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Achilles Tendinopathy Rehab
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♂️Achilles tendon pain, stiffness, or heel pain are common symptoms of Achilles tendinopathy. This condition is one where we often see individuals have less symptoms at rest and a large increase with activities - particularly more dynamic activities.
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Treatment should focus on reducing symptoms and increasing function, improving load tolerance and tissue capacity. In the video we demonstrate a number of options for this!
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Isotonics are one the best options, and it is generally best to perform them slow initially and progress speed over time as symptoms allow. Isometrics are another good option and can be helpful for many people with pain management. Eccentrics are a good bridge between isotonic motions and elasticity based exercises due to the higher demand on eccentric load. Elasticity exercises are usually the last to be added and progressed more slowly. Hip extension strengthening has been shown beneficial for this condition, reducing the demand on the Achilles tendon.
#TSTachillestendinopathy
Episode 403: Flat feet? Plantar fasciitis? Strengthen your arches‼️ Don’t just rely on orthotics and “arch support.” I am willing to bet that you guys can’t hold a tight band under the big toe like this while doing movements and exercises. #Challenge?! The big toe is directly related to glute activation.() I see all of your guys’ damn Instagram videos and your feet move around in your cushy shoes like a hyper puppy… they aren’t controlled and stable. .
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If your “base” or feet aren’t engaged and stable☹️, you are LOSING force output and are unable to engage the glute! You are having to rely on your knees and back to compensate for your movements.♂️ When you properly engage the arch of the foot and drive the toes into the ground(especially the big toe), you will get A LOT more glute activation in your motions. I give a few examples of motions in the videos, but everything you do on your feet applies!️️♀️⚽️♀️
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If you don’t have a band, you can also put a coin under your big toes and make they don’t lift up. The band is quite difficult because you REALLY have to activate your arch and toe to keep the band down. When doing this exercise, make sure that it isn’t just your big toe that is doing the work, pull the band toward your heel with your arch and slightly rotate the ankle outward.
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When applying this to real life… you want to actively engage the big toe! It won’t just do it on its own. Do it everywhere.
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Click the link in OUR bio and click the “Vivobarefoot link” for a 10% discount on your purchases!
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Written by Andrew Dettelbach
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⚡️You can learn to move better and live pain free! The MoveU Method is a step-by-step online training program to transform your movement and accelerate your journey back to a pain-free life. Learn more about the method by registering and attending a free live webinar. Click the link in our bio or visit moveu.com/webinar⚡️
As simple as this. #Repost @smithptrun
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So much good info! Thanks to @posemethod for creating this info-graphic that sums it all up! Running injuries are preventable - #techniquematters #posefallpull #injuryprevention #plantarfasciitis #achillestendonitis #shinsplints #kneepain #runnersknee #anklesprain #itbandsyndrome #lowbackpain #muscle #musclestrain #getpt1st #physicaltherapy #poserunning #posemethod #runningclass #onlinecourses #runnersofinstagram #runningculture #runinjuryfree
Achilles Tendon Pain Rehab! (Swipe Left to see the exercises!...)
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With pain at the Achilles’ tendon it’s important to first identify where along the tendon your pain is, and also find where your loading tolerance is.
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If your pain is primarily towards the middle or top of the tendon, you can typically tolerate stretching it more. If it’s closer to where it inserts into the heel, give it some time before doing any serious stretching.
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As with any injury, you have to start strengthening the area as soon as tolerated.
✅These videos show some of my favorite ways to strengthen around a painful Achilles’ tendon, build up the tolerance of that tissue.
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If your pain is towards the heel (insertional) wait before doing the last one, instead perform this on the flat ground, and work up to the step.
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Want to work with me? Shoot me a message or click the link in my bio for online training!
Achilles Tendon Rehab
Achilles tendon rehab requires good ankle mobility + balance and proprioception.
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Tendons have to be loaded when dealing with tendinopathy.
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Modifying the exercises is the key to have more emphasis on the achilles. These are some of the exercises you can do.
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️ Hope you found these helpful!
Double tap if you did! ❤️
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Until next time, Peace ✌️
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#luqmanstherapy #prehab121 #futureproofyourself
Match made in heaven: RockPods and RockBlades Want to learn more? Education classes will teach you all you need to know- check out to see if we’re coming to a city near you! Link in bio
Repost via @mikestella_atc ACHILLES HEEL?
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#achillestendon pain and #tendonitis are no fun. Effective management generally means introducing load (as in load during movement) incrementally, increasing the tissues tolerance for force, helping to organize collagen fibers along lines of stress.
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What happens when the tendon is painful to load? Well, that’s where some #manualtherapy can really help set the stage for improving outcomes by decreasing pain and helping to improve #mobility
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Here is a quick clip of the step by step process I like to use when treating a pesky case of #achillestendonitis
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1️⃣ START WITH THE : I like to start with some heat, or just using some effleurage to establish my intent as non painful, and acclimatize the athlete to pressure through the calf area, which in many cases may be feeling tight and uncomfortable.
2️⃣ DEEP AND SLOW ⚔️: Now it’s time to bring down the tonicity of that posterior compartment but taking it time and working up to a deep but comfortable depth.
3️⃣ NOW GET LIGHT: using lighter pressure around the Achilles itself is all you need. Structure is superficial here, and stimulating some fibroblastic activity and bringing down some pain are the main goals. No need to crush it. Remember, that’s a tendon, you’re not breaking that bad boy up.
SIDE NOTE: this athletes Achilles is sensitive, so I used he @RockTape #rockpods as a distraction technique so I could get some work in.
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4️⃣ FINISH WITH TAPE : Not shown in the video...(sorry couldn’t squeeze it in the minute video!!!) #rocktape is another great way to feed the sensory system, and add a slow drip of #feelgood to the end of the treatment.
Repost @trijerrydpt
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ACHILLES REHAB: an exercise progression
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Achilles tendon issues affect many athletes (triathletes, runners, basketball players, Spartans, etc). Clients often complain of pain in the back of the heel or just above it. An Achilles issue can become a challenge to manage when it becomes chronic because it’s hard to keep the foot unloaded during everyday activities like standing & walking. Here’s an exercise progression that targets the achilles tendon.
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Swipeto view all videos/photos
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Please remember this is not medical advice. Consult with a healthcare provider near your area before attempting these exercises.
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Achilles Tendon Pain Rehab Exercises! (Swipe Left to see them all!)
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So before we dive into what’s going on here, let’s knock out a few terms first:
Tendinitis is the most commonly used term for tendon problems, but this technically means an acute injury with swelling.
These exercises are for people who have had Achilles pain for a while, so it’s no longer acute... so, the term tendinopathy is more appropriate.
Lastly, these exercises are designed for mid-achilles pain (non-insertional), basically the problem is not at the base of your heel bone, but in the middle of the tendon.
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Ok, now that’s out of the way, let’s talk about what’s going on in these exercises!
Eccentric loading has been looked at extensively in the research and has shown very good outcomes with this type of Achilles pain. So we are incorporating a focus on eccentric contractions, with one and two leg stance.
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1️⃣The first is a lunge variation that incorporates lower level Achilles’ tendon loading. The isometric (hold) portion is the only single leg loading component. The eccentric part is done with two feet on the ground, making it easier on the tendon.
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2️⃣The second progresses things in two ways:
✅The eccentric loading when transferring weight to one leg, and the heel dropping down lower. This puts more stretch and load on the tendon.
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3️⃣The last part is the most advanced since both concentric and eccentric parts are single leg, and we are getting lots of big toe extension. This ROM at the big toe is crucial for good foot mechanics!
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A general rule with tendon loading is a little pain is ok, and you need to choose exercises and volume based on your bodies response.
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‼️Find this helpful? Save it for later and send to a friend who could use it!
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#prehab #rehab #pt #theptinitiative #achillestendonitis #achillesrehab #achilles #heelpain
BUILDING BASE TOLERANCE
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How do I build up the strength in my feet? How do we address plantar fasciitis? I have foot pain when I walk or run. What do I do?
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I get these questions quite a bit. And the approach isn't terribly different than how I address other areas of the body. Identify what you can do tolerably. Identify what you want to be able to do. And scale initial accordingly and build off of that.
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But sometimes you may not be able to handle exercises that I show. Or you might not be able to use a load high enough to elicit a strength gain.
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One of the best foot strengthening exercises there is is a progressive walking program. But what if you can't walk for more than 5 minutes? Or you can't do heavy loaded calf raises or hopping and jumping?
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That's where building a base tolerance may need to come first. And that's where low load exercises like this (thanks @quaddoc for volunteering your feet ) can come in. They aren't going to be enough of a stimulus to actually physically strengthen anything in the majority of people, but they can help you work your way towards tolerating the loads needed to do that. Think of them like your base work capacity for rehab.
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So when I assign these, I really don't focus too much on a set number of reps. I'd just have a client go until they feel a strong burn in the area or come close to failure. Then dial up the volume via number of sets as we see what's tolerated.
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From there, we can begin building the tolerance up so that we can work into those harder exercises like heavy loaded calf raises, hopping, walking, running, and general lower body strength work.
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Build the base if needed. If you have the base, skip past it and get to the harder stuff. It's all about dialing in the right amount of stress for the individual at the end of the day.
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Tag a friend with foot pain and share the wealth!
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#Prehab101