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  1. IMightBeWrong is offline
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    Posted On:
    4/30/2012 3:39am


     Style: 9mm/Judo/BJJ/MT

    --
    Hell yeah! Hell no!
    I decided to get it checked out by my local specialist. There's a doctor very close by that did my ingrown toenail surgeries in the past. He's a foot and ankle specialist, so I figured I'd suck it up and pay the specialist copay (I'm poor lately, and 50 bucks is a lot of money to me) to see him and be extra sure that things heal up right (originally went to my regular doctor). He prodded and bent my ankle around to find where it hurt and took an x-ray. Gave me some anti-inflammatory meds and told me that the injury was where the bone of the heel meets with the tendon. So it's definitely tendonitis like my PCP had told me. According to the specialist, though, since the injury is at the very base of the heel I should actually be stretching the crap out of it. He said the story would be different if I had bursitis or achilles tendonitis higher up on the tendon, but with the location of the pain the best thing to do is stretch like crazy to force the muscles in the calves to lengthen.

    tl;dr version: It's feeling pretty good, and I'm surprised at how quickly I've been able to get back to walking comfortably since I started stretching it harder.
    "Intelligence is nothing more than discussing things with others. Limitless wisdom comes of this." - 山本 常朝
  2. ChenPengFi is online now
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    Posted On:
    4/30/2012 10:57am

    Join us... or die
     Style: Hung Gar, Choy Lay Fut

    --
    Hell yeah! Hell no!
    Cool, good idea.
    So no nodules on or 'creaking' around the tendon?

    I work professionally with many elite endurance athletes and this is a common and potentially career ending condition.
    Best to take it seriously, you do not want this turning chronic.
    If you don't have a foam roller you might want to pick one up.


    I refer clients to this page often, it has a great layout and good info:
    http://www.sportsinjuryclinic.net/sp...lles-shin-pain


    Be prudent and good luck.
  3. IMightBeWrong is offline
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    Posted On:
    5/01/2012 1:36am


     Style: 9mm/Judo/BJJ/MT

    --
    Hell yeah! Hell no!
    Nope, no creaking or anything. I had an extremely tiny spur on the heel that the doctor told me was too insignificant to worry about. How would I use the foam roller for the achilles tendon?
    "Intelligence is nothing more than discussing things with others. Limitless wisdom comes of this." - 山本 常朝
  4. ChenPengFi is online now
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    Posted On:
    5/01/2012 2:05am

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     Style: Hung Gar, Choy Lay Fut

    --
    Hell yeah! Hell no!
    You'd use it mostly on the posterior leg muscles, gastrocnemius/soleus and the hamstrings.
    The "ankle drop" exercises, with the knee flexed and extended are really effective as well.
    I have my clients work their feet, working the plantar fascia and toes.
    Golf balls and stretching are good there.

    The theories advocated by Tom Meyers et al. (Anatomy Trains/ anatomytrains.com) are something i find very useful in practice.
    This "train" is the one involved in the Achilles tendon, and although i will not go into their theories here, there is much information available on their site for clarification of jargon etc.
    Go through the slides, and get a feel for what they are talking about, if you are so inclined.

    Superficial back line slides:
    http://www.anatomytrains.com/explore...es/show/id/160
    (There are two fully nude, medical-ish photos of a male yogi in there, possibly nsfw)


    Note the pics of this girl, pre- and post- treatment:


    On the left you can see the obtuse angle of the ankle, the subsequent hyper-extension of the knee, the forward pelvic tilt resulting in a hyper-lordotic lumbar, the rounded shoulders and forward head posture.
    Much of this is compensatory, simply to remain erect; think "Jenga".
    If she were a runner i'd expect to see ankle pain.

    Stiff, shortened calves can have far reaching effects, and the Achilles pain could simply be a sign that you have some postural imbalances.
    I am especially wary with asymmetrical pain(in largely symmetrical events), which tends to point towards poor form or technique, rather than overuse, poor nutrition etc.
    So while i am not saying this is the case with you, it is worth considering.
  5. IMightBeWrong is offline
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    Posted On:
    5/31/2012 5:06am


     Style: 9mm/Judo/BJJ/MT

    --
    Hell yeah! Hell no!
    Followup appointment coming up Friday morning. Things were looking good for a while, but after discontinuing my prescribed anti-inflammatory it's starting to stiffen up again. Not anywhere near as bad as it was in the beginning, but still uncomfortable and it would surely hurt a lot more if I started beating it up skipping rope and running agian. So I'm officially taking the next month off (I still trained pretty hard, just didn't run or skip rope) and resting the ever-loving **** out of it on top of whatever the Doc wants me to do now (if anything other than Ibuprofen and rest).
    "Intelligence is nothing more than discussing things with others. Limitless wisdom comes of this." - 山本 常朝
  6. scipio is online now

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    Posted On:
    5/31/2012 8:08am


     Style: Karate

    --
    Hell yeah! Hell no!
    Quote Originally Posted by IMightBeWrong View Post
    Followup appointment coming up Friday morning. Things were looking good for a while, but after discontinuing my prescribed anti-inflammatory it's starting to stiffen up again. Not anywhere near as bad as it was in the beginning, but still uncomfortable and it would surely hurt a lot more if I started beating it up skipping rope and running agian. So I'm officially taking the next month off (I still trained pretty hard, just didn't run or skip rope) and resting the ever-loving **** out of it on top of whatever the Doc wants me to do now (if anything other than Ibuprofen and rest).
    You are doing the right thing - take it easy and REST.
  7. IMightBeWrong is offline
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    Posted On:
    6/01/2012 4:51pm


     Style: 9mm/Judo/BJJ/MT

    --
    Hell yeah! Hell no!
    Another update now. Doctor did some poking and prodding to try to find the painful area again just like the first time I went in and it didn't do anything. Basically the heft of the pain and inflammation is gone, but some wants to stick around. So to get it to finish healing up properly I've been told to lay off of activity (which I already did anyway), wear a walking cast, and I've been given Prednisone to kick the crap out of the remaining inflammation.
    "Intelligence is nothing more than discussing things with others. Limitless wisdom comes of this." - 山本 常朝
  8. BrickThrower314 is offline

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    Posted On:
    6/01/2012 5:13pm

    Bullshido Newbie
     

    --
    Hell yeah! Hell no!
    I had pain in my ankles along with swelling when I first started running again. I was doing about 6 miles every morning and after a couple of weeks I could barely stand on them anymore. I thought at first that I was just getting back into the groove of my old routine but I played it safe. Quit my routine for about a week and regularly massaged and iced my ankles. Haven't had a problem since.
  9. ChenPengFi is online now
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    Posted On:
    6/02/2012 1:22am

    Join us... or die
     Style: Hung Gar, Choy Lay Fut

    0
    Hell yeah! Hell no!
    Quote Originally Posted by IMightBeWrong View Post
    Another update now. Doctor did some poking and prodding to try to find the painful area again just like the first time I went in and it didn't do anything. Basically the heft of the pain and inflammation is gone, but some wants to stick around. So to get it to finish healing up properly I've been told to lay off of activity (which I already did anyway), wear a walking cast, and I've been given Prednisone to kick the crap out of the remaining inflammation.
    Did you do any research as to the drawbacks of steroid usage?
    There is evidence of a correlation between prednisone etc and subsequent tendon rupture.


    It is suggested that Achilles tendon rupture is a complication of corticosteroid treatment.
    http://thorax.bmj.com/content/46/11/853.abstract


    Spontaneous Achilles tendon rupture associated with long-term oral steroid use is not uncommon...
    http://www.japmaonline.org/content/92/6/355.abstract

    Granted while these are more common in elderly patients and/or those also receiving antibiotics, i thought it worth mentioning.

    I have two (ex)Achilles tendinitis sufferers competing in a half-Ironman tomorrow.
    Their road to (relatively, it's triathlon after all,) pain free competitive athletics took a little over 2 years apiece, once they had acquired the tendinopathy.

    They are now realizing the benefits of a gradual base curve of healing/strengthening.
    Being in a hurry, is seldom a prudent path.
  10. IMightBeWrong is offline
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    Posted On:
    6/02/2012 3:43pm


     Style: 9mm/Judo/BJJ/MT

    --
    Hell yeah! Hell no!
    I trust this doctor. I've been seeing him for years for other issues. He's a foot and ankle specialist and sees injuries like mine all the time. I won't be taking the steroid for very long. It'll only be two weeks, and during that time I'm in the walking cast so that the tendon is immobilized. For an additional week to two weeks after that I'll still be in the cast as well, and when I get back to training I'll be easing back into it.
    "Intelligence is nothing more than discussing things with others. Limitless wisdom comes of this." - 山本 常朝
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