Results from my ultrasound of right Achilles tendon.

[Vince]

If anyone has dealt with this or has information on healing, it. I would appreciate it.

IMPRESSION: Findings suggestive of chronic tendinosis with subtle partial
tearing involving the deep tendon fibers of the mid Achilles tendon, as
above.

Narrative​

ULTRASOUND RIGHT ACHILLES TENDON DATED 11/18/2022.

HISTORY: Pain with movement and while sitting for 3 months.

COMPARISON: None.

FINDINGS: The Achilles tendon is thickened with heterogeneity and slightly
decreased echogenicity of its deep fibers within the mid Achilles tendon.
Findings suggestive of tendinosis. Partial tearing of the posterior fibers
is also present. The insertion appears unremarkable, however, enthesophytes
are present arising from the calcaneus at the Achilles tendon insertion.

No high-grade or complete tear.

 

[Vince]

I wonder if vitamin c can help repair my Achilles tendon.

Efficacy of Vitamin C Supplementation on Collagen Synthesis and Oxidative Stress After Musculoskeletal Injuries: A Systematic Review

Recent investigations on the biochemical pathways after a musculoskeletal injury have suggested that vitamin C (ascorbic acid) may be a viable supplement to enhance collagen synthesis and soft tissue healing.To (1) summarize vitamin C treatment protocols; ...

www.ncbi.nlm.nih.gov

 

[sammmy]

I don't have experience with this but I would try topical NSAID and topical MSM cream. These can penetrate locally at much higher concentrations than orals.

I've had painful shoulder which stopped aching when I was taking about 1g/day Beta-Ecdysterone extract. It promotes collagen synthesis through the beta-estrogen receptor. That might help.

 

[Vince]

I don't have experience with this but I would try topical NSAID and topical MSM cream. These can penetrate locally at much higher concentrations than orals.

I've had painful shoulder which stopped aching when I was taking about 1g/day Beta-Ecdysterone extract. It promotes collagen synthesis through the beta-estrogen receptor. That might help.

I have tried topical NSAID, has only helped slightly. I ordered some topical MSM cream. I'll see what results I get.
Thanks for the information.

 

[BigTex]

Vince here is a good page with a non-surgical rehab protocol for a achilles injury

Achilles Tendon Injury: Physical Therapy and Rehab | Kaiser Permanente

Rehabilitation (rehab) and/or physical therapy are the usual treatment for an Achilles tendon injury. For Achilles tendinopathy, physical therapy can decrease your pain. It can allow you to gradually return to your normal activities. For an Achilles tendon rupture, you can try a rehab program...

healthy.kaiserpermanente.org

BPC 150 will also greatly speed up the recovery time.

5.4mcg/kg/(2.4mcg/lb), every day for 2-4 weeks depending on the severity of the injury

 

[Vince]

Vince here is a good page with a non-surgical rehab protocol for a achilles injury

Achilles Tendon Injury: Physical Therapy and Rehab | Kaiser Permanente

Rehabilitation (rehab) and/or physical therapy are the usual treatment for an Achilles tendon injury. For Achilles tendinopathy, physical therapy can decrease your pain. It can allow you to gradually return to your normal activities. For an Achilles tendon rupture, you can try a rehab program...

healthy.kaiserpermanente.org

BPC 150 will also greatly speed up the recovery time.

5.4mcg/kg/(2.4mcg/lb), every day for 2-4 weeks depending on the severity of the injury

Thanks BigTex, I'm big on therapy. I've been working hard at it now for a few months. So far no positive results.

 

[sammmy]

I have tried topical NSAID, has only helped slightly. I ordered some topical MSM cream. I'll see what results I get.
Thanks for the information.

The over the counter topical NSAID in US are underdosed. If you can, get a prescription strength, the higher the %, the better. European topical NSAIDS go to higher % and probably do a better job.

Very little of the topical NSAID on such a limited area will get systemic so the usual arguments against them damaging intestines and kidneys do not apply.

MSM creams are not regulated so more probable to have sufficient dose for pain relief.

 

[BigTex]

Thanks BigTex, I'm big on therapy. I've been working hard at it now for a few months. So far no positive results.

You might need to have an orthapedic surgeon take a look at this again. Might be partial tear was enough to require surgery. I knwo achelles injuries take a while to heal but you should have been getting some relief by now.

 

[Vince]

You might need to have an orthapedic surgeon take a look at this again. Might be partial tear was enough to require surgery. I knwo achelles injuries take a while to heal but you should have been getting some relief by now.

Of course surgery is the last resort. I don't know how well the Achilles tendon heals with surgery. I am told when you have a tear you usually have pain in the heel. Thankfully my heel is pain free.

 

[BigTex]

I have never had that issue and it is not one that is very common is sport. I did lift with a guy who tore his and spent quite a while in reahab afterwards. Good luck with this VInce.

 

[Fortunate]

Get into a good physical therapist. Ideally, you want one who has experience with ASTYM and/or manual therapy. Do daily, gentle, stretching, and work on eccentric exercises. You might consider a brief period in a walking boot. Less obnoxious than that would be to put a heel lift in your shoe for a few weeks to offload tension on the tendon.

You can also consider finding someone who does PRP. Controversial, but has potential.

 

[Vince]

Get into a good physical therapist. Ideally, you want one who has experience with ASTYM and/or manual therapy. Do daily, gentle, stretching, and work on eccentric exercises. You might consider a brief period in a walking boot. Less obnoxious than that would be to put a heel lift in your shoe for a few weeks to offload tension on the tendon.

You can also consider finding someone who does PRP. Controversial, but has potential.

Presently I'm using MSM cream, doing therapy daily and acupuncture once a week.

 

[FLguy123]

I had similar, I play a lot of volleyball and had this on and off for 10+ years, but this year got so bad I was also contemplating surgery. Followed much of what I found in this video, focusing on the slow negative calf raises 4x a day and within a month huge improvement and now playing volleyball again basically pain free.

 

[Vince]

I had similar, I play a lot of volleyball and had this on and off for 10+ years, but this year got so bad I was also contemplating surgery. Followed much of what I found in this video, focusing on the slow negative calf raises 4x a day and within a month huge improvement and now playing volleyball again basically pain free.

Flguy, thanks for the information. I'll add some reverse calf raises into my therapy and other warming up therapy the YouTube video mentioned.

 

[FLguy123]

Try changing shoes too if you haven’t. I got some adidas that seem to have way more heel support and padding

 

[Vince]

I've been dealing with my tendonitis for a long time now. Friday I received a leg message which uses compressed air. It's sort of like big boot that wraps around your calf, ankle and foot. So far it's been working pretty good. My pain is not gone but it has subsided some. I've been using it about 45 minutes in the morning and 45 minutes at night just as I get it in bed and out of bed. I sure hope it works.

 

[Vince]

I've been dealing with Achilles tendon tendonitis since August of 2022. Nothing seems to work, therapy, acupuncture, I even went to a chiropractic. About 2 weeks ago I started using creatine again. Could creatine be healing my tendon? I don't know, but this is the best my Achilles tendon felt in 10 plus months.

 

[sammmy]

Creatine could be acting as anti-inflammatory.

I had a shoulder injury (probably rotator cuff). Things that reduced the inflammatory pain were ground Black cumin (Nigella Sativa) OR Ecdysterone OR Clomiphene.

 

[Forty2]

I've been dealing with Achilles tendon tendonitis since August of 2022. Nothing seems to work, therapy, acupuncture, I even went to a chiropractic. About 2 weeks ago I started using creatine again. Could creatine be healing my tendon? I don't know, but this is the best my Achilles tendon felt in 10 plus months.

Do you take an AI or have you taken one in the past?
Have you taken any antibiotics during the past 12 months?

 

[Vince]

Do you take an AI or have you taken one in the past?
Have you taken any antibiotics during the past 12 months?

No I've never used an AI and no antibiotics in the past 12 months.