Doctors of Running Podcast #70 Can I Run Through an Achilles Tendon Injury?
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Dec 29, 2021 The hosts reflect on community engagement and announce a new charitable initiative supporting families affected by children's cancer. They dive deep into Achilles tendinopathy, discussing its implications and effective management strategies. The conversation covers the differences between tendonitis and tendinopathy, emphasizing tailored rehabilitation approaches. Additionally, they share insights on footwear choices that can alleviate stress on the Achilles tendon, guiding runners on how to maintain activity while healing.
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Asymptomatic Achilles Tendinopathy Common
- Many runners have asymptomatic Achilles tendinopathy visible on imaging but without pain.
- Tendons can appear similar between painful and painless cases, complicating diagnosis.
Cortical Smudging Affects Pain
- Chronic Achilles tendinopathy causes cortical smudging, confusing brain’s pain location.
- This can cause diffuse or shifting pain areas, making symptom tracking difficult.
Commit to Long-Term Rehab
- Start Achilles tendinopathy rehab with a conservative, consistent loading program before considering surgery.
- Commit to at least nine months of exercises to remodel tendon collagen fibers properly.