Just looking to see if anyone has any experience regarding this. I am currently treating a 57 year old gentleman with bilateral TA pain. He has chronic thickening around the TA region and is most aggravated by 'rubbing shoes' when walking which is a problem as he has to wear special safety shoes in his job. Symptoms have mostly settled unilaterally with an eccentric loading programme (straight and bent knee), stretches for gastroc and soleus and DTF/US Rx though one side remains an issue. From reading around I have found that there are links between ankylosing spondylitis (the gentleman has been diagnosed with this 20 years ago) and achilles tendinitis. Does anyone have any advice re: alternative treatment (he has not tried GTN patches at this stage) and to whether the ankylosing spondylitis affects the response time to rehab?
Thanks

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