A New Therapy Approach to Treat Achilles Tendinitis

Subarna Debbarma (BPT, DNHE)


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Achilles tendinitis is a common and often painful condition that affects the Achilles tendon, the large tendon connecting the calf muscles to the heel bone. It typically occurs due to overuse or repetitive stress, causing inflammation, pain, and reduced mobility. While various conservative treatments such as rest, physical therapy, and orthotics are commonly recommended, a new therapy approach has emerged that shows promise in effectively treating Achilles tendinitis. This innovative approach combines both traditional and cutting-edge methods, providing hope for individuals seeking relief from this debilitating condition.

 Achilles Tendinitis

 Achilles tendinitis typically occurs when the Achilles tendon becomes irritated or inflamed due to excessive stress or repetitive motions. Athletes, particularly runners, are commonly affected, but it can occur in anyone who engages in activities that strain the Achilles tendon. The primary symptoms include pain and stiffness in the back of the heel, which can become chronic if not properly managed.

The New Therapy Approach To Treat Achilles Tendinitis

1. Eccentric Strengthening Exercises:

Eccentric strengthening exercises are a cornerstone of this new therapy approach. These exercises involve lengthening the Achilles tendon under load, which helps to stimulate healing and strengthen the tendon. A common exercise is the eccentric heel drop, where the individual stands on the edge of a step with their heels hanging off and slowly lowers their heels below the step's level before raising them back up. This exercise, when performed correctly and consistently, has been shown to reduce pain and improve function in individuals with Achilles tendinitis.

2. Shockwave Therapy:

Shockwave therapy is another component of this innovative approach. It involves the use of acoustic waves to stimulate the body's natural healing processes. These waves increase blood flow to the affected area, promote tissue regeneration, and reduce pain. Studies have shown that shockwave therapy can be an effective treatment for Achilles tendinitis, particularly when combined with other therapies like eccentric exercises.

3. Platelet-Rich Plasma (PRP) Therapy:

PRP therapy is gaining popularity as a treatment option for Achilles tendinitis. In this procedure, a small sample of the patient's blood is processed to concentrate the platelets, which are rich in growth factors. The concentrated PRP is then injected into the affected area, promoting tissue repair and reducing inflammation. While more research is needed to determine its long-term efficacy fully, early results are promising.

4. Biomechanical Assessment and Orthotic Devices:

A personalized approach to treatment is crucial in addressing Achilles tendinitis. Biomechanical assessments can identify any structural issues or gait abnormalities that may contribute to the condition. Custom-made orthotic devices, such as shoe inserts, can help correct these issues and provide additional support to the Achilles tendon, aiding in the healing process.

Achilles tendinitis can be a challenging and painful condition that affects one's quality of life. However, this new therapy approach offers hope for individuals seeking relief from this condition. By combining eccentric strengthening exercises, shockwave therapy, PRP therapy, and personalized biomechanical assessments with orthotic devices, patients can receive a comprehensive and effective treatment plan.

Note: It is essential to consult with a healthcare professional before beginning any treatment for Achilles tendinitis.

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