Listen "Episode 18 (The Down Week): Loading Strategies for Achilles Tendon Injuries "
Episode Synopsis
Our goal in this week's Down Week episode of the Ready to Run Podcast is to sort through the literature on Achilles tendinopathy and provide practical rehabilitation strategies for the athlete with acute reactive tendinopathy and chronic recurring degenerative tendinopathy.
We'll also highlight some of the key articles on Achilles tendinopathy rehabilitation as well as a few other considerations including the role of the forefoot and load management strategies for the runner returning from Achilles injury.
What we talked about:
1:15- Outlining achilles tendon injuries
3:05- Initial examinations of a patient with achilles pain
7:05- Load management
15:45- Rehab strategies
32:50- Restoring stability
35:00- Mobility, stability, and strength
37:30- Degenerative changes in the tendon
References:
Alfredson H, Pietilä T, Jonsson P, Lorentzon R. Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis. The American Journal of Sports Medicine. 1998;26(3):360-366. doi:10.1177/03635465980260030301
Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. Am J Sports Med. 2015 Jul;43(7):1704-11.
Ganderton, Charlotte, et al. "Achilles tendinopathy: Understanding the key concepts to improve clinical management." Australasian Musculoskeletal Medicine 19.2 (2015): 12-18.
Rio E, Kidgell D, Moseley GL, Gaida J, Docking S, Purdam C, Cook J. Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review. Br J Sports Med. 2016 Feb;50(4):209-15.
We'll also highlight some of the key articles on Achilles tendinopathy rehabilitation as well as a few other considerations including the role of the forefoot and load management strategies for the runner returning from Achilles injury.
What we talked about:
1:15- Outlining achilles tendon injuries
3:05- Initial examinations of a patient with achilles pain
7:05- Load management
15:45- Rehab strategies
32:50- Restoring stability
35:00- Mobility, stability, and strength
37:30- Degenerative changes in the tendon
References:
Alfredson H, Pietilä T, Jonsson P, Lorentzon R. Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis. The American Journal of Sports Medicine. 1998;26(3):360-366. doi:10.1177/03635465980260030301
Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. Am J Sports Med. 2015 Jul;43(7):1704-11.
Ganderton, Charlotte, et al. "Achilles tendinopathy: Understanding the key concepts to improve clinical management." Australasian Musculoskeletal Medicine 19.2 (2015): 12-18.
Rio E, Kidgell D, Moseley GL, Gaida J, Docking S, Purdam C, Cook J. Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review. Br J Sports Med. 2016 Feb;50(4):209-15.
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