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The Strength Running Podcast

Achilles Tendinopathy Treatment & Prevention with Dr. Duane Scotti

Mar 6, 2025
Dr. Duane Scotti is a running physical therapist and board-certified orthopedic clinical specialist. He discusses key distinctions between Achilles tendinopathy and tendonitis, reassuring runners that they need not abandon their sport due to Achilles pain. The conversation highlights effective rehabilitation strategies, including targeted strength exercises and pain monitoring tools. Dr. Scotti also addresses why men over 40 face higher risks and offers advice on shoe selection and preventative measures to keep the Achilles healthy.
01:08:10

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Quick takeaways

  • Achilles tendinopathy requires a distinct approach centered on controlled loading and specific exercises rather than complete rest to promote healing.
  • Men aged 40 to 50 are particularly vulnerable to Achilles tendinopathy due to factors like overexertion, mobility issues, and training errors.

Deep dives

Understanding Achilles Tendinopathy

Achilles tendinopathy is a common issue among runners, particularly affecting those aged 40 to 50. It differs from Achilles tendonitis, where the latter involves acute inflammation, and the former involves a more chronic degenerative condition of the tendon. Treatment for tendinopathy requires a distinct approach focused on loading the tendon rather than complete rest, as chronic issues often see degeneration rather than just inflammation. Recognizing the signs and understanding that tendinopathy often requires a multifaceted treatment approach is essential for runners looking to manage their Achilles pain effectively.

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