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Achilles Tendinopathy

EXTRACORPOREAL SHOCKWAVE THERAPY (ESWT) FOR ACHILLES TENDONITIS AND ACHILLES TENDINOPATHY IN THE BAY AREA

  • Regrow blood vessels in the achilles tendonitis tissue [2]
  • Stimulate new collagen fibers in your achilles tendon [1]
  • Effectively treat your achilles tendinopathy [3,4,5,6]
  • Get you back in the game with extracorporeal shockwave therapy

Help for Achilles Tendinopathy using ESWT with Dr. Adam FieldsYour achilles tendons run from your calf muscles to your heel bone. You rely on them whenever you lift a heel of the ground:  So, when walking, running, jumping or pivoting, your achilles tendons are indispensable. So, how does achilles tendinopathy or achilles tendonitis and extracorporeal shockwave therapy relate?

HOW DOES ACHILLES TENDINOPATHY OCCURAchilles Tendonitis

The achilles tendon can rupture but it can also just get micro tears from overuse or not warming up your muscles before strenuous activity. Unfortunately, the achilles tendon has a poor blood supply and this makes the tendon a slow and inefficient healer.  When it heals it lays down tissue that is less organized than the original tendon.  This tissue is brittle and it further decreases blood flow to the achilles tendon.

All of this leads to stiffness, pain, inflammation and more deterioration of the tendon.

SYMPTOMS OF ACHILLES TENDINOPATHY OR ACHILLES TENDONITIS 

  • Aching in the back of the leg
  • Extreme pain after running or climbing
  • Morning stiffness
  • Sore feet
  • Decreased strength
  • Swelling of the ankle

ACHILLES TENDINOPATHY  OR ACHILLES TENDINITIS ARE COMMON WHEN…

  • Hikers go up hills
  • Baseball players round the bases
  • Runners push off their feet
  • Basketball players rebound
  • Volleyball players spike

HOW PIEZOWAVE ESWT HELPS ACHILLES TENDINOPATHY

Extracorporeal Shockwave for Achilles Tendiopathy

Dr Fields helping restore function and decrease the pain of achilles tendon problems.

The Piezowave 2 (The extracorporeal shockwave therapy machine we will use on you) sends acoustic shockwaves into the deranged achilles tendon.  This is, actually, a mechanical type force which causes the tissue to ripple.  Harder tissue like scar tissue will break and then blood is allowed to come in the area and, over a course of weeks, healing takes place.  We will work on the tissues above and below your achilles tendon also.  

You may feel results within the first couple visits. However, after an average course of approximately 6-9 visits (depending on what we find) we may then allow time for your body to do the healing on a cellular level.

ESWT/ACHILLES TENDINOPATHY and ACHILLES TENDONITIS RESEARCH

There are some quite favorable results when studying the effects of ESWT on achilles tendinopathy [3, 4, 5, 6, 7]. Even studies comparing widely accepted physiotherapy treatments for achilles tendinopathy and achilles tendonitis versus ESWT showed better results when treating chronic recalcitrant achilles tendinopathy with extracorporeal shockwave therapy [3]. Also, realize the results mirror the success with patellar tendinopathy of the knee.  We could post a lot more research had we included these studies and the studies of dissected tissues showing regrowth of collagen and blood vessels.  

The research, and the experiences in our office, should give you hope for recovery. (408) 274-2244

PREVENTING ACHILLES TENDON INJURIES

  • Stay hydrated when doing sports
  • Warm up prior to activity
  • Support your feet with good shoes
  • Ease up on uphill running
  • Up your exercise intensity gradually
  • Listen to your body and stop if you feel pain
  1. 1, Choi S, Lee GJ, Chon J, Jeong YS, Park HK, Kim HS.Effects of extracorporeal shockwave therapy on nanostructural and biomechanical responses in the collagenase-induced Achilles tendinitis animal model.Lasers Med Sci. 2012 Nov;27(6):1195-204. doi: 10.1007/s10103-011-1049-0. Epub 2012 Jan 25.
  2. Mittermayr R1, Hartinger J, Antonic V, Meinl A, Pfeifer S, Stojadinovic A, Schaden W, Redl H.Extracorporeal shock wave therapy (ESWT) minimizes ischemic tissue necrosis irrespective of application time and promotes tissue revascularization by stimulating angiogenesis.Ann Surg. 2011May;253(5):1024-32. doi: 10.1097/SLA.0b013e3182121d6e.
  3. Rasmussen S, Christensen M, Mathiesen I, Simonson O: Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy. Acta Orthop. 2008, 79 (2): 249-56. 10.1080/17453670710015058.PubMedView ArticleGoogle Scholar
  4. Furia JP: High-energy extracorporeal shock wave therapy as a treatment for chronic noninsertional Achilles tendinopathy. Am J Sports Med. 2008, 36 (3): 502-8.PubMedView ArticleGoogle Scholar
  5. Rompe JD, Furia J, Maffulli N: Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy. A randomized, controlled trial. J Bone Joint Surg – Am. 2008, 90 (1): 52-61. 10.2106/JBJS.F.01494.PubMedView ArticleGoogle Scholar
  6. Furia JP: High-energy extracorporeal shock wave therapy as a treatment for insertional Achilles tendinopathy. Am J Sports Med. 2006, 34 (5): 733-40.PubMedView ArticleGoogle Scholar
  7. Furia JP: Extracorporeal shockwave therapy in the treatment of chronic insertional Achilles tendinopathy. Orthopade. 2005, 34 (6): 571-8. 10.1007/s00132-005-0806-9.PubMedView ArticleGoogle Scholar