include a loss of ankle flexibility (dorsiflexion) and calf weakness. Both of these...
In the achilles tendinopathy (artist formally known as tendonitis) research two main themes have emerged. First, there is little to no evidence to support the use of injections of any kind into an injured tendon. Authors have advocated against steroid injections due to the risk of tendon rupture outweighing any potential benefits. Studies have also...
A recent clinical practice guideline was published advising clinicians and patients on the management of achilles tendon injury (tendinopathy). These guidelines are based on both the available medical research and medical opinions from experts in the field. The Journal of Orthopedic and Sports Physical Therapy reported the following for management of mid portion achilles tendinopathy...
Photo Credit: Scott, A. CMAJ. 2011. Mead, M. Transl Sports Med. 2018. Tendon injuries have previously been diagnosed as tendonitis and were believed to be marked by an inflammatory process in the tissue. Our current knowledge on these injuries has been improved by a better understanding of the disease process behind tendon pain. Current research...
Achilles tendon ruptures are most commonly seen in patients 30-40 years of age and 4-5 times more likely in males versus females. The injury is often associated with a sudden increase in force placed upon the tendon either from rapid progressions in sport activities or trauma (ex. fall from height). These injuries can also occur...
Achilles Tendinopathy is a common injury to the lower leg found in runners, jumping athletes, and sedentary individuals. In our previous blog posts on Achilles Tendinopathy we have described the impact of this diagnosis on the active population. Physical Therapy remains the gold standard for conservative care focusing on restoring joint mobility and strength to...
Achilles tendon ruptures mainly occurs in middle aged adults, males > females, participating in sports with high levels of jumping or high force activity. The repair and recovery time of these tendon ruptures is lengthy due to the post operative immobilization, weight bearing, and exercise restrictions. Prior research has shown only 1 in 2 athletes...
The achilles tendon is a strong, durable structure capable of absorbing and producing large loads as we walk, hike, and run. When the tendon is overloaded without adequate recovery periods this structure is prone to painful and limiting conditions such as achilles tendonitis and tendinopathy. One of the important risk factors for achilles injury among...
The treadmill remains a necessary evil when completing run training allowing athletes to escape inclement weather to complete their workouts. Thankfully, in Boulder we have few inclement days as we move through the Spring and Summer months allowing athletes to train outside. Prior research has noted significant bio-mechanical differences in treadmill vs. ground running including...
Marathon running is a challenging event requiring substantial amounts of endurance and strength training for optimal performance and injury prevention. The race distance of 26.2 miles requires high mileage training, often >75-100 miles per week at the elite level, placing the athlete at risk of a running related injury (Saragiotto et al. 2014). In addition...
