Achilles tendon pain, previously called achilles tendinitis and now called achilles tendinopathy, is a common condition in both sedentary, active, and athletic populations. Researchers estimate this condition will affect between up to 1 in 5 runners in their lifespan with the highest prevalence among all athletes found in ages younger than 45. In our practice...
The vast majority of musculoskeletal conditions and diagnoses are not life threatening or time sensitive and allow for conservative treatments, including Physical Therapy, to be utilized prior to surgery. In our Boulder Physical Therapy practice we commonly see outcomes consistent with the current research on the utilization of Physical Therapy instead of surgery for common...
Tendon injuries are one of the most common sports injuries seen in our Lafayette and Boulder Physical Therapy clinics. Most often overuse in nature, tendon injuries can significantly limit an individual’s ability to perform their daily and recreational activities. Tendinopathy, formerly known as tendinitis, describes the chronic cellular chemical and structural changes that occur...
Our understanding of tendon pain and injuries has changed significantly over the last two decades and has driven changes in Physical Therapy treatment selection. As a profession we have moved away from a rest and immobilization approach and replaced it with an active approach designed to first strengthen the tendon’s muscle and secondly heal or...
Tendinopathies, the artist formally known as tendinitis, are common orthopedic and sports medicine conditions affecting both athletes and the general population. Repetitive overload (overuse) of these structures creates a reactive followed by degenerative process in the affected tendon. These injured tissues have not been shown to have significant numbers of inflammatory cells but rather show...
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...