I'm 57 and I injured my achilles tendon in a race last March I didn't warm up enough for. This after running for about a year after maybe a twenty year layoff. I took a few weeks off but tried to continue running and racing until the end of May when I got serious and stopped running completely. Rest and NSAIDS didn't help. Finally in early September I saw a surgon who specailizes in foot injuries and was refered for PT spefically for the Graston technique to break up adhesions and scarring. After 4 or 5 sessions I got some relief with the length of time I could walk during the day without pain. But after a total of 10 sessions nothing's changed. Still have pain everytime I stand and begin walking which improves as I go about 20-30 feet. And the point tenderness of the tendon hasn't improved at all since the problem started. I loved my running, others would call it a jog, it was a great stress reliever and improved my outlook in general. I want desperately to get back running but without any clear direction I'm afraid I'll just make things worse. I've learned the value of streching and gotten new shoes. What else can I do?
One treatment to consider is injection of platelet-rich plasma along the tendon. You can google platelet-rich plasma to find out more about it. Basically, it is a concentrate of the cells and factors inside your own blood which perform healing. I have performed one achilles injection in my practice so far, and the patient went from severe achilles symptoms for 2 years limiting exercise, to >90% of normal function. This required only a single injection; however, usually complete healing may require 2-3 injxns.
This technique can also be used to treat other tendons (e.g. patellar tendons, "tennis elbow", etc.)
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