Suffix "itis" refers to inflamed, in this case used when fibers of a tendon gets torn, they get inflamed. Acute tendonitis is sudden inflammation, within few days, and is usually due to an overloading strain during a specific exercise movement, misstep or fall.
Symptoms include but not limited to pain abruptly following a strain. Sharp pain at activity onset, can decrease in intensity your exercise progresses. The most significant pain is when jumping or pushing off. Stiffness in the morning, pain may return after exercise or longer periods of inactivity. Pain usually subsides when the ample rest is allowed, and may feel better with cold compression.
Try out shoes for half hour at a time to break them in, avoid sudden footwear changes, poor running shoes or high heels.
High Intensity Shockwave Machine, Pittsburgh PA
Extracorporeal Shock Wave Therapy, also referred to as ESWT, is a nonsurgical method that delivers high-energy acoustic (sound) waves to a targeted area in order to to treat various musculoskeletal conditions, including achilles tendonitis.
ESWT works in 3 ways:
The Achilles tendon is a band of tough, fibrous tissue found in the posterior ankle between a person’s calf muscle (gastrocnemius) and heel bone (calcareous). The Achilles tendon, sometimes referred to as the “heel cord,” is the strongest tendon in the human body, yet it is often the site of chronic and debilitating injury.
The function of the Achilles tendon is to allow the foot to bend. Injury to the Achilles tendon may prevent a person from being able to walk or stand, as the Achilles tendon is the main reinforcement in the ankle, holding the ankle in place.
Chronic Achilles tendonitis is one of the most common injuries to the Achilles tendon, occurring in 6 out of 100 inactive people and even higher in those who are active. Chronic Achilles tendonitis occurs from overuse, it may even be acute tendonitis left untreated or never been allowed sufficient rest, which results in inflammation from microtraumas in the tendon. These microtraumas happen over an extended period of time, which classifies this type of injury as chronic, rather than acute (a sudden, traumatic injury). Its common the tendon becomes inflexible and enlarged as scar tissue builds up.
ESWT to treat Achilles tendonitis
Common symptoms of chronic Achilles tendonitis include:
If you hear a "pop" sound, feel a sharp pain in the back of the ankle, and it becomes difficult to walk or move your ankle - your Achilles tendon has possibly ruptured.
Treatments for Achilles tendonitis include:
Achilles tendonitis is diagnosed by a podiatrist specializing in foot and ankle injuries. A podiatrist can typically diagnosis Achilles tendonitis in Youngstown by:
Diagnostic imaging, such as X-ray, is not typically needed in order for a podiatrist to diagnose Achilles tendonitis in Philadelphia. However, ultrasound imaging and MRI may be used if a diagnosis of Achilles tendonitis is not clear.
There are several options for treatment of Achilles tendonitis in Chicago. Conservative treatments, such as strengthening exercises, stretching, icing, resting, and wearing heel lifts and/or orthotics should become part of your daily routine in order to heal and prevent further injury to the Achilles tendon. Non-cortisone anti-inflammatory medications may also be injected into the Achilles tendon to help reduce inflammation. Cortisone injections may weaken the tendon and cause a rupture, so they are often not recommended, especially for active individuals. Extracorporeal Shock Wave Therapy, or simply ESWT, in Chicago is a very effective, non-surgical option to treat chronic Achilles tendonitis.
When you come the closest ESWT provider in Baltimore or your area, you will be placed comfortably lying on your side. The podiatrist will administer a local anesthesia to ensure that you feel no pain while you are having the procedure. Once your heel is completely numb, your foot will be placed on the therapy head bubble and against the ultrasound transducer. A trained professional will apply a gel to your skin and use the transducer to produce an ultrasound image of your achilles tendon. This image will allow us to target the area(s) of treatment. Once located, the procedure will begin, and 3,800 pulses will be administered over the next 18 to 20 minutes. During the treatment time, you should not feel pain, but you will feel pressure and what some have described as a “light rubber band snap” on the targeted area. You will also be able to hear the shockwaves as they are being produced. The treatment starts at the lowest intensity level, which you will hear as a slow tapping from the machine, and gradually increases to “therapy level” where you will hear an increase in the tapping. We want you to be as comfortable as possible during the procedure. Please feel free to read a magazine or even take a quick nap!
The ESWT procedure typically takes 18-20 minutes per side, 36-40 minutes bilateral (two sides).
Immediately following the procedure, your local anesthesia will not yet have worn off, so we recommend that you have a driver. You may notice some bruising or tenderness at the injection site. This is completely normal, however, if you have any concerns, please contact the podiatrist office where you had the procedure or call 724-991-0116.
For the next 3 months, you should not take any antiinflammatories or apply any natural anti-inflammatories, such as heat or ice to the treated area. Anti-inflammatoires will slow down the healing process that is taking place. You make take acetaminophen (Tylenol) to help with any discomfort you may be experience. It is also recommended that you not engage in any overly strenuous exercise routines, such as powerlifting, squats, or kettlebell.
Your body will continue to heal over the next 6 months following the ESWT procedure. If any time you have questions or concerns, please contact the podiatrist office where you had the procedure or call 724-991-0116.
In the experience of Pittsburgh podiatrists performing ESWT, there is a 92% success rate after 6 months following ESWT for achilles tendonitis. It is very unlikely that you would need to have a 2nd procedure done. Please take into account that ESWT in Pittsburgh is not a “cure all” and should not be used as the only means of healing. ESWT will give your body the tools it needs to effectively heal. However, you must help the healing process by continuing to stretch daily, icing in the evenings (after 3 months), and wearing supportive orthotics in your shoes.
During the ESWT in New Jersey, or a podiatrist office near you, you should not experience any pain. The podiatrist will administer a local anesthetic to the area prior to the procedure. As the ESWT machine is very powerful, it will also desensitize the area ensuring that you have a comfortable, pain-free experience!
Good considerations for ESWT include:
Poor considerations for ESWT include:
As ESWT is no longer covered by many health insurance companies, we encourage anyone, whether you are from New York City, Baltimore, Cleveland, etc., to contact an office near you to discuss pricing and payment options. You can call 724-991-0116 for assistance in locating a podiatrist office in your area.
Achilles tendon ESWT in Cleveland is not FDA approved. However, ESWT is a state-of-the-art procedure that has been proven to be a very effective alternative to surgical correction for achilles tendonitis. It is FDA approved for plantar fasciitis which is very similar. Achilles ESWT is widely undertaken in Europe and is done off label in the United States on an out of pocket basis, with great success.
ESWT has been found to be a very effective alternative to surgery, please call 724-991-0116 with any questions or for assistance in scheduling and appointment for ESWT in Morgantown or another location near you!