Guest guest Posted September 7, 2000 Report Share Posted September 7, 2000 On 9/7/00, you wrote: >I have a client that has a past Achilles tendon injury and whenever he goes >jogging, it gets progressively more painful. It remains sore for 5 or 6 >days afterwards. I assume that this soreness relates to his previous >injury.......I am trying to get some ideas on some strength training he can >do to improve this discomfort. In the mean time I am going to recommend some >cycling and some body weight calf-raises off the floor, then from a step. >Any discussion on this would be appreciated. > >Ed Rosier Your presumption is that this pain arises from weakness. To my knowledge, weakness does not cause pain, only chemical irritation or mechanical deformation do. I'm fairly certain that this guy has had his connective tissue sufficiently stretched, yet it seems evident that the region remains too short to accommodate normal function, so I'd consider the nervous tissue is the primary organ involved. Stretching this is a terrible idea. You're going to have to come up with a way of allowing it to correct the acquired tautness. Barrett L. Dorko, P.T. " The Clinician's Manual " <http://barrettdorko.com> Also at <http://rehabedge.com> And <http://prorehabonline.com> And <http://physicaltherapist.com> And <http://rehabmax.com> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2000 Report Share Posted September 7, 2000 I'm just a lifter but after reading this I had a thought and I'll share it... remember I'm probably a complete idiot so be kind ;-) Has he had an X-Ray on the area lately? My thought was a wayward sesamoid bone that developed at or around the tendon because of the previous injury... I know you can get those in muscles after injuries and I seem to remember from some anatomy/physiology classes that they can occur in tendons... Just a thought... Jim Hinze Rosier<jesters4@...> wrote: I have a client that has a past Achilles tendon injury and whenever he goes jogging, it gets progressively more painful. It remains sore for 5 or 6 days afterwards. I assume that this soreness relates to his previous injury.......I am trying to get some ideas on some strength training he can do to improve this discomfort. In the mean time I am going to recommend some cycling and some body weight calf-raises off the floor, then from a step. Any discussion on this would be appreciated. Ed Rosier Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2000 Report Share Posted September 7, 2000 Perhaps you should look at his ankle biomechanics during stance phase of gait. If he has an unstable hindfoot it may be flicking into pronation as the weight moves forward over the foot thereby flicking the TA every step and irritating the tissue. Perhaps a referral to a good podiatrist for some orthotics may be in order? It does sound like a mechanical problem with his running could be causing inflammation in the TA. Just an idea Darcey BPhysio MAPA " Rosier " <jesters4@...> wrote: > I have a client that has a past Achilles tendon injury and whenever he > goes jogging, it gets progressively more painful. It remains sore for 5 or 6 > days afterwards. I assume that this soreness relates to his previous > injury.......I am trying to get some ideas on some strength training he > can do to improve this discomfort. In the mean time I am going to recommend > some cycling and some body weight calf-raises off the floor, then from a step. > Any discussion on this would be appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2000 Report Share Posted September 7, 2000 I have a client that has a past Achilles tendon injury and whenever he goes jogging, it gets progressively more painful. It remains sore for 5 or 6 days afterwards. I assume that this soreness relates to his previous injury.......I am trying to get some ideas on some strength training he can do to improve this discomfort. In the mean time I am going to recommend some cycling and some body weight calf-raises off the floor, then from a step. Any discussion on this would be appreciated. Ed Rosier Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2000 Report Share Posted September 13, 2000 Rosier <jesters4@...> wrote: > I have a client that has a past Achilles tendon injury and whenever > he goes jogging, it gets progressively more painful. It remains > sore for 5 or 6 days afterwards. When he goes jogging, how far does he jog, and at what pace? Most people (especially young guys) seem to have trouble coming back slowly. A plodding half-mile jog might not even occur to him. Matt Madsen __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2000 Report Share Posted September 14, 2000 > > I have a client that has a past Achilles tendon injury and whenever > > he goes jogging, it gets progressively more painful. It remains > > sore for 5 or 6 days afterwards. Supposedly eccentrics help tendinitis a lot but injury.. in what way? [antonsevilla] Quote Link to comment Share on other sites More sharing options...
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