Achilles tendonitis is a common condition that affects the Achilles tendon, causing pain and inflammation. This condition can significantly impact daily activities and athletic performance. One of the effective treatments for Achilles tendonitis is shockwave therapy. In this blog, we will explore what Achilles tendonitis is, how shockwave therapy works to treat it, and how long it typically takes to see improvements.
What Is Achilles Tendonitis?
Achilles tendonitis is an overuse injury affecting the Achilles tendon, which connects the calf muscles to the heel bone. It is a common condition among athletes and active individuals who engage in repetitive activities such as running, jumping, and other high-impact sports. This condition can also occur in people who suddenly increase their physical activity levels without adequate preparation or conditioning.
Achilles tendonitis is often caused by repetitive stress and strain on the tendon. Factors contributing to its development include tight calf muscles, improper footwear, running on hard surfaces, and sudden increases in physical activity. Poor training techniques and biomechanical issues, such as flat feet or high arches, can also elevate the risk of this condition.
Symptoms of Achilles tendonitis typically include pain and stiffness along the Achilles tendon, especially noticeable in the morning or after periods of inactivity. Swelling and tenderness are also common, and the pain usually intensifies with activity. In severe cases, a noticeable lump may form along the tendon, indicating more significant injury.
Athletes, particularly runners and basketball players, are at a higher risk for developing Achilles tendonitis. Middle-aged adults who engage in sports activities on weekends, often referred to as weekend warriors, are also prone to this condition. Additionally, individuals with certain foot structures or those who wear improper footwear are more likely to experience Achilles tendonitis.
How Shockwave Therapy Treats Achilles Tendonitis
Shockwave therapy is a non-invasive treatment that utilizes high-energy sound waves to stimulate healing in the affected area. This therapy involves delivering these sound waves through the skin to the injured tendon, promoting tissue repair and reducing pain.
The high-energy sound waves create microtrauma in the affected tissue, triggering the body’s natural healing response. This process increases blood flow, stimulates the production of collagen (a key component of tendon tissue), and promotes the removal of damaged cells. Shockwave therapy also helps to break down calcifications and scar tissue, improving tendon flexibility and function. Benefits of shockwave therapy for Achilles tendonitis include:
- Pain Relief: Shockwave therapy helps reduce pain by desensitizing nerve endings in the affected area, providing significant relief from discomfort.
- Improved Healing: The therapy promotes tissue regeneration and repair, accelerating the healing process and helping the tendon recover more quickly.
- Non-Invasive: Shockwave therapy is a non-surgical treatment option, making it a safer and less invasive alternative to surgery, with fewer risks and a quicker recovery time.
- Enhanced Blood Flow: By increasing blood flow to the affected area, shockwave therapy ensures that the tendon receives essential nutrients and oxygen, further aiding the healing process.
- Breakdown of Scar Tissue: Shockwave therapy helps in breaking down existing scar tissue and calcifications, which can impede movement and flexibility. This leads to improved tendon function and range of motion.
- Quick Recovery: People often experience faster recovery times with shockwave therapy, allowing them to return to their normal activities and sports sooner than with traditional treatments.
- Long-Term Benefits: Regular sessions of shockwave therapy can result in long-term relief from symptoms and a lower likelihood of re-injury, providing a durable solution for Achilles tendonitis.
Shockwave Therapy for Achilles Tendonitis: Healing Timelines
The time it takes to see improvements in Achilles tendonitis with shockwave therapy varies depending on the severity of the condition and the individual’s response to treatment. Generally, you may begin to notice improvements within a few weeks of starting therapy.
During the initial phase of treatment, individuals typically receive one to two shockwave therapy sessions per week. Significant pain relief and improved function are often reported after three to five sessions. Continued improvement can be seen over the following weeks as the healing process progresses. Most people experience substantial relief from symptoms within six to eight weeks of starting shockwave therapy.
For optimal long-term results, it is important to follow the treatment plan prescribed by your healthcare provider. This may include additional shockwave therapy sessions, physiotherapy exercises, and lifestyle modifications to prevent recurrence.
Lifestyle Changes to Support Shockwave Therapy for Achilles Tendonitis
To maximize the benefits of shockwave therapy for Achilles tendonitis, you can incorporate several lifestyle changes that support the treatment process and promote overall tendon health.
- Proper Footwear: Wearing supportive shoes that provide adequate cushioning and arch support can reduce strain on the Achilles tendon. Avoid high heels and worn-out shoes that lack proper support.
- Stretching and Strengthening Exercises: Regularly perform calf stretches, heel raises, and eccentric heel drops to improve flexibility and reduce tension in the Achilles tendon.
- Gradual Increase in Activity: Increase the intensity and duration of physical activities gradually. Warm up before exercise to increase blood flow to the muscles and tendons, and cool down afterward to relax the muscles and reduce post-activity stiffness.
- Weight Management: Maintaining a healthy weight can reduce the stress placed on the Achilles tendon during weight-bearing activities. Losing excess weight can alleviate pressure on the tendon and improve overall foot health.
- Cross-Training: Incorporate low-impact activities, such as swimming or cycling, into your exercise routine to reduce repetitive strain on the Achilles tendon. Cross-training helps maintain overall fitness while giving the tendon time to recover.
- Proper Technique: Use correct techniques during physical activities to avoid undue stress on the Achilles tendon. Seek guidance from a coach or trainer if you are unsure about proper form.
By adopting these lifestyle changes, you can enhance the effectiveness of shockwave therapy, promote healing, and prevent the recurrence of Achilles tendonitis.
Is Shockwave Therapy Painful?
Shockwave therapy is generally well-tolerated by most individuals, but some may experience mild discomfort during the procedure. The intensity of the discomfort can vary depending on the individual’s pain threshold and the severity of the condition being treated.
During the treatment, you may feel a tapping or pulsating sensation as the shockwaves are delivered to the affected area. This sensation can range from mild to moderate discomfort, but it is usually manageable. The healthcare provider can adjust the intensity of the shockwaves to ensure comfort throughout the session.
After the session, some people might experience mild soreness or swelling in the treated area, similar to the feeling after an intense workout. This is a normal response and typically subsides within a few days. Applying ice packs and avoiding strenuous activities can help alleviate any post-treatment discomfort.
Overall, the benefits of shockwave therapy in promoting healing and reducing pain outweigh the temporary discomfort experienced during the procedure.
Shockwave Therapy for Achilles Tendonitis: Complementary Therapies
In addition to shockwave therapy, several complementary treatments can enhance the recovery process for Achilles tendonitis. These therapies work synergistically with shockwave therapy to provide comprehensive care and improve outcomes.
- Physiotherapy: Physiotherapy is a cornerstone of Achilles tendonitis treatment. It involves targeted exercises to strengthen the muscles around the tendon, improve flexibility, and restore proper biomechanics. Physiotherapists can also provide manual therapy techniques and advice on movement patterns to prevent further injury.
- Chiropody: Chiropody focuses on the assessment, treatment, and prevention of foot and lower limb disorders. Chiropodists provide specialized foot care, including the prescription and fitting of custom orthotics, to correct biomechanical issues and reduce strain on the Achilles tendon. Their expertise in foot mechanics complements shockwave therapy by ensuring proper foot alignment and support.
- Laser Therapy: Laser therapy uses focused light energy to stimulate cellular activity and promote tissue repair. It reduces inflammation and pain, enhancing the healing process of the Achilles tendon. Laser therapy can be a useful adjunct to shockwave therapy, offering a non-invasive option for pain management and recovery.
- Ultrasound Therapy: Ultrasound therapy utilizes high-frequency sound waves to penetrate deep into the tissues. This treatment increases blood flow, reduces inflammation, and promotes tissue regeneration. Ultrasound therapy can complement shockwave therapy by enhancing the overall healing environment for the tendon.
By integrating these therapies with shockwave therapy, people with Achilles tendonitis can achieve more comprehensive and effective treatment outcomes. This combined approach addresses various aspects of tendon healing, from reducing pain and inflammation to improving strength and function.
Run Faster, Leap Higher
Shockwave therapy offers a promising solution for individuals suffering from Achilles tendonitis, providing pain relief and promoting healing. By incorporating supportive lifestyle changes and preventive measures, people can enhance the effectiveness of their treatment and reduce the risk of recurrence.
If you are experiencing Achilles tendonitis and seeking effective treatment, schedule an appointment at Ace Physio in Downtown Toronto. Our team is dedicated to providing comprehensive care through advanced shockwave therapy and personalized treatment plans. Contact us today to begin your journey towards pain relief and improved mobility.
