Tag Archives: Achilles tendinitis

How Long Does it Take to Recover from ACL Surgery

November 20, 2024 Kevin - Blog

WHAT IS THE ACL?

The knee is essentially a hinged joint that is held together by four ligaments. They include the medial collateral (MCL), lateral collateral (LCL), anterior cruciate (ACL) and posterior cruciate (PCL) ligaments. The ACL runs diagonally in the middle of the knee, preventing the lower leg from sliding out in front of the thigh, as well as providing rotational control to the knee. More information about how ACL tears can be found in our injury center

How long does it take to recover after ACL Surgery?

Though everyone is different we’ve compiled a standard rehabilitation program so you know what to expect in your recovery from ACL surgery.

Pre-operative Phase
Goals: Decrease Pain & Effusion

Restore normal Range of motion (ROM), especially extension
Improve strength and neuromuscular control,
combat quadriceps shutdown
Support patient education

Post-operative (Day 1-7)
Goals: Full Passive Knee Extension

Decrease pain and effusion
Increase knee flexion and restore patellar mechanics
Progressive gait
Improve muscle function including quadriceps control

Post-operative (2-4 weeks)
Goals: Keep Full Extension

Increase flexion
Abolish swelling
Establish good patellar mobility
Maintain single limb stance with slight knee flexion 15+ secs

Post-operative (4-10 weeks)
Goals: Push for Full ROM

Increase quadriceps strength to 4 to -4/5 (60-65% of contralateral side)
Increase proprioception and neuromuscular control
Increase endurance
Increase confidence

Post-operative (10-16 weeks)
Goals: Work to Normalize Strength and Increase Power Along with Endurance, Increase Neuromuscular Control, Progress Functional Training

Initiate a running program
Continue strengthening
Continue neuromuscular training
Progress all exercises

Post-operative (16-22 weeks)
Goals: Full Active Range of Motion (AROM), Passive Range of Motion (PROM), Functional Test of 90% SL Hop and SL Cross-Over Hop, Proprioceptive Test 100%, Functional Strength Test of 85% Quads and 100% Hamstrings

Continue with strengthening exercise, proprioceptive training/neuromuscular drills, plyometrics, and sport-specific training.
Functional strengthening program consists of a series of CKC exercises, strengthening is performed in 3 planes of motion at all joints, functional profiles are developed for all patients based on their findings during the evaluation process.

If you have experienced an ACL tear and are looking for post-operative care, you can easily find a physical therapy clinic near you by clicking the button below. By scheduling a visit before ACL surgery you can meet your therapists and they can give advice on how to help you recover from ACL surgery as smoothly as possible.

Treatment Options for Achilles Tendinitis

November 8, 2023 Teresa Stockton - Ankle, Blog, Foot

The Achilles tendon is the largest tendon in the body. It connects your calf muscles to your heel bone and is used when you walk, run, and jump. Although the Achilles tendon can withstand great stresses from running and jumping, it is also prone to tendinitis, a condition associated with overuse and degeneration. Achilles Tendinitis causes pain along the back of the leg near the heel. If you suffer from Achilles Tendinitis – try these pain relief methods.

Treatment Options for Achilles Tendinitis

REST: Cut back your training by decreasing your mileage and intensity. Also, avoid hills and speedwork. You may substitute running with swimming, running in water, and biking to reduce the irritation.

ICE: Apply ice to the affected area for 10 to 20 minutes with at least one hour between applications. Do not apply ice directly to your skin – a pillowcase or dish towel works well as a protective barrier. Frozen peas or reusable gel packs are flexible and conform well to the injured area.

PROPER FOOTWEAR/ORTHOTICS: This situation can be corrected with arch supports or custom orthotics. Orthotics allow your foot to maintain the correct position throughout the gait. Avoid walking barefoot and wearing flat shoes. If your pain is severe, your doctor may recommend a walking boot or to cast you for a short time. This gives the tendon a chance to rest before any therapy is begun.

NON-STEROIDAL ANTI-INFLAMMATORY MEDICATION: Drugs such as ibuprofen and naproxen reduce pain and swelling. They do not, however, reduce thickening.

PHYSICAL THERAPY: Achilles tendinitis can be a painful, chronic condition if left untreated. Physical therapists may use stretching, massage, custom orthotics, strengthening, and/or balance activities to help your body relieve pain and heal.

CORTISONE INJECTIONS: Cortisone, a type of steroid, is a powerful anti-inflammatory medication. Cortisone injections into the Achilles tendon are rarely recommended because they can cause the tendon to rupture (tear).

Common Running Injuries

April 13, 2022 Kevin - Blog, Leg, Sports and Fitness

Running can be great for your health, but if an injury occurs never be afraid to seek help. The best treatment for injuries for runners is early management and education on self-care specific to the injury. We’ve compiled a list of common running injuries below. If you are experiencing lasting pain that affects your ability to complete your run or activities throughout your day, don’t modify your behavior – talk to your physical therapist.

IT (Iliotibial) Band Syndrome

Common Causes: Improper footwear, Increasing mileage and/or intensity too quickly are all things that lead to common running injuries
Symptoms: Usually occurs after a short period of running with sharp pain on the outside of the knee

For more information click here

Piriformis Syndrome

Common Causes: Increasing mileage and/or intensity too quickly, Poor running mechanics, Usually associated with weak hips and core can lead to common running injuries.
Symptoms: Local pain and tightness in the buttock with possible tingling or numbness down the back of the leg. Most noted during prolonged sitting.

Shin Splints

Common Causes: Improper footwear, Lack of flexibility in calves, running on hard surfaces can also lead to common running injuries.
Symptoms: Throbbing or aching pain along the front of the shin. Usually occurs during and/or following a prolonged run or walk.

For more information click here

Plantar Fasciitis

Common Causes: Improper footwear, Change in running surface, Calf tightness, increasing mileage and/or intensity too quickly can lead to common running injuries.
Symptoms: Deep ache and/or sharp pain in the bottom of the heel. Most commonly felt in the morning or following prolonged sitting

For more information click here

Runner’s Knee

Common Causes: Increasing mileage and/or intensity too quickly, Poor running mechanics lead to common running injuries.
Symptoms: Swelling, Aching pain behind and/ or around the kneecap, pain walking up and/or downstairs.

Achilles Tendinitis

Common Causes: Improper footwear, Increasing mileage and/or intensity too quickly lead to common running injuries.
Symptoms: Swelling, painful to the touch, lack of flexibility along the back of the lower leg close to the heel.

For more information click here

Achilles Tendon Care – New Therapy Can End Months of Pain

March 29, 2016 Teresa Stockton - Ankle, Blog, Foot

The Achilles tendon is the large cord-like structure at the back of the ankle. It is responsible for transferring the muscle forces generated by the calf, which in turn allows you to roll onto the ball of your foot during walking and running.

We don’t realize it, but this tendon can withstand tremendous stress. It can tolerate forces of greater than 1000 pounds. However, it is also a tendon that can become inflamed and injured. Symptoms include pain (in the tendon or where it attaches to the heel bone), swelling, weakness in the leg and morning stiffness. The discomfort that resolves as the day progresses is common.

Often, physical therapists see clients that experience chronic Achilles pain. New research concludes that there is hope for these patients. Recent studies have shown that a certain Achilles condition called tendinosis, responds very well to a specific program of, what we call, eccentric loading. Given enough time and proper technique, physical therapists can help these patients recover from a problem that may have been bothersome for several months.

Who do you know that is experiencing Achilles or some other type of foot pain? There is a good chance that physical therapy can help, and make dramatic changes in someone’s condition. Please, don’t hesitate to call your physical therapist.

PUT ICE ON A NEW INJURY
What should I put on a strained muscle or joint? This is a popular question. The answer is a simple acronym:

• R est
• I ce
• C ompression
• E levation

You need to rest an injured joint, muscle or ligament. Ice helps with pain relief and to some degree, decreases swelling. Compression and elevation help decrease the swelling that results from a soft tissue injury. Excessive swelling can cause additional cell/tissue damage.

VIEW A RICE PICTURE
Picture of a proper RICE technique on the knee:
http://www.ptclinic.com/downloads/1-1.pdf