Achilles Healed???
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Re: Achilles Healed???
Postby vosadrian » Mon May 25, 2015 2:23 pm
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Re: Achilles Healed???
Postby greyhoundtom » Mon May 25, 2015 6:32 pm
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Re: Achilles Healed???
Postby vosadrian » Tue May 26, 2015 9:00 am
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Re: Achilles Healed???
Postby queequeg » Wed May 27, 2015 2:42 pm
http://m.specialized.com/us/en/ftr/shoe ... hoes/audax" onclick="window.open(this.href);return false;
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Re: Achilles Healed???
Postby vosadrian » Wed May 27, 2015 5:13 pm
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Re: Achilles Healed???
Postby g-boaf » Tue Jul 14, 2015 3:38 pm
https://www.stevehoggbikefitting.com/bi ... t-is-best/" onclick="window.open(this.href);return false;
Interesting post by Steve Hogg.
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Re: Achilles Healed???
Postby vosadrian » Tue Jul 14, 2015 4:23 pm
As an update. I stopped riding back in early March as I overdid it and it got quite painful. I figured that the only thing I had not tried was a prolonged rest. About 3 months into the rest, it had improved since the accute pain in March, but had not gotten better than prior to the accute pain in March. During this time I was doing Physio including stretching, heel drops, dryneedling, massage. So I decided to take it another step and saw a Sports Physician who gave me PRP therapy in 3 sessions with 2 weeks gap. It was pretty sore at times after the PRP sessions. Last one was 2.5 weeks ago, and I rested from physio during this time. There does seem to be some improvement. I am not in pain as such recently... just tightness. I have had episodes like this before that could quickly turn to pain again if I overdid it, so I am treading really carefully. I have just returned to the bike and only a couple of 10km rides so far at very slow pace. Also back to doing heel drops. Pain/tightness is no worse. I am hoping that gradual increase in load will relieve the tightness and the pain will not return. My heels are still really sensitive and easily irritated by hard heel cup shoes (work/dress shoes are no go at the moment). I feel like I have some way to go still before I can ride hard with confidence, and still quite concerned it could all go bad again quite quickly if I do something wrong.
I have managed to stay reasonably fit by swimming with a pull buoy, but that is really upper body and cardio. Legs have done very little in many months... I think this is a good thing, as I won't be a able to ride hard for a while!! It was when my legs were almost back to normal that I overdid it last time.
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Re: Achilles Healed???
Postby Xplora » Wed Jul 15, 2015 12:03 am
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Re: Achilles Healed???
Postby vosadrian » Wed Jul 15, 2015 9:15 am
I have considered using the MTB for commute for the low gearing.... but so far so good with the roadie with 36-28. There are a few points I have to do most of the work with my good leg to get up a pinch and protect the bad leg.Xplora wrote:Yeah just easing back can't be a bad thing. Considered a 32t ans compact to take the sting out of the climbs? You really are up against it with your streets to work.
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Re: Achilles Healed???
Postby g-boaf » Wed Jul 15, 2015 10:03 pm
I think it may be dropping the heal that causes me that trouble. Certainly not hours or distance.
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Re: Achilles Healed???
Postby Xplora » Wed Jul 15, 2015 10:38 pm
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Re: Achilles Healed???
Postby vosadrian » Fri Jul 17, 2015 5:02 pm
My issue seems quite different to yours... Oh how I wish I could ease off for a day or two and be good to go again!! But my experience is that hopping on the bike and riding even quite hard will have mine feeling pretty good. I have never had to stop any activity due to excessive pain, and mostly the pain is quite low when working it. It is a few hours later when everything cools down and stiffens up that I regret it!! But you would have discovered that if it applied to you by the time you read this!!
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Re: Achilles Healed???
Postby Xplora » Fri Jul 17, 2015 10:58 pm
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Re: Achilles Healed???
Postby g-boaf » Sat Jul 18, 2015 1:43 pm
I noticed it a little bit today, when I was punching the power a bit (about 450w for a short while), the funny thing is that it settles down quickly and right now, it is fine. Today for an hour I absolutely gave it everything I had, got some power bests and feeling pretty good. If it weren't for the niggling heel, I might have snared 285-290w for the hour. Mystifying.vosadrian wrote:Hey g-boaf,
My issue seems quite different to yours... Oh how I wish I could ease off for a day or two and be good to go again!! But my experience is that hopping on the bike and riding even quite hard will have mine feeling pretty good. I have never had to stop any activity due to excessive pain, and mostly the pain is quite low when working it. It is a few hours later when everything cools down and stiffens up that I regret it!! But you would have discovered that if it applied to you by the time you read this!!
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Re: Achilles Healed???
Postby vosadrian » Mon Jul 20, 2015 12:01 pm
I am sure you have something a bit different to me g-boaf. I rode to work this morning... turned up the effort a little bit more than a couple of prior easy rides. It is feeling a little bit tight now, but if it settles in 24 hours I will keep doing that. I think it needs some work to build up strength, but only enough that it can recover quickly.
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Re: Achilles Healed???
Postby g-boaf » Wed Aug 05, 2015 8:47 pm
Your mention of those S-works shoes did prompt me to get a pair of them to replace my old SIDI ones. The difference is so huge, those S-works shoes are so much more comfortable.
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Re: Achilles Healed???
Postby vosadrian » Wed Sep 16, 2015 11:01 am
In the last 6 months I took about 4 months of rest. I have not run at all in the last year or so, but but the 4 months of rest meant no cycling for 4 months and my only exercise was swimming with a pull buoy and not using my bad ankle at all for swimming (no wall push or kicking, but pointing toes for low drag). During this time it generally felt better than when I use it regularly but it did not heal. Over a few weeks it eased a little and then stabilised and stayed at that point. As soon as I used it for anything it would hurt more and take a couple days to resettle. During that time I tried a few things. A new physio with dry needling to calf area. PRP therapy to achilles area of pain (not guided). Went and saw a physio in Melbourne who was convinced it was facet joints in my back aggravating nerve roots that he could mobilise for instant relief but that did not happen. It should be said that I am having some lower back issues including facet arthritis, so I would not rule out a lumbar region back issue causing nerve impingement and pain in the legs which could contribute. Next was acupuncture which has focussed on yang deficiency and getting my blood flow better into legs so it can heel. This has not achieved any healing, but I have noticed by rest HR go up a bit and sleeping a little better so it may have done something to increase metabolism and blood flow?
I then saw a rhuematologist because a GP wanted me to look into subtalar synovitis that had shown up in a previous MRI. He did blood tests and physical examination and then a supervised ultrasound with what seemed to be a very good US operator. She had a good look around the area. Says the tendons look fine at midpoint and insertion. She actually said they looked beautiful and nothing wrong. She did say that there may have previously been something wrong that has healed. There was an effusion on the back of the subtalar joint consistant with the MRI synovitis. Could be some sort of posterior ankle impingement. Operator was thinking biomechanical issues. I use orthotics, but in some slip on shoes wince tight heeled shoes cause me pain due to this issue, and he thought that would not be helping. recommended seeing a podiatrist to get footwear and orthotic reviewed. Also gave me a referral for cortisone into the subtalar joint which I have had before after the MRI, but they seemed to put that cortisone into the front of the joint and the issue is at the back. Did not seem to make any difference the first time. Maybe putting into back of joint where effusion is will help more? Will do that in a few weeks when I return from a holiday shortly and then total rest for 2 weeks. Failing that not sure what the next plan would be.... maybe surgery and a cleaning of the area via arthroscopic surgery?
So not sure my issue really is achilles now. I must say that my constant level of pain has not been in line with symptoms I see others with achilles issue having where it is not painful with rest. My rest improved it a little, but I never experienced a moment where there was no pain that seems common with others with achilles issues. The best I had was back in summer when riding twice a week, it would feel a little bit better after ride recovery each week... until I overdid it, and it was back to square one which is when the 4 months of rest started.
I have recently started swimming without pull buoy and kicking gently. This seems to aggravate it as much as cycling or walking. I am wondering if swimming plantarflexed could be an indicator of the posterior impingment?
Oh, and I just got some Specialized expert road shoes. in a size larger than my S-Works to allow me to pad the heel a bit. Have not used them yet, but they are softer around the heel than the S-works and seem like a nice shoe until I can sorted so I can use my S-Works again.
Cheers,
Adrian
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