Just did my first session today for my Achilles tendinitis. It is so chronic that it is making me depressed. I was able to find a place that does it for $65. Will update in 6 weeks
@@FF2PM I did 3 sessions and stopped going. I was going to do 6 sessions but im not feeling any improvement in the first 3. I also got a 2nd opinion from an othepedic surgeon and he reviewed my mri and it’s a bone spur which is giving me the tendinitis though out my entire foot. My podiatrist and the mri reviewer completely missed it.
I just started this today for a grade 1 plantar plate tear that hasn’t improved over 5 weeks. I have 4 more sessions and will report back for everyone when it’s over
@@carolynnmazzei4001 Shockwave did not work for me, and that's 2 different injuries where it failed. I will never do it again and I think it's a waste of time. If you are in severe pain and it's been many months, get surgery. It's the only thing that helped me. I can recommend a foot doctor. Call Dr. Felipe Peterson in St Petersburg Florida
Just had this therapy once in a single treatment for insertional achilles tendonitis, it certainly helped the pain immediately but as you mentioned it was expensive and I'm not sure I can afford to keep going so will continue with relative rest and ramp up of recovery exercises
Thank you, the treatment here in the US was quoted at 10k for both tendons for 3 dressings. Went agreed and just bought my own Shockwave machine and did the treatment myself after doing quite a bit of research. Thank you for sharing the wealth of information.
@karlwenthold4662 I got a radial shockwave machine for 2699$. Did my first treatment yesterday, definitely feels like it's helping, feel less pain, but a bit sore from the treatment, will see if it solvedms the issue
Good Morning, I have a question, what are your thoughts about a night posterior brace for Achilles tendinitis? I’ve had increasing pain for over 5-6 mths in my lower Achilles and sides and back of heel. Thanks, Liz
Hello Maryke! Is shockwawe therapy a "must" as my running coach says, or if i am lucky to heal properly without it, can i avoid this and still expect to achieve 100% healed condition with my rehab excercises, cross training and rest? Thank you very much!
We only ever advise people to try shockwave if they don't see progress with rehab, relative rest and cross training. It is definitely not a "must" but it can help in stubborn cases. It also doesn't work for everyone.
Thanks for the info. I have insertional Achilles tendonoitis with a 7mm calcaneus bone spur on back of my heel. I was just periscibed this treatment. What are your thoughts on its effectiveness for this condition?
How bad was your pain when you had the first session ? How long until the pain comes back ? I've never had SWT. At the moment in on Anti inflammatory meds and when I stop the pain keeps coming back.
The pain reduced while I had the session for me, it took in general 5-6 sessions to be able to walk pain free again, only problem is for the longest time I didn’t keep up with the exercises to actually fix the root cause - so had another round of Shockwave therapy but that was purely my fault, honestly massive fan of SWT
hi maryke. question = i wondered if there is a max. amount of shockwave therapy someone should have? can it be done too much as part of the rehab process? is it safe to have over and over?over 20 weeks i have received shockwave 17 times (2000 shocks per session) for non-insertion tendinopathy after overloading from ultra-marathon racing - i am back running now 45-60 minutes 3x per week and have stoped the eccentric exercises as i was able to lift more than bodyweight and this itself was aggravating the injury. thank you.
Yes! You can definitely overdo shockwave and I've seen injuries cause by it. Usually the treatments are limited to between 4 and 6 (spaced 1 week apart). After that, you need to take a break for several months to first see the effect and focus on rehab because the effects of shockwave is not totally immediately - the body needs time to fully remodel after it.
Here's an article where we explain the terminology: www.treatmyachilles.com/post/what-s-the-difference-between-achilles-tendonitis-tendinosis-tendinopathy-and-tendinitis
I’ve done 4 sessions of shockwave but I’ve been icing several times after each session for the next 48 hours. I’m only now reading that I shouldn’t be icing after it. Have a negated the benefits? Better to not ice?
I wouldn't worry about it too much, but I would also only ice if it is really needed e.g. if it is super painful. And I would not ice for longer than 10 min at a time.
I have pain in my Achilles but only in the morning when I wake up. During the day and even workout it feels good. After a day of heavy load like cycling I can feel a shooting pain there sometimes. I’m quite active and putting my ankles under load very often. The pain has been there for around 3 months and nothing seems to be helping. Not sure if it’s tendonitis because I haven’t had any injuries. Should I try the shockwave method? Thank you.
Given you're able to exercise normally for the most part, it doesn't sound like this treatment would help - as this video said it would be relevant for people who can't do the most elementary rehab exercises. I think for people like you who are able to do a lot still, but suffer pain afterwards, the best thing to do is to decrease your load (how fast/high/often etc you jump) to a fraction of your existing load. If you then have no pain in 24 hours of the activity, increase your load very gradually over days to weeks - when you feel pain again you've overstepped your capacity so bring it back down and restart more slowly.
I agree with the other comment - Also, you need to get it diagnosed first - otherwise you may up paying for treatments that are useless or even contraindicated.
It works in some cases but not others. I've not had any patients have a bad reaction to it, so it is a relatively safe thing to try if rehab is not producing results. I usually advise my patients to test 4 sessions (1 per week) and then check if they notice progress from before they started. If not, then stop. If they do notice progress then do 2 more, max nr of sessions is 6 in total and after that just rehab for several months.
I had a big bone spur (1.3 x 0.6 cm) right in the tip of the calcaneus (insertional). Like you said cannot even start rehab until I started doing shockwave. So it helps rehab but in the long run I am still not sure it can heal and goes back to where i want to be as the bone spur is pretty big. Do you normally recommend to do surgery or just handle with load management?
First try a good 6 to 12 months of rehab and load management and if then still problematic consider surgery. Alison has done a video on it that is due to be published on the 15th.
I got swelling and pain in 3 September since a day i got myself unable to walk even, Now i get treatment with dr 21 days stteroid 6mg now I am able to walk, should i continue my running Again?
I don't actually know. I would probably say wait at least 6 months after taking your last dose of the antibiotics so that you can make sure your tendon's ability to restore is back to normal before using the shockwave.
I’m also “floxed” with pain/inflammation for 20 years! Ugh. I started monthly shock wave a year ago and it has helped, but I still get acute pain with fast walks and cross country skiing. Starting weekly sessions to see if that’s the ‘kicker’ for me. Also, be religious with your eccentric stretch/loading, can’t ever give this up I don’t think!
I've had 6 treatments, now 2 weeks past the last and although it helped slightly, definitely not enough. I'm frustrated. I go back to the podiatrist in a week. Not sure what steps to take next but he did say he would give me a couple more if needed no charge. I just need to walk again and this is just frustrating
@TreatMyAchilles thank you. I've also tried PRP before shockwave by a different Dr, but it didn't help. I have pain every day, but it's worse if I'm walking uphill (when I walk), and some I hear it's downhill that's worse. I don't know if it's insertion tendonitis I can't remember, but it's higher up in my achilles, not close to my heal. Like a huge knot on both sides. Since I had the shockwave and didn't completely help, but I have taken the 3 weeks off treatment, do you think a couple more would help at this point? Or should I move on to something else? I do wear heal inserts in my son's Nike sneakers. Which are the only ones I can find that don't slam into my achilles knots. I'm at a loss with sneakers too.
I have had this for 4 years now. Comes back every time I get into serious training again. Would MRI or Ultrasound be the best way to diagnose an insertional achilles problem? Ive heard it can be a few things going on, bursas, bone spurs, calcification, tendinopathy, tears etc.
@@Crossendurancerunning Yep, Im a S&C coach. Only calf work I can do without flaring it up is Isometrics. Ive had scans and turns out have bone spurs on both heels that have grown into my tendon attachment.
Thank you alot ..your talk is quite scintefic and i love that ..Im adoctor suffering from insertional achilis tendinosis .. ..what about the excercisis btween each shock wave sessions ? Can I do isometric oe excentric excercisis for incertional type injury ? ..thanks again ..
@@KaiLuckey reallly i didnot get satisfactory result after completing the 4 sessions of chock wave .. But using heel lifts waz so good in improving the condition ...never walk bear foot ..with doning streching in bed befor walking the first morning steps ...with heel raise excercisis..
Just did my first session today for my Achilles tendinitis. It is so chronic that it is making me depressed. I was able to find a place that does it for $65. Will update in 6 weeks
How is it/
@@FF2PM I did 3 sessions and stopped going. I was going to do 6 sessions but im not feeling any improvement in the first 3. I also got a 2nd opinion from an othepedic surgeon and he reviewed my mri and it’s a bone spur which is giving me the tendinitis though out my entire foot. My podiatrist and the mri reviewer completely missed it.
@@_gabeybabey How does the bone spur pain feel like?
@@_gabeybabeyI’ve got the same, what was your solution? I’m being told surgery to remove the bone spur
I just started this today for a grade 1 plantar plate tear that hasn’t improved over 5 weeks. I have 4 more sessions and will report back for everyone when it’s over
Hey how are the treatments going ? You’re getting shockwave? What are your thoughts ?! 🙏🏼 I am in so much pain. I have extreme Achilles tendinosis.
@@carolynnmazzei4001 Shockwave did not work for me, and that's 2 different injuries where it failed. I will never do it again and I think it's a waste of time. If you are in severe pain and it's been many months, get surgery. It's the only thing that helped me. I can recommend a foot doctor. Call Dr. Felipe Peterson in St Petersburg Florida
How did it go? I’m about to get shockwave
@@itsbezzi Didn't work at all. Had surgery
@@crispycruiser4654 thank you for your reply, how did surgery go?
Just had this therapy once in a single treatment for insertional achilles tendonitis, it certainly helped the pain immediately but as you mentioned it was expensive and I'm not sure I can afford to keep going so will continue with relative rest and ramp up of recovery exercises
Thanks for sharing!
Expensive? Where are you living? It's in the regular treatment in Belgium. There is no extra fee for shock wave here.
Thank you, the treatment here in the US was quoted at 10k for both tendons for 3 dressings.
Went agreed and just bought my own Shockwave machine and did the treatment myself after doing quite a bit of research.
Thank you for sharing the wealth of information.
You're welcome!
How much did that machine cost you?
@karlwenthold4662 I got a radial shockwave machine for 2699$.
Did my first treatment yesterday, definitely feels like it's helping, feel less pain, but a bit sore from the treatment, will see if it solvedms the issue
Wtf, I live in Europe, in a capital city and from a quick google search a session with 2000 waves cost around $50
@pr0digy94 I wish that was the case, the clinic I went to are a bunch of crooks, could be cheaper somewhere else, just the price I was quoted.
Good Morning, I have a question, what are your thoughts about a night posterior brace for Achilles tendinitis? I’ve had increasing pain for over 5-6 mths in my lower Achilles and sides and back of heel. Thanks, Liz
Hello Maryke! Is shockwawe therapy a "must" as my running coach says, or if i am lucky to heal properly without it, can i avoid this and still expect to achieve 100% healed condition with my rehab excercises, cross training and rest? Thank you very much!
We only ever advise people to try shockwave if they don't see progress with rehab, relative rest and cross training. It is definitely not a "must" but it can help in stubborn cases. It also doesn't work for everyone.
Thanks for the info.
I have insertional Achilles tendonoitis with a 7mm calcaneus bone spur on back of my heel. I was just periscibed this treatment.
What are your thoughts on its effectiveness for this condition?
@Belly Dancer how are you now
Would you say tens is beneficial for pain and recovery and if so could it replace shockwave Thearpy?
Tens is only good for short-term pain relief. It doesn't do anything for healing.
Had now several sessions, it helps with the immediate pain but the rehab defo needs to be done
Thanks for sharing!
How bad was your pain when you had the first session ? How long until the pain comes back ?
I've never had SWT. At the moment in on Anti inflammatory meds and when I stop the pain keeps coming back.
The pain reduced while I had the session for me, it took in general 5-6 sessions to be able to walk pain free again, only problem is for the longest time I didn’t keep up with the exercises to actually fix the root cause - so had another round of Shockwave therapy but that was purely my fault, honestly massive fan of SWT
@@blrun129 thanks for responding. Have you completely recovered now ?
hi maryke. question = i wondered if there is a max. amount of shockwave therapy someone should have? can it be done too much as part of the rehab process? is it safe to have over and over?over 20 weeks i have received shockwave 17 times (2000 shocks per session) for non-insertion tendinopathy after overloading from ultra-marathon racing - i am back running now 45-60 minutes 3x per week and have stoped the eccentric exercises as i was able to lift more than bodyweight and this itself was aggravating the injury. thank you.
Yes! You can definitely overdo shockwave and I've seen injuries cause by it. Usually the treatments are limited to between 4 and 6 (spaced 1 week apart). After that, you need to take a break for several months to first see the effect and focus on rehab because the effects of shockwave is not totally immediately - the body needs time to fully remodel after it.
Hi, does shockwave therapy work for achilles tendinosis? How many treatments do you recommend? thank you so much.
I answer those questions in the video.
@@TreatMyAchilles Is tendinopathy the same as tendinosis? thank you
Here's an article where we explain the terminology: www.treatmyachilles.com/post/what-s-the-difference-between-achilles-tendonitis-tendinosis-tendinopathy-and-tendinitis
I’ve done 4 sessions of shockwave but I’ve been icing several times after each session for the next 48 hours. I’m only now reading that I shouldn’t be icing after it. Have a negated the benefits? Better to not ice?
I wouldn't worry about it too much, but I would also only ice if it is really needed e.g. if it is super painful. And I would not ice for longer than 10 min at a time.
I have pain in my Achilles but only in the morning when I wake up. During the day and even workout it feels good. After a day of heavy load like cycling I can feel a shooting pain there sometimes. I’m quite active and putting my ankles under load very often. The pain has been there for around 3 months and nothing seems to be helping.
Not sure if it’s tendonitis because I haven’t had any injuries.
Should I try the shockwave method? Thank you.
Given you're able to exercise normally for the most part, it doesn't sound like this treatment would help - as this video said it would be relevant for people who can't do the most elementary rehab exercises.
I think for people like you who are able to do a lot still, but suffer pain afterwards, the best thing to do is to decrease your load (how fast/high/often etc you jump) to a fraction of your existing load. If you then have no pain in 24 hours of the activity, increase your load very gradually over days to weeks - when you feel pain again you've overstepped your capacity so bring it back down and restart more slowly.
I agree with the other comment - Also, you need to get it diagnosed first - otherwise you may up paying for treatments that are useless or even contraindicated.
@TreatMyAchilles- what about Mid Portion Achilles Tendinosis?
It works in some cases but not others. I've not had any patients have a bad reaction to it, so it is a relatively safe thing to try if rehab is not producing results. I usually advise my patients to test 4 sessions (1 per week) and then check if they notice progress from before they started. If not, then stop. If they do notice progress then do 2 more, max nr of sessions is 6 in total and after that just rehab for several months.
I had a big bone spur (1.3 x 0.6 cm) right in the tip of the calcaneus (insertional). Like you said cannot even start rehab until I started doing shockwave. So it helps rehab but in the long run I am still not sure it can heal and goes back to where i want to be as the bone spur is pretty big. Do you normally recommend to do surgery or just handle with load management?
First try a good 6 to 12 months of rehab and load management and if then still problematic consider surgery. Alison has done a video on it that is due to be published on the 15th.
I got swelling and pain in 3 September since a day i got myself unable to walk even,
Now i get treatment with dr 21 days stteroid 6mg now I am able to walk, should i continue my running Again?
Does it work for tendinopathies induced by use of fluoroquinolones antibiotics?
I don't actually know. I would probably say wait at least 6 months after taking your last dose of the antibiotics so that you can make sure your tendon's ability to restore is back to normal before using the shockwave.
I’m floxed and doing shockwave now. Will let you know
I’m also “floxed” with pain/inflammation for 20 years! Ugh. I started monthly shock wave a year ago and it has helped, but I still get acute pain with fast walks and cross country skiing. Starting weekly sessions to see if that’s the ‘kicker’ for me. Also, be religious with your eccentric stretch/loading, can’t ever give this up I don’t think!
@@crispycruiser4654 hi I'm floxed also. Did you get the treatment and did it help you? I hope you're doing better.
@@424pugsley I'm floxed also, it's been a year for me. Did your most recent shockwave treatments help you?
I've had 6 treatments, now 2 weeks past the last and although it helped slightly, definitely not enough. I'm frustrated. I go back to the podiatrist in a week. Not sure what steps to take next but he did say he would give me a couple more if needed no charge. I just need to walk again and this is just frustrating
This video may give you more ideas about treatments: th-cam.com/video/H1nfgU1amvg/w-d-xo.html
@TreatMyAchilles thank you. I've also tried PRP before shockwave by a different Dr, but it didn't help. I have pain every day, but it's worse if I'm walking uphill (when I walk), and some I hear it's downhill that's worse. I don't know if it's insertion tendonitis I can't remember, but it's higher up in my achilles, not close to my heal. Like a huge knot on both sides. Since I had the shockwave and didn't completely help, but I have taken the 3 weeks off treatment, do you think a couple more would help at this point? Or should I move on to something else? I do wear heal inserts in my son's Nike sneakers. Which are the only ones I can find that don't slam into my achilles knots. I'm at a loss with sneakers too.
Thanks a lot for the work you do on this channel.
What about massage guns?
You can use it on the calf muscle to produce temporary relief from muscle stiffness but I wouldnt advise to use it on the tendon
Thanks.
I have had this for 4 years now. Comes back every time I get into serious training again. Would MRI or Ultrasound be the best way to diagnose an insertional achilles problem? Ive heard it can be a few things going on, bursas, bone spurs, calcification, tendinopathy, tears etc.
Have you been through a linear loading program? Like progressively loaded calf raises? Are you still on a strength program?
@@Crossendurancerunning Yep, Im a S&C coach. Only calf work I can do without flaring it up is Isometrics. Ive had scans and turns out have bone spurs on both heels that have grown into my tendon attachment.
Thank you alot ..your talk is quite scintefic and i love that ..Im adoctor suffering from insertional achilis tendinosis .. ..what about the excercisis btween each shock wave sessions ?
Can I do isometric oe excentric excercisis for incertional type injury ? ..thanks again ..
Hi sorry for the late reply. I would give it a day or 2 rest and then do isometrics.
How was it?
@@KaiLuckey reallly i didnot get satisfactory result after completing the 4 sessions of chock wave ..
But using heel lifts waz so good in improving the condition ...never walk bear foot ..with doning streching in bed befor walking the first morning steps ...with heel raise excercisis..
@@haiderjebur2348 Are you fully healed now?
@@KaiLuckey about 75% better ..may be complaining from associated planter fascitis ..wich may be easier treated than achilis tendonitis ..
How does it work if someone needed to see a Treat My Achilles physio, say for example, receiving shockwave therapy - where is the business based?
We are 100% online - video consultations only - so we don't provide shockwave therapy services.