Acupuncture awareness week this year is 2nd March-8th March 2015. What do you know about acupuncture? Do you know anything about acupuncture treating Achilles tendonitis?
The main symptom is Achilles pain at the back of the ankle, just above the heel bone. There is stiffness in the Achilles tendon especially in the morning or after a long period of rest. This is thought to be due to adhesions between the tendon sheath and the tendon itself. Redness and swelling are often seen in acute stage. Nodules or lumps may be found in the Achilles tendon, particularly 2-4cm above the heel. Tenderness of Achilles tendon can be seen during examination.
Chronic Achilles tendonitis is a difficult condition to treat due to its poor blood supply.
In acute stage, rest is a must. Continuing to train on a painful Achilles tendon could lead to the injury becoming chronic and more difficult to treat. Appling ice within 24-48 hours of injury will reduce pain and inflammation. Wearing a 1cm high heel pad can take some strain away from Achilles tendon. Achilles tendon taping technique which uses elastic bandages to support the tendon can help. Acupuncture can improve blood flow, improve oxygen supply and nutrients supply to the tendon. Also acupuncture can reduce pain and decrease inflammation. In later stage apply heat to the tendon is beneficial. Pain killers can be used in acute stage, but they may not be very effective. Long term use could delay tendon healing. Steroid injection directly into the tendon is not recommended because this can increase the risk of a total rupture of the tendon in future. Right running shoes prevent from future injury.
Once you can perform daily activities pain-free, move on to next stage which focus on improving the flexibility of the calf muscles. Massage will help prevent adhesions forming within the tendon which stop the tendon sliding smoothly in its sheath and help blood flow of calf muscles. Eccentric exercises have been proven to be very effective in the treatment of chronic achilles tendonitis. If the injury has been severe and required a sustained period of rest and the neural control or co-ordination of the ankle has been affected, proprioception which is the neural control or co-ordination of a joint may need to be improved. Finally when the pain has disappeared at least a week and the range of motion at the ankle has improved then you can begin to return to training.