Creaking Achilles

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Discussion

okgo

Original Poster:

38,000 posts

198 months

Wednesday 23rd April 2014
quotequote all
It would seem I have messed up my ankle racing over the weekend, its still creaking and a bit swollen now, but seems to be getting better quite quickly. I'm booked in to see a physio on Fri morning but just wondered what sort of recovery times people have had from this sort of thing?

LordGrover

33,538 posts

212 months

Wednesday 23rd April 2014
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This racing malarky... running, cycling, swimming, driving, ...?

okgo

Original Poster:

38,000 posts

198 months

Wednesday 23rd April 2014
quotequote all
LordGrover said:
This racing malarky... running, cycling, swimming, driving, ...?
Ah yes, that would help, it was cycling

mattb46

241 posts

135 months

Wednesday 23rd April 2014
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Achiles problems are a nightmare as the blood supply to it is so poor. Whatever you do dont rush a return to your previous intensity levels etc as once the problem becomes chronic you will never get it back in my experience. Find a bloody good physio and do EXACTLY what he says mate.

My achiles is shagged and have had to give up any kind of running permanently. Had a couple of cortisol injections early doors which produced an amazing result: however not really a cure and the problem will return eventually with a vengeance.

Good luck

pete a

3,799 posts

184 months

Wednesday 23rd April 2014
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Stretch it, then stretch it again and then stretch it even more every day 3-5 time a day, then keep stretching it every day it will get better and hopefully not go again.

Westy Carl

178 posts

250 months

Wednesday 23rd April 2014
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Had the same and took best of part of a year to completely solve, in my experience.
Strech and foam roller daily
Continue gentle exercise (to get blood flowing to it)
Plently of eccentirc heals lifts

Halb

53,012 posts

183 months

Thursday 24th April 2014
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Westy Carl said:
Plenty of eccentric heel lifts
Thee were a boon to me.
I was stupid and gave myself problems for years. It's all OK (hmmm) at the moment. Hoping to run the Man 10k ankle injury free for the first time in years! biggrin

okgo

Original Poster:

38,000 posts

198 months

Friday 25th April 2014
quotequote all
Saw physio today, he said it was not too bad but my tendon was enlarged 2mm over the other side. I have been given a routine of stretching and heel drops which I should add weight to as they get easier, they are very different to raises, I have to do these for 3 months, but in the meantime I can gently re-introduce cycling as long as its not causing me pain, indoors at first then outdoors when I can do 30 fairly hard minutes indoor without pain.

He said that the heel drops should cause a bit of discomfort if they're done properly because this is the only way to increase blood flow and collagen production (I think?) in that area...

Halb

53,012 posts

183 months

Friday 25th April 2014
quotequote all
okgo said:
He said that the heel drops should cause a bit of discomfort if they're done properly because this is the only way to increase blood flow and collagen production (I think?) in that area...
Yes.
Start with a very easy weight.
I still follow a version my physio gave me (on a rolling routine); tiny weight increments every session with sets/reps @ 1x15 per heel for two weeks, then 1x12 two weeks then 1x10-1x8 ending at 1x6, then I repeat with a slightly heavier start load.
Originally I was doing these with knee in flexion and not on the Smith and then an extra two sets on the leg press. So in total it was 3 sets per leg on the first session. Nowadays I just do the one set per session if I feel I need it.

okgo

Original Poster:

38,000 posts

198 months

Friday 25th April 2014
quotequote all
These will be done purely with bodyweight at first, then he said to add weight as time does on via a rucksack as I don't have a gym.

okgo

Original Poster:

38,000 posts

198 months

Sunday 27th April 2014
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So strangely I can perform the heel drops without pain now, there is still a slight creak which apparently will be the case until the swollen tendon returns to normal size which should happen gradually. I've even added weight and still not really causing any discomfort, so not sure whether I am just healing quick or what but it seems odd that I am going to keep doing these for 3 months!

Westy Carl

178 posts

250 months

Monday 28th April 2014
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Not sure how many you are doing, but I was up to 6 x 50 reps per day (spread throughout the day)

I did them one legged with no added weight.

okgo

Original Poster:

38,000 posts

198 months

Monday 28th April 2014
quotequote all
Physiologist recommended 3x15 but I see the original alredsons protocol was 6x15 in two blocks.

It must elicit pain, if it doesn't then add weight till it does. I'm adding weight now to make sure it isn't comfortable.

Halb

53,012 posts

183 months

Monday 28th April 2014
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okgo

Original Poster:

38,000 posts

198 months

Tuesday 29th April 2014
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So I've decided to do my heel drops at home before bed, I was thinking logically about it, and to me, doing them in the morning thus irritating the tendon and sheath and then walking around on it all day makes little sense, the idea was to cause pain to promote repair, repair of all things happens in sleep I thought, so doing them before bed is a good idea in my head as its then not being further irritated by walking/stairs etc...

Am I making sense?

Westy Carl

178 posts

250 months

Tuesday 29th April 2014
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I'm no expert but did them through out the day. The idea is to strech the tendon, therefore I figured it was better to spread it out rather than in one hit

Halb

53,012 posts

183 months

Wednesday 30th April 2014
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I can see the sense in doing the regularly and before bedtime. Just be careful not to overdo them.

Halb

53,012 posts

183 months