Good day to you, my name's Nigel Bondswell and i have been a physiotherapist since 1996 reaching the dizzy height of Clinical Specialist within the NHS (what ever that means now). I presently work privately for my self and for a professional rugby league side called Keighley Cougars.

It is difficult to get a full understanding of a case through someone else with yourself assessing the person, even so i am willing to try and give you some possible tips on where to go.

Firstly in my opinion i think there has been to much emphasis,or over reliance on treatments such as electro therapy and other none hands on modalities which strictly speaking considering the gold standard of experimentation are poorly proven.

Have the tendinosis at the right and left Achilles tendons been sorted including strengthening of the right calf muscle to 5/5 on the oxford scale?

This should be tackled i think possibly looking at:
[LIST][*]deep friction massage[*]ice massage till numb carried out three times for one treatment[*]connective tissue manipulation for the calf muscle then[*]deep tissue mobilisation to the calf muscle[*]followed by stretching of the calf muscles perform several types to hit the variety of muscles in the calf
[LIST]

Yes there is debate due to the poor blood supply to the achillies tendon weather it should be deep frictioned or not, however i suggest considering the ice massage increased blood flow with increased oxygen will be delivered to the frictioned area so it is a viable treatment.

I. will come back with the rest of my suggestion when i have time. But look to the sacrum that is where the trouble lies i think.

Are the athlete's