Welcome to the Online Physio Forum.
Results 1 to 4 of 4
  1. #1
    Forum Member Array
    Join Date
    Jan 2008
    Country
    Flag of United Kingdom
    Current Location
    Liverpool
    Member Type
    General Public
    View Full Profile
    Posts
    1
    Thanks given to others
    0
    Thanked 0 Times in 0 Posts
    Rep Power
    0
    Brief Medical History Overview

    Achilles tendon problem - ultrasound?

    Physical Agents In Rehabilitation
    I have a problem with my achilles tendon on my right leg. The tendon is very tender at the base where it joins the foot. There is not too much pain when I walk but running is a no go, as I don't have any 'spring' in my step, and is too painful.
    Also, If I walk for a little while and then rest (i.e sit down) the top of the tendon where it joins my calf muscle really tightens up and is then painful for a little while the next time I walk.

    I'm currently having a course of accupuncture at my local nhs hospital, which is undoubltably having a positive effect on the muscles in my leg but unfortunately is not reducing the pain at the base of my tendon.

    I have had ultrasound treatment in the past but it didn't seem to do much good either. The sessions were at least always one week apart sometimes 10 days or even two weeks. I'm not sure if the gap between each seesion made them ineffective?
    What is the recommended length between ultrasound sessions?
    How safe safe is ultrasound and how often can you have it?
    Are the 1MHz home ultrasound units any good or just a waste of time?

    Also,
    What other forms of treatment for this kind of injury are available - excluding surgery.
    I know that it is not a good idea to have steriod injections into the achilles due to them being weakened by this, but I've heard something about bathing the tendon in cortisone or something - can anyone explan this?

    Many Thanks - I hate this nagging Achilles tendon pain!!!

    Richard.

    Similar Threads:

  2. #2
    Forum Member Array
    Join Date
    Mar 2007
    Country
    Flag of United Kingdom
    Current Location
    Cheshire
    Member Type
    Other
    View Full Profile
    Posts
    120
    Thanks given to others
    0
    Thanked 0 Times in 0 Posts
    Rep Power
    49

    Re: Achilles tendon problem - ultrasound?

    Hi Richard,

    If the tendon is enlarged and painful to the touch I would treat with deep transverse frictions and lots of stretching. You need to ensure you strtch both calf muscles and do it effectively.

    If the pain is at the insertion of the tendon onto the calcaneum, then I would try ultrasound, but would recommend treatment at least every 2 days.


  3. #3
    Forum Member Array
    Join Date
    Jan 2008
    Country
    Flag of India
    Current Location
    Somewhere in cyberspace
    Member Type
    Physiotherapist
    View Full Profile
    Posts
    1
    Thanks given to others
    0
    Thanked 0 Times in 0 Posts
    Rep Power
    0

    Re: Achilles tendon problem - ultrasound?

    u didnt mention ur ocupation,we dont know what type of work u r doing,then u didnt give proper history of pain and ur symptoms.u r sticking to achilles tendon,did u rule out any other disease,and also have u taken any investigation reports like xray or anything.without this information hw can we suggest exercise programme


  4. #4
    Forum Member Array
    Join Date
    Jan 2008
    Country
    Flag of United Kingdom
    Current Location
    London
    Member Type
    Exercise Therapist/Fitness Professional
    View Full Profile
    Posts
    2
    Thanks given to others
    0
    Thanked 0 Times in 0 Posts
    Rep Power
    0

    Re: Achilles tendon problem - ultrasound?

    Aircast Airselect Short Boot
    Hi Richard
    I have only noticed your post after asking the same questions. I have heard of shock wave therapy which is stronger than ultra sound. A friend had it done and the problem went away after 3 visits. However, she did it through private health at £180 a visit!!!!! If anyone know of a therapist who can provide this treatment at a more reasonable price please let me know !!
    Kerry Anley



 
Back to top