Heel Pain – Part 2 – Grumbling Achilles Tendon
Last week I discussed Plantar Fasciitis one of the major causes of heel pain, this week I am going to discuss a grumbling achilles tendon, or to be technically correct, non-insertional Achilles tendinopathy, he other major cause of heel pain. Although a rupture of the Achilles is well known, it is actually more common to have what is known as a grumbling Achilles. The pain is felt at the back of the heel above where the Achilles tendon joins the bone. It feels stiff and swollen, particularly in the morning and can prevent the sufferer from taking part in sport. Sometimes the pain is lower down where the tendon joins the bone.
How can I tell if my heel pain is a grumbling achilles tendon?
You may have swelling over or either side of your achilles tendon which runs from your heel to your calf muscles. The skin over the achilles tendon may be red and/or hot. If you sit down with your feet on the floor and raise your foot, as you use your achilles tendon you may hear a crackling sensation.
What causes a grumbling achilles tendon?
- The tab on your shoe rubbing against your achilles tendon.
- Failing to warm up properly before playing sports.
- Over use of the tendon from intensive training, e.g. running
- Scar tissue from a previous injury.
- High impact on hard surfaces e.g. any sport where you jump or tennis.
What can I do to help myself?
If you are in pain then rest and ice your tendon, to ice it wrap ice cubes in a tea-towel and hold against your tendon for 5 – 20 minutes, every 2 hours for 2 -3 days and then 3 times a day.
The key to preventing further bouts is to ensure your are wearing appropriate footwear for the sport you are doing, ensure you warm up and cool down properly and always stretch your calf muscles.
In addition a deep tissue massage release any tension in the tendon, remove scar tissue and ensure that your calf muscles are flexible.
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So how does massage help “tired” muscles?
Many clients come to our clinics a few days after vigorous work outs or competing in sporting competition because their legs feel tried or heavy. These clients often book a sports massage, but is their any scientific evidence to explain what is happening in the body during the treatment? Massage dilates superficial blood vessels and increases the rate of blood flow. In addition if a deeper pressure is used like in sports or deep tissue massage on a healthy adult it improves the venous return. Both of these changes to the blood flow represent a potent means to accelerate healing. For example, it suggests that massage should improve the performance of fatigued muscles. In addition, Goats asserts that massaged muscle fibres display less spasm, an increased force of contraction and enhanced endurance compared with muscles simply rested. Which suggests that massage will assist in the improvement of sporting performance where it has been compromised. References Scull CD (1945) Massage - Physiologic Basis. Archive of Physical Medicine 26: 159-67 Wilkins RW, Halperin MH, Litter J. (1950) The effects of various physical procedures on circulation in human limbs. Ann Intern Med 33: 1232-45 Goats GC (1994) Massage - the scientific basis of an ancient art: part 2. Physiological and therapeutic effects Br J Sp Med 28(3)
Action plan for a healthy small intestine
The small intestine is as wide as your thumb and around 5.5m long. It is both a food blender and assimilator as it digests more of your food than your stomach. Food stays in the small intestine for 1 - 4 hours before moving on to the large intestine for further processing. Maintaing a healthy small intestine is all about controlling your bacteria levels and mucus build-up on your intestinal walls which can cause havoc and deplete your energy levels. If you have bloating, gas and loose bowel movements you may have a small intestine issues such as:
- Candida
- IBS
- SIBO (small intestinal bacterial overgrowth
- Cut out imflammatory drugs e.g. asprin, paracetamol and avoid alchol.
- Take L-glutamine and butyric acid both of these can help heal the gut, but check with a nutritionalist first as dosage is important.
- Drink slippery elm tea which calms inflamation of the small intestine and helps relieve IBS.
- Up your intake of vitamins A and D - liver is an excellent sourch of these vitamins which protect the mucus membrane of the gut.
- Eat more antibacterial foods such as garlic, honey and sauerkraut which preven the growth of Candida, fungus and yeast infections.
- Take oregano oil (Oregnano Vulgaris) which has been shown to stop Candidan in its tracks.
- Take probiotics daily - look for a count of 50 billion or more in each dose.
- Take prebiotics daily - to feed the probiotics. Or eat food prebiotic foods such as sauerkraut or kimchi.
- Go gluten free. Cut out gluten for an entire week and keep a food diary to check if your symptoms improve.
- Mimosa pudica an ayurvedic herb is brilliant at wiping out parasites.
- Eat more ant-parasitics such as garlic, thyme, chilli, tumeric and ginger.
