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got achilles tendonitis

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got achilles tendonitis

Old 03-10-08, 03:04 PM
  #1  
grafsk8er
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got achilles tendonitis

well, i've got achilles tendonitis. pretty much i can't point my toe and put any pressure on it. that kinda kills my bike riding for a while esp up hills. i'm goin to a specialist this wednesday. hopefully he doesn't tell me to take like a week or two off. that'll make me a lil pissed.
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Old 03-10-08, 03:09 PM
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rupturing your achilles tendon = surgical repair, casting, prolonged inactivity, and substantial rehab. (and hurts like a mofo)

Be careful, and follow your Doctor's advice.
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Old 03-10-08, 03:11 PM
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Two weeks doesn't normally do it. If it turns out to be achilles tendonitis, you're looking at a couple of months. I developed it last February while training for an ultra, and it took a long while to get going again. Also, I had to ignore my doctors advice completely to remedy the situation -- they'll usually recommend stretching, ice, and anti-inflammatories, and those things are not very good for an area that has very restricted blood flow.
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Old 03-10-08, 03:15 PM
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With platform pedals, you normally have your feet farther up on the pedals, and don't really use your calves much. Might not be too stylish or fast, but might keep you on the road when you otherwise wouldn't be.
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Old 03-10-08, 03:30 PM
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More likely, you have achilles tendinosis (the "new" term for tendinitis.) Tendinitis is a quick-developing, inflammatory (-itis) situation, and technically only lasts several days, whereas tendinosis is what people usually have when they think they have tendinitis. Tendinosis is a long-term overuse problem of repeated abuse, incomplete healing, followed by more abuse. The fibers basically stop trying to heal, and the body responds with an over the top flood of pain chemicals.

Try googling achilles tendinOSIS, and pay particular attention to the prescribed exercises. Look for ECCENTRIC exercises in particular. For example, stand on a stair with the back half of both feet off the edge (holding the railings for balance.) Raise yourself up on the balls of both feet using only the power of your good foot (or arms, if both heels are bad), and lower yourself down slowly with the bad foot. The act of stretching the achilles while also strengthening it is the key. Enough new studies have been done to suggest this is the best form of rehab. Build up to several sets over a period of weeks, then do them for maintenance. This approach has worked for me with forearm tendinosis, and mild achilles tendinosis, so I speak from experience. I just happened to see the same application for achilles while I was researching the forearm issue.

I am not a doctor, and I don't play one on TV.
Best of luck.
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Old 03-10-08, 03:55 PM
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[QUOTE=crash66;6316282]More likely, you have achilles tendinosis (the "new" term for tendinitis.) Tendinitis is a quick-developing, inflammatory (-itis) situation, and technically only lasts several days,QUOTE]

i have a feeling that it is tendonitis only b/c it hasn't happened over my winter riding or playing hockey. it happened when i started pre-season for track. i ran about 3 days didn't feel any pain. then on the 4th day i couldn't run and thats when i began icing and taking advil daily. hopefully it is tendonitis, and i'll find out for sure on wednesday
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Old 03-10-08, 04:23 PM
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If it really is achilles tendonitis (or tendonosis??), your Dr. won't tell you to take a week or two off ... s/he'll be talking in terms of months. I had microtears in my achilles tendon and I ended up taking 3 months off with mine, and then very gradually started into cycling again.

5 years later, I still wear ankle braces on long or hilly rides.
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Old 03-10-08, 05:30 PM
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damn. that's not really what i was wanting to hear, machka. especially at 18 years old, lol. i can't find any reason that it came upon me so suddenly though. that's whats pissing me off the most.
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Old 03-10-08, 06:21 PM
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Originally Posted by grafsk8er View Post
well, i've got achilles tendonitis. pretty much i can't point my toe and put any pressure on it. that kinda kills my bike riding for a while esp up hills. i'm goin to a specialist this wednesday. hopefully he doesn't tell me to take like a week or two off. that'll make me a lil pissed.
Not a doctor but I can tell you what worked for me. Take an anti-inflammitory like Motrin or Aleave for 2 weeks. Start doing calf stretches, example would be putting the toe portion of you feet on stairs and gently lowering your heals to feel the stretch.
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Old 03-10-08, 06:27 PM
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Listen to your body!!! I had tendinitis in my elbow that could have gone away in a week or 2. I kept liting weights and I eventually was out for 8 weeks. In the long run it is best. My wrist at the moment and I lifted on it, man i'm a dumb ***** I am going to be out for at least a week. Any ways trust me tendinitis is not something to mess with you will lose!!!
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Old 03-10-08, 09:37 PM
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Get an MRI. Go to a well-trained podiatrist or orthopedist that has done a foot and ankle fellowship - hopefully if you can find one that is a cyclist. Skip everyone else.

Doesn't matter if you call it -itis or -osis. It's probably not infected - if it was you'd be in huge trouble.

If s/he tells you that you need to take a week off then you need to take a week off. If you're not going to listen then don't bother going to see him/her. Your healing process depends greatly on which one of you is the doctor.

Surgery (if you were to even need it) on the achilles doesn't necessarily mean prolonged nonweightbearing. There is a procedure called TOPAZ (google "topaz achilles tendon) that works real good for those that don't need significant debridement. If you're really 18 and normal weight, etc.. you probably just have a good case of overuse. Perhaps you have a spur on the back of your heel. Perhaps you partially tore it. I dunno...


FWIW, I am a doctor and I deal with this stuff all day... feel free to PM me with questions...
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Old 03-10-08, 09:50 PM
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I was recently diagnose with achilles tendonitis as well. I am a 22 year old Cat 3 and I can totally understand your frustration.

All this work this past winter has been crushed due to this injury. I have been off the bike for 3 weeks and the good news is that it is starting to feel a bit better.

I am having physical therapy 2x a week, using Flector patches, and doing contrast baths (10 minutes cold, 10 minutes warm) nightly to combat the swelling.

Try to get some swimming in, and some moderate weight training (keep the achilles stable though) to salvage what you have trained for.

What happened to me was I went from 2 weeks off of the bike, to doing a 17 hour week and on the longest ride in that week, 5.5 hours it started to nag me. I stupidly shrugged it off and kept riding on it even though it hurt pretty badly. Near the end of one ride I felt a tear and rode home around 10 mph.

If this sounds familiar - do yourself a favor and go see a good doctor, get some PT time in and let those tendons rest. This can become chronic if not treated correctly. Good luck!
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Old 03-10-08, 10:11 PM
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Apart from all the usual stuff (ice, rest, stretch, etc), here's a good tip that someone gave me a while ago: walk around with slight heel evelation while you have the problem, and don't walk bare feet after you've been sitting or lying for a while, even for a few steps. Minor problems with Achilles' and facias can be aggravated without heel or arch support when walking bare foot coz the muscles (and tenons, etc) are cool and stiff. This mainly means putting shoes on when you get out of bed, before you take any steps, even if it's just to go for a piss inthe middle of the night. [img]
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Old 03-13-08, 12:20 AM
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My son strained his achilles at soccer and the PT told him 8 week minimum. He was told he could cycle (good thing, as it was spring!), but to lay off the hills, which exacerbate the achilles. It took longer than the 8 weeks for it to fully settle down.
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Old 03-13-08, 01:53 AM
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pick up swimming and/or lifting
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Old 03-13-08, 07:20 AM
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You can also find a bit of relief by moving your cleats as far back as possible. This lessens the amount of stress put on that area. In extreme cases, you might need to consider the mid-cleat option that is starting to gain favor.
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Old 03-13-08, 07:58 AM
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Originally Posted by 531Aussie View Post
Apart from all the usual stuff (ice, rest, stretch, etc), here's a good tip that someone gave me a while ago: walk around with slight heel evelation while you have the problem, and don't walk bare feet after you've been sitting or lying for a while, even for a few steps. Minor problems with Achilles' and facias can be aggravated without heel or arch support when walking bare foot coz the muscles (and tenons, etc) are cool and stiff. This mainly means putting shoes on when you get out of bed, before you take any steps, even if it's just to go for a piss inthe middle of the night. [img]
There is nothing wrong with walking barefoot when you have this condition. Think about what caused it???I cured my achilles tendonitis 3 years ago in 10 days. I ran barefoot on the grass for a mile a day. It hurt like hell but each day the pain lessened the following day.

You weren't born with shoes on your feet. You need to use your feet the way they were made, not confined to shoes or with arch supports. I no longer wear traditional shoes except at work where I am required to. I wear $5.00 water shoes from Wal-Mart. I ran the Chicago Marathon last year in them and finished.

Another benefit to being barefoot. The best damn core exercise you can get. My lower back no longer hurts on the bike or when I go swimming. All because I spend so much time barefoot or in my water shoes.

Cycling is not a natural motion for your foot. So you may need arch supports in your shoes or cleat adjustments in the future to prevent this condition.

If you want some links about being barefoot let me know.
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Old 03-13-08, 08:36 AM
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^^^ No...

There are a lot of things we did not do when we were caveman...

We now have few thousand years of accumulated knowledge...

Although it may not be 'natural' most of things have helped our species...
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Old 03-13-08, 08:56 AM
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[QUOTE=crash66;6316282]More likely, you have achilles tendinosis (the "new" term for tendinitis.) Tendinitis is a quick-developing, inflammatory (-itis) situation, and technically only lasts several days..[QUOTE]

I had that...the short term version...back when I ran. The pain started in both ankles while on a run and by the next day I could barely walk. I was back running in a week or two and never had the problem again.
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Old 03-13-08, 01:42 PM
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that's how i believe mine is mihlbach. i went to the orthopedic yesterday, he put me on a rx anit-inflammatory. told me to start by taking a week off of running, but that i could still bike. next week i start pt with a dr. who specializes in the foot, calf, achilles, etc. area. more or less a chiropractor for your foot and runners. hopefully i'll be 100% by the end of my track season since the team needs me, and i'd feel real bad if i couldn't run to my potential for them.
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Old 03-15-08, 01:34 AM
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Originally Posted by Rowdy View Post
There is nothing wrong with walking barefoot when you have this condition. Think about what caused it???I cured my achilles tendonitis 3 years ago in 10 days. I ran barefoot on the grass for a mile a day. It hurt like hell but each day the pain lessened the following day.
This reminds me - I read something last week about running barefoot in sand being very good for the achilles tendon and muscles in the feet.

The odd thing about my son's tendon strain was that the PT discovered he didn't have enough side to side flexibility in his feet (think how a surfer would move), and this was a contributing factor.
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Old 03-15-08, 02:24 AM
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Originally Posted by Rowdy View Post
There is nothing wrong with walking barefoot when you have this condition. .
Ideally, probably, but I was just talkin' about when there's bad inflamation, and only temporarily. It wouldn't hurt to ease off if and reduce the tendon's range of motion (re, stretch) for a short period.

Originally Posted by Rowdy View Post
Think about what caused it???I cured my achilles tendonitis 3 years ago in 10 days. I ran barefoot on the grass for a mile a day. It hurt like hell but each day the pain lessened the following day. .
That sounds extreme. Is that recommended by physios? I've cured mild Achilles tendonitis is 4 days by walking around in elevated heels, and stretching the crap out of my calves.

Originally Posted by Rowdy View Post

You weren't born with shoes on your feet. You need to use your feet the way they were made, not confined to shoes or with arch supports. I no longer wear traditional shoes except at work where I am required to. I wear $5.00 water shoes from Wal-Mart. I ran the Chicago Marathon last year in them and finished. Another benefit to being barefoot: the best damn core exercise you can get. My lower back no longer hurts on the bike or when I go swimming. All because I spend so much time barefoot or in my water shoes. .
Good point, and probably something many of us should look at in the long term, but unfortunately, most of us are accustomed to using arch supports and slighty elevated heels, so short-term 'cures' may require these thingies. I might look into it, but I've got a little bit of shin soreness at the moment, and arch supports definitely help.


Originally Posted by Rowdy View Post
Cycling is not a natural motion for your foot. So you may need arch supports in your shoes or cleat adjustments in the future to prevent this condition.
Not sure about this one. Cycling is obviously not a natural movement, but, because it only involves a 'ball of the foot landing', rather than a full heel-to-toe strike, the Achilles and plantar fascia are much less invloved
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Old 03-15-08, 04:06 AM
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The reason why cycling is not a natural motion is because your foot never touches the ground. That is what I am trying to get at. Your feet provided feedback when you walk barefoot and you get zero feedback from the surface your on when cycling.

Arch supports in my opinion are "crack" for the feet. They mask the underlying problem. I am flat footed and was told I would need arch supports the rest of my life. Because I spend so much time barefoot I strengthened my arch and now it naturally lifts when it needs to.

Here are a few links if anyone is interested:

http://anthropik.com/2007/06/learning-to-walk/

http://www.barefooters.org/medicine/

http://www.shoebusters.com/thesis.html

http://www.easyvigour.net.nz/fitness...us_max_leg.htm
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