Dunno if that can be relieved by surgery - [b]I think the only remedy for OP is rest.[/b]
Not technically true, they'll run through the conservative gauntlet of treatments for it first, but if that fails the player will typically be booked in for an adductor tendon release.
I daresay that explains why he's only been booked in recently, made him rest first off, come back gently, and it was still bung.
SiL had the PRP injections which, along with two weeks mandatory rest, cured hers.
I had a dose for ~12 months which exercises and a change of running shoe eventually cured.
If it is std AT (ie. mid tendon) progressive loading (daily slow controlled heel drops off a step) exercises usually help over an extended period of months. If it is insertional AT (ie. near the heel bone) loading exercises will only make it worse.
Generally with AT some, but not excessive, load through the tendon is good in terms of the heeling process. Complete rest often results in it getting worse.
What shoes are you running in? AT is a classic symptom of over-pronation. You may need a more supportive shoe with a firm-ish heel. Also steer clear of minimalist shoes if you want to avoid calf, plantar fascia and AT troubles.
Good point (see what I did there?!) MDSO. There’s theory that acupuncture can be just as effective as the injections - that the act of penetration in the tendon sets-off the repair mechanism in both treatments.
If your are near a beach walking in soft sand does wonders, after the pain subsides do your running in the sand. Your feet, ankles, tendons and knees will be very happy.
I do over pronate, my pain is isolated to the back of the tendon about 2 inches above ball of my foot. If I squeeze the tendon it’s painful. In the morning I especially find it difficult to walk as it is very stiff and low ache. Eventually it loosens up but not completely. Mine is definitely AT.
I’ll have a chat to my specialist, and suggest acupuncture and moxibustion to him.
I do over pronate, my pain is isolated to the back of the tendon about 2 inches above ball of my foot. If I squeeze the tendon it’s painful. In the morning I especially find it difficult to walk as it is very stiff and low ache. Eventually it loosens up but not completely. Mine is definitely AT.
I’ll have a chat to my specialist, and suggest acupuncture and moxibustion to him.
Thanks once again.
Sounds more like plantar fasciitis symptoms that I had. But I’m no doctor.
Damnation that basically was my problem area. Calf stretch on steps 3 sets x 10 full range plus another simple stretch I cannot describe ( can diagram if you want). Eased the pain - new runners have prevented it from returning
......my pain is isolated to the back of the tendon about 2 inches above ball of my foot..
I assume you mean 2 inches above the heel bone?
2 inches from the ball of your foot would be the plantar fascia.
Mizunos cured my AT too. Firm heel cushion and medial stability in rear of the heel is their secret recipe, IMO. Either Inspire, Nirvana or Paradox would fit the bill. Inspire for medium levels of stability, Nirvana and Paradox for maximum stability.