Thursday, 7 July 2011
I had my physio appointment on Monday.
She confirmed that I have an achilles tendonopathy on the left side but there didn't seem to be any partial tear. On examination I was surprised at just how painful it was when pinched though!
Underlying problem is something that comes on with age but that isn't necessarily the main or only cause. It wasn't a result of disparities in muscle length, calf tightness or restricted ankle mobility as they were all tested. It wasn't due to over pronation as she checked me out on a treadmill. It could be the change in shoes (so she advised me to ditch them just in case) but I'd been running in flat Innov8s for much of the winter with no problems so she was by no means certain that they played any part. Beyond that there was nothing obvious. On the downside I'd hoped for something concrete so that I could eliminate it but on the upside it didn't seem to bother the physio unduly.
Eccentric strengthening exercises, 2x20 morning and night for the next 2 weeks, with icing following, then go back again. If that's gone ok then she'll add in some more exercises and will allow a very slow, gradual and cautious return to running. The exercises will need to continue "not for days or weeks but for months".
Fair. She's hopeful that whilst fully repairing and strengthening the tendon will take months that during this time at least I'll be able to do some sort of running. Moreover she thinks this approach should make it manageable if not completely cured. However, as she can't see an obvious cause its still possible that there is some minor breakdown in my gait that has become inherent and can't be controlled in which case I'd need to go down the podiatrist route. Fingers crossed I don't.
Posted by Running Rob