More Facts About Achilles Tendonitis:

The Achilles tendon does not have a rich blood supply. Blood supply is weakest at a point between 2 and 6 cm above its insertion into the calcaneus (heel bone).


Ignoring pain in the Achilles tendon (ie. "running through the pain") is the biggest cause of chronic Achilles tendonitis.


For cyclists, initial Achilles tendon stress is often caused by having a low saddle height. This low saddle height can result in excessive dorsiflexion of the foot, which stresses the Achilles tendon.


The Achilles tendon is the connection between the heel and the most powerful muscle group in the body.


Tennis and soccer players over 40 are the most frequent sufferers of tennis leg (calf muscle strain).


Sudden increases in running and or active sprinting sports can cause Achilles tendonitis.


Excessive running up and down hills can aggravate the Achilles tendon.


Stiff shoe soles at the ball of the foot will increase Achilles tendon strain.


Excessive heel shock absorption can overstretch the Achilles tendon.


Tight hamstrings and/or tight calf muscles create excess strain on the Achilles tendon.


For triatheletes, the most common cause of injuries to the Achilles tendon is overpronation, inflexibility, or lack of strength.


Immobility, due to an Achilles injury, may result in a contracted Achilles tendon and an increased amount of scar tissue.

 

Running Knee Injury Specialists are Friendly and Helpful.




Midpoint and Insertional
Achilles Tendonitis

The Achilles tendon is the largest tendon in the body connecting the calf muscles in your leg to your heel bone. Achilles Tendonitis can occur at two points in your Achilles tendon, called Midpoint and Insertional Achilles Tendonitis, involving the break down, damage and small tears forming in the tendon. There may be only a small differences to the location of the midpoint and inserational tendonitis, but are separated into two different injuries. The separation is furthered by the differences in the type of tissue in Achilles tendon.


Midpoint Achilles Tendonitis

Do you have midpoint achilles tendoitis, what you can do to heal

A few inches above the heel at the 'midpoint' of the tendon is at less risk of injury. The tissue in this area is dense, increased amount of blood to support the above attaching calf muscles. While this is the lesser common of the two Achilles Tendonitis, it more commonly affects younger and active people.

What causes Midpoint Achilles Tendonitis

  • repetitive strain from running or jumping
  • a sudden increase in exercise (running extra miles without giving your body a chance to adjust) or suddenly starting an aggressive exercise program
  • having weak or tight calf muscles
  • poor range of motion in the ankle
  • overpronation of the foot (the foot rolls inwards)

What are the symptoms or Midpoint Achilles Tendonitis

If you are suffering from Midpoint Achilles tendonitis you will most likely be experiencing:
  • morning stiffness and pain along the tendon
  • severe pain the day after exercising
  • thickening of the tendon
  • swelling of the area is present all the time and gets worse throughout the day with activity.


Insertional Achilles Tendonitis

Between 2 and 6 cms of the Achilles tendon that connects or 'inserts' into your heel bone is called Insertional Achilles Tendinitis. This attachment point of the tendon to the heel bone has a very poor blood supply to the tendon which can cause degeneration of the tissue or injury can occur.

10% of runners suffer from Insertional Achilles Tendonitis

Heel bones can very in shape and size from person to person. With such varations, a small heel bone can put extra stress on your Achilles tendon causing you to more of a chance of damage then the next person. An irregular shape heel (calcaneus) can cause the Achilles tendon to twist causing further irritation.

The heel of the foot is a small area with a lot going on, the Achilles tendon attachment, the bursa sac (lubricates the joint), the plantar fascia and the fat pad under the heel. All can become irritated, this can be the challenge to heal the tendon and could lead to chronic Insertional Achilles tendonitis . Your damaged tendon fibers can harden (become calcified). This extra calcium can gather where the Achilles tendon is under stress resulting in a bone spur.

Insertional Achilles Tendinitis is not directly related to a specific injury. More often affecting people in their 40's as they become more active with increased exercise program or a weekend warrior away from the office. Increased risk including to having insertional Achilles tendonitis can be associated with psoriasis and Reiter's syndrome, spondyloarthropathy, gout, familial hyperlipidemia, sarcoidosis and diffuse idiopathic.

Resting too long, or using bracing to restrict movement for extended periods of time, can decrease mobility of your Achilles tendon and increase pain.

What causes Insertional Achilles Tendonitis

What happened too your tendon to:

  • brake down of the tendon fibers of the Achilles tendon
  • inflammation of the bursa (small fluid-filled sac that lubricates the ankle joint)
  • inflammation of the tendon sheath (is a layer of membrane around a tendon, allowing the tendon move with wear) in the same area
  • Calcium deposits (bone spur) within the tendon at the heel bone (60% of the time this confirmed with an x-ray source: American Orthopedic Foot & Ankle Society)
  • a sudden increase in exercise (running extra miles without giving your body a chance to adjust) or suddenly starting an aggressive exercise program
  • having weak or tight calf muscles
  • poor range of motion in the ankle
  • Overpronation of the foot (the foot rolls inwards)

What are the symptoms Insertional Achilles Tendonitis

If you are suffering from Insertional Achilles Tendonitis you will most likely be experiencing:
  • morning stiffness and pain along the tendon
  • early stages, often feels like a throbbing bruise at the back of the heel
  • pain along the back of the heel bone and even onto the sole of the foot and is worse when you are active
  • severe pain the day after exercising
  • thickening of the tendon
  • swelling of the area is present all the time and gets worse throughout the day with activity.

Your doctor will encourage you to use conservative therapy this is because it is the most natural effective way for you to completely recover. Using your own body and your own blood to heal is the strongest healthiest!

How Do You Treat Midpoint and Insertional Achilles Tendonitis?
What You Can Do!

We Have Advanced Treatment Tools to Help You
Speed Up Healing of Your Midpoint and Insertional Achilles Tendonitis!

Your doctor has given have conservative treatments before even suggesting surgery. It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the any already damaged tissue. This added scar tissue will be problematic, requiring more physical therapy and conservative treatment options post-surgery. If not dealt with properly, your tendonitis injury could end up in worse condition than before the surgery! This is why surgery is only performed as a last resort.

Most doctors, surgeons and orthopedic specialists will recommend conservative treatment methods for Achilles Tendonitis injuries before even considering surgery. Some conservative treatment methods recommended include:

  • Rest - This is important for initial healing both Midpoint and Insertional Achilles Tendonitis is resting your ankle.This can be difficult when you have to carry on with daily activities, but resting and elevating your foot whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that put stress on your Achilles tendon until your pain and inflammation settles.
  • Increase blood flow to speed up healing of your achilles tendon injury.
  • Avoid Activities that Caused Your Injury - While resting your injury it's also important to avoid all activities that may have caused your tissue damage (especially any repetitive movement). Continuing on with regular activities will not only make your injury worse.
  • Apply Effective Cold Compression
    Effective Cold Compression = Treatment with a Cold Compress or Ice Pack Immediate cold (using a Cold Compress or Ice Pack) will help you to manage pain while getting rid of the pain and inflammation. Reducing inflammation can also relieve some of the pressure that's being placed on your tissue(s) and stop your injury from getting worse.
  • Use Deep Tissue Regeneration Therapy - After any inflammation and/or swelling has been reduced, you can use your own blood flow to maximize healing of damaged tissue and maintain healthy blood flow to your tissue. This also boost overall long-term healing of this injury.


In most cases, you Doctor will start with nonsurgical treatments options, may recommend drugs or medications like NSAIDs (non-steroidal anti-inflamatory drugs) to manage pain and inflammation. Alternative medications like cortisone injections are NOT advised for any type of Achilles Tendon condition. This is because there is increased risk of rupture of the tendon following a cortisone injection.

"Medical evidence shows that cortisone shots can damage the surrounding tissue, fray the Achilles tendon, and even trigger a rupture. Most side effects are temporary, but skin weakening (atrophy) and lightening of the skin (depigmentation) can be permanent." (reference: American Academy of Orthopaedic Surgeons)

 



Step 1 - Reduce Pain & Swelling with an Ice Pack or Cold Compress

The 1st step for conservative treatment of your injury when treating conservatively or even after surgery is to reduce swelling to "open up" the area for more blood flow. Anyone in the health-care business knows that your blood supplies the oxygen and much needed nutrients required for your body to heal naturally after surgery. This is why doctors and surgeons recommend cold compression therapy within the first 72 hours of an injury and following surgery.

Cold compression therapy is recommended to reduce pain, swelling and tissue damage. Many doctors, surgeons and physical therapists consider cold compression therapy to be the gold standard for treatment of inflammation and pain. On-going cold compression treatments can reduce, or even eliminate, the need for NSAIDs or other medications that can be harmful to your body.

Cold compression therapy is known and trusted by most medical professionals. This is why for years doctors, trainers and other medical professionals have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, after any re-injury, and especially after surgery.

This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through the tissue and tissue cells begin to break-down. Without cold, cellular break-down and tissue damage continues as the cells don't get the oxygen they need to survive. By limiting the amount of damage done to your tissue, you also limit the amount of healing that needs to occur. This is an important step to heal injuries faster and with less pain! This is why you need to treat your injury as soon as possible, when you notice pain / swelling / inflammation, directly after a re-injury or surgery. Applying an ice pack right away will stop the damage immediately and unblock your blood vessels to let your body's natural blood flow in to start healing the tissue.


It'll seem weird for you to read this, but there are a LOT of people out there that don't understand how fast an ice pack can get the swelling / inflammation of your injury under control! After you get rid of the swelling for good you can start actually dealing with your injury and the healing needed.


Use an Ice Pack or cold compress:

  • 24 to 72 hours after your initial injury or when you first notice pain and swelling around your injured area to stop cellular damage, relieve pain, and decrease swelling.
  • After exercise, workouts or activity of any kind to prevent re-injury.
  • Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling.
  • Anytime you feel your injury is making your injury feel tender, painful or you're having a flare-up of an old injury.
  • Anytime you have swelling, sharp throbbing pain or inflammation.
  • Any other situation where you need to draw the pain and inflammation out of your soft tissue injury.
 



Step 3 - Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with Deep Tissue Regeneration Therapy
Increase blood flow to speed up healing of your  injury.

There are a lot of people that think their injury is gone after their swelling and inflammation are gone and their injury feels better. They also make the mistake of returning to regular activities too soon without proper time for healing. The truth is that healing takes time and after the swelling is gone your injury isn't even close to being fully healed.

After the inflammation in and around your tissue has been reduced, providing extra blood flow and strengthening the tissue in and around your injury is recommended. Believe it or not, the best time for you to focus on avoiding re-injury and strengthening the weakened tissue is when the swelling's gone and your tissue has started to heal. It's vital that you don't go back to activities too soon because you might bring on a major setback in your recovery...

  • Have you recently re-injured yourself by returning to your normal daily activities too quickly?
  • How many times in the past have you aggravated yourself just trying to perform basic tasks around your house?
  • Is your injury preventing you from work or activities you love to do?

If this sounds like you - You're not alone...


Most people we deal with tell us these scenarios have happened to them many times in the past. The real challenge is how to promote blood flow to your injury site without causing further damage. This goal is even more complicated by the fact that you have to use your injury site for almost everything in everyday life.

 


What can you do to actually start healing yourself?

Increase blood flow to speed up healing.

The answer is simple. Your body can heal itself and it's the blood in your body that makes it all happen. Your blood is how everything that's good inside of you is transported directly to your injured tissue. Your blood carries oxygen, nutrients, water and antibodies right to the source of your injury and pain. Bringing proper blood flow to your injured tissue is essential for healing.

Promoting blood flow around injured tissue to help the body heal itself is a concept that's been used for centuries. Oxygen and nutrients, carried in your own blood, are critical for the body to heal itself. Without proper blood flow, recovering from your injury will be delayed... Sometimes for a very long period of time.

Even though the concept is simple, improving blood flow to your tissue can be difficult, when an injury occurs. Traditional methods require you to move your sore/stiff injury site in order to promote blood flow. This same motion that promotes blood flow can also make your pain and injury much worse. Relying on movement alone to increase blood flow puts you in danger of re-injuring yourself.

So what do you do when you need to increase blood flow, but you can't move your without re-injuring your tissue?


This is where the TShellz Wrap and Deep Tissue Regeneration Therapy (Blood Circulation Boost Therapy) come in!

 

Using Deep Tissue Regeneration Therapy (Blood Circulation Boost Therapy), will help with your recovery and heal your tissue more completely. Blood Circulation Boost Therapy increases the amount of blood that flows naturally to your soft tissue to nourish your tissue, improving elasticity and speeding the healing process. This increased Deep Tissue Regeneration Therapy to your damaged tissue is greatly needed to complete your healing and avoid re-injury once and for all.

The only way to get Blood Circulation Boost Therapy is through use of a TShellz Wrap.

When should you use hot or cold for injuries?

The TShellz Wrap is the only treatment method that improves blood flow and circulation on a deep tissue level. Other methods of warming / heating tissue (hot water bottles, hot baths, etc) will only ever increase blood flow on a surface / skin level. These methods need a LOT of time to even reach your damaged tendon on a deep tissue level. And even if you were to use them this long your skin would heat up to an uncomfortable level and it may even burn you.

The best source of heat treatment is from a product where you don't even feel that much heat. When you don't feel the heat, it means the therapy is working in your deep soft tissue which is really where you need it. It's kind of like how your heart works in your body. You can't "feel" your heart pumping blood all around your body to your arms and legs. You can't even hear your own heartbeat without listening very closely. This is exactly how deep tissue Blood Circulation Boost Therapy works too!

You're not supposed to "feel" a lot of heat because the heat isn't treating your skin, it's treating your tissue, increasing the blood flow right where your injury is!

  • When treating any soft tissue injury, an effective therapy will increase blood flow to the injury while your injury site is immobile.
  • This increase in blood flow will accelerate the body's own ability to heal itself.
  • The TShellz Wrap is the most highly effective blood flow stimulation device that you'll find on the market that is approved by the FDA for use in the home or hospital.

Regular treatments with a TShellz Wrap can reduce pain and stiffness from scar tissue and increase overall flexibility in your tissue. Increased blood flow will whisk away damaged tissue, toxins, and any bacteria in or around your injured tissue to promote more effective healing. Getting rid of toxins will allow all of the positive healing processes to start in your injury. Increasing blood flow will also increase the amount of oxygen that's being sent to your injured tissue AND boost your tissue's ability to absorb oxygen. (reference: 1)


How Does the TShellz Wrap Promote Blood Circulation Boost Therapy?

Electromagnetic energy increases blood flow on a deep tissue level.

Every TShellz Wrap contains an Energy Pad that's flexible and shaped to conform around your injury site. The Energy Pad provides a uniform wave of healing electromagnetic energy over the entire treatment area. This energy travels deep inside your soft tissue to stimulate blood flow on the deep tissue level where it's needed to heal your injury. It's the electromagnetic energy provided provided by our TShellz Wraps that's crucial to the healing process.

Electromagnetic energy is the only way to get your blood flow moving on a deep tissue level for these reasons:

  • Electromagnetic energy waves are not heat waves.

  • When emitted from the TShellz Wrap, electromagnetic energy waves penetrate right through your skin and fat layers until they get to your damaged tissue.
  • Once these energy waves reach your injured tissue(s), they're absorbed and quickly converted into heat energy right at the location of your injury.
  • The idea of electromagnetic energy waves is slowly catching on in North American, but the truth is, it's a technology that's been used for decades.
Electromagnetic energy has been studied by researchers for decades.

Many people just don't know that over the past 30 years, researchers in Japan and China have completed extensive studies on the usoe of electromagnetic energy for healing and their findings have been impressive. Success has been reported in studies from countries like Sweden and Germany. Research is continuing and soon, much of North American will know what the Far East and Europe has known for a long time...

Electromagnetic energy provides a wide range of health benefits for many other soft tissue injuries.

Regular treatment with the electromagnetic energy in our TShellz Wraps will ensure:

  • Your pain will be reduced.
  • Your injured tissue will heal at an accelerated rate with reduced potential for re-injury.
  • Your knee will have a larger range of motion and increased extensibility of collagen tissue in your joint and around your meniscus. (Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)


Electromagnetic Energy = Increased Blood Flow = More Oxygen, More Nutrients and Less Toxins = Faster Healing

 

Our TShellz Wraps are of exceptional design and quality that are better than other alternatives out there for more than just the electromagnetic energy they provide! Our wraps are made from medical-grade material - this should be as important to you as it is to us. Other products that are sold in stores are considered "consumer goods" meaning the material only needs to be as good as a sweater that you wear. Clothing articles like this don't need to meet high standards of production or materials and may include materials that irritate your skin.

Since our wraps are medical-grade products registered with the FDA, they are of a higher quality and need to meet way more standards for manufacturing (ISO 10993 - biocompatibility testing). This makes our wraps the safest product to increase blood flow circulation.

Our manufacturer has spent years perfecting the wrap design to make sure you get the treatment you deserve!


Use A Blood Circulation Boost Therapy TShellz Wrap:

  • After swelling and inflammation have been reduced with cold compression.
  • Before exercise or workouts to warm up your injury site to prevent re-injury.
  • Before and after surgery, during rehabilitation, to warm up before physical therapy exercising or stretching.
  • Anytime you feel your tissue has stiffened up, is tight and your mobility is reduced causing you more pain.
  • Anytime you have sore or aching tissue in and around your injury site.
  • Any other situation where you need to increase blood flow to your tissue to relax your soft tissue, relieve pain, prevent re-injury and enhance flexibility of your tissue.
 

Surgical Treatments

Debridement and debulking is a common surgical technique used to 'clean up' the injured Achilles tendon and clear out all damaged tissue.

Surgery should be considered to relieve Achilles tendinitis only if the pain does not improve after 6 months of nonsurgical treatment. The specific type of surgery depends on the location of the tendinitis and the amount of damage to the tendon. For more on Achilles Tendon Surgery and Post-Operative Rehabilitation Many patients require 12 months of rehabilitation before they are pain-free. Surgery in itself is not the end of the journey, it is merely the beginning of a new chapter. Your rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.

Prevention and Promotion of Lifelong Health

get back to your daily life with heal and pain relief from MendMeShop

If you want to avoid re-injury, or manage pain and increase circulation for lifelong health benefits a Cold Compress or Ice Pack and TShellz Wrap will provide the results you are looking for.
Why spend time in pain, off from work, and missing out on your active lifestyle when you can be proactive about your injury and the health of your body? Talk to your doctor about incorporating a regular routine of using a Cold Compress or Ice Pack and Deep Tissue Regeneration Therapy.

Call one of our AidMyAchilles Advisers at no cost or obligation to address any lingering questions you have about using heat or cold for your injury - toll free 1-866-237-9608

We here at AidMyAchilles want to help you heal and completely recover from your injury.

Learn more about the Achilles TShellz Wrap

Learn more about Achilles Tendon Surgery and Post Operative Rehab

 
 
 

Achilles Tendon Facts

There are over 250,000 achilles tendon injuries each year in the US.


Achilles tendon ruptures are common in people between the ages of 30 and 50.


In runners, too rapid an increase in mileage, hill training without proper strengthening, and recent or inadequate changes to running gear can cause injuries to the Achilles tendon.


Achilles tendonitis accounts for an estimated 11% of running injuries.


3-5% of athletes are forced to leave their sports career due to Achilles tendon overuse injuries that go untreated.


Medications mask the pain but do very little in the healing of Achilles tendonitis. Anti-inflammatories, cortisone injections, and pain killers can cause Achilles tendonitis to worsen.


A fully ruptured tendon REQUIRES surgery. It will not heal on its own.


Achilles tendonitis and Achilles tendinitis are the same thing.


Continually using your Achilles tendon while it is injured will lead to a more serious and/or chronic injury.


 


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