Does massage help you if you have achilles tendinopathy

Achilles tendinopathy affects 150,000 pepole in the UK every year (Davies, 2019).

Tendinopathy, also known as tendinitis or tendonitis, is a type of tendon disorder that results in pain, swelling, and impaired function. The pain is typically worse with movement.  Given the achilles tendon connects the calf muscles to the foot at the heel – so impared function impacts your ability to walk and exercise.

Scientists at the University of Iceland and University of Copehagen recruited 60 patients with Achilles Tendinopathy and assigned them to three groups:

  1. Eccentric exercise protocol (rehabilitation exercises)
  2. Pressure massage
  3. Eccentic exercise protocol and pressure massage

The scientists monitored all three groups progress.  In the second group the participants received pressure massage from a therapist twice a week for 6 weeks and once a week for the next 6 weeks.

Symptoms in all groups improved, but the pressure massage group improved significantly more that the eccentric exercise protocol group after four weeks, suggesting that althought both exercise and massage improved outcomes, the pressure massage group acheived faster results.

So if you have any issues with your achilles tendon why not book a massage?

Reference:

Stefansson SH, Brandsson S, Langberg H, Arnason A. Using Pressure Massage for Achilles Tendinopathy: A Single-Blind, Randomized Controlled Trial Comparing a Novel Treatment Versus an Eccentric Exercise Protocol. Orthop J Sports Med. 2019;7(3)

Related Posts

  • Running & Running Injuries

    In the UK around 10.5 million people run or jog as a leisure activity and or fitness activity.  Running injuries are common and may variables can contribute.  Running injuries can happen to both experienced and inexperienced runners - up to 79% of runners with get injured in any one year. Most running injuries occur in the lower extremities as you would expect.  With the knee being the most common injured site followed by the lower leg, foot and upper leg.  The top five injuries are:

    1. Patellofemoral pain - generic term for describe pain at the front and around the knee cap.
    2. Illiotibial band (ITB) syndrome - pain on the outside of the knee.
    3. Tibial stress fractures/syndrome - fatigue induced stress fracture.
    4. Plantar fasciitis - pain in the heel or bottom of the foot.
    5. Achilles tendonitis - pain, swelling and stiffness of the achilles tendon.
    All the above injuries apart from stress fractures can be treated with sports massage. The high rate of injury among runners is a cause for concern so in future posts I will look at the common causes we see in clinic and discuss how to prevent injuries. Reference Sports Marketing Surverys Inc (2014) UK's running population reaches a remarkable 10.5m says Sports Marking Surverys Inc. A Altman, IS Davis (2012) Barefoot running: biomechanics and implications for running injuries.  Current Sports Medicine Reports 11(5):244-50 JE Taunton, MB Ryan, DB Clement, DC McKenzie et al (2002) A retrospective case-control analysis of 2002 running injuries.  British Journal of Sports Medicine 36(2):95-101
  • Tips for a healthy stomach

    The stomach is the body's food processor.  It takes about 4 hours for a moderate meal to be processed.  It takes 7 seconds for food to travel from your mouth to your stomach.  Your stomach can hold 1.5 litres of food and drink. Chew each mouthful at least 20 times Chewing produces saliva which start the digestive process efficiently, enabling the food to the broken down thoroughly.  Eating to quickly often means you don't chew each mouthful enough and causes problems such as heartburn and indigestion.  Swallowing large lumps of food causes problems for the gut as undigested food ferments, creating toxins and gases that irritate the stomach lining; it also prevents absorption of nutrients and creates digestive problems. Digestive enzymes Digestive enzymes help to minimize indigestion, acide reflux, bloating and gas.  There are three main clasifications of digestive enzymes:

    • Amylases: which break down carbohydrates
    • Lipases: which break down fats
    • Proteases: which break down protiens
    All three types are naturally found in raw fruits, vegatables, sprouted seeds, raw nuts and whole grains.  Most digestive enzyme supplements will contain all three plus some additional supporting enzymes. Ulcers For ulcers take deglycyrrhizinated liquorice (DLG) in a chewable form not a capsule as saliva makes it work more effectively. Reference https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1552833/    
  • Mundance superfoods – part 5

    My final swap is nettles for spiralina. Spirulina's deep blue-green color reveals its active ingredient — chlorophyll — clearly. Health.com explains it as one of the oldest life forms on Earth and possibly consumed in Aztec and African diets centuries ago. Today it's touted for its ability to strengthen the immune system, reduce fatigue and combat allergies. Nettles are another plant with chlorophyll that even rivals the amount found in spirulina, but they're often found in ditch banks, forests and riverbanks. It's sometimes called "stinging nettle" because it does just that; if you touch it without wearing gloves, the tiny hairs on every surface sting like a bee due to the presence of formic acid, leaving small red welts. But internally, Bon Appetit asserts, it acts like a tonic:

    "Taken over time, nettle will strengthen your circulatory, immune, and endocrine systems to promote peak function. The stronger these systems, the better position our bodies are in to deal with whatever might come our way."
    Cooked or dried, though, this pesky stinging problem goes away completely; good thing, too, because this free foraging food is highly nutritious, containing fiber, lecithin, chlorophyll, sodium, iron, phosphorus, sulfur, potassium and vitamins A and C, according to Mother Earth News. It's been used in birth rooms and battlefields to stop bleeding, both internally and externally, and is considered to purify blood, as well. As a tea:
    "It has been found to help cure mucus congestion, skin irritations, water retention and diarrhea … stimulate the digestive glands of the stomach, intestines, liver, pancreas and gall bladder. Applied externally, nettle tea … relieves rheumatism in both people and animals, makes a first-class gargle for mouth and throat infections, helps to clear up acne and eczema and promotes the healing of burns."
    To complete the series I want to point out that brocalli is arguably one of the most nutirtious vegatables readily available in supermakets.  Not only does it support normal cell function and division, it helps your body detoxify and reduces inflammation and damage from reactive oxygen species (ROS).  Another vegatable that I would highly recommend is rocket.  It has many of the same nutrients and healing compounds, including fiber, vitamins A, C (to boost the immune system) and K (for bone strength), folate, calcium, potassium, iron, magnesium, phosphorus and manganese that are found in cabbage and brocalli.  One study showed that rocket can be a powerful aid against gastrointestinal ulcers, psoriasis and skin, lung and mouth cancers. Many more vitamins and minerals help lower blood pressure and improve blood vessel function. References Bon Appétit July 19, 2017 Health December 27, 2016 Mother Earth News March/April 1981