la CURA DEFINITIVA al Tendine D'ACHILLE infiammato (METODO SCIENTIFICO)

Summary

This video offers insights on Achilles tendinopathy, a condition affecting athletes and runners, characterized by pain and reduced performance. It explains the difference between insertional and mid-portion tendinopathy, emphasizing how overuse and poor biomechanics can lead to tendon degeneration. The video presents evidence-based treatments, highlighting the importance of eccentric calf strengthening exercises while advising against the use of insoles and night splints. A progressive exercise routine is outlined, helping viewers gradually increase load on the tendon to promote recovery and prevent tendon rupture.

Takeaways

• 💥 Achilles tendinopathy involves pain and loss of performance, often seen in runners and athletes, and can lead to reduced push-off during running and jumping.
• ⚠️ There are two main types: insertional tendinopathy (pain at the insertion of the tendon on the heel) and mid-portion tendinopathy (pain 2-5 cm above the heel).
• 📊 Studies show that only 40% of athletes recover fully from Achilles tendinopathy, while around 43% may develop issues in the opposite leg.
• 🔄 The condition was previously thought to be inflammatory (tendinitis), but it is now understood as a degenerative issue (tendinopathy) without necessarily involving inflammation.
• 🏋️‍♂️ Overloading the tendon is a common cause, as the Achilles tendon can normally withstand 5-6 times a person's body weight, but excessive stress can lead to degeneration.
• ⚙️ Poor biomechanics, such as inward knee rotation or excessive heel pronation, can create additional strain on the tendon, contributing to its degeneration.
• 🏃 Achilles tendinopathy starts with mild pain during the beginning and end of activity, but as it progresses, it can cause consistent pain during daily activities.
• 📈 Eccentric strengthening exercises over 12 weeks have shown the best results for Achilles tendon rehabilitation, as compared to doing no exercises.
• 🦶 Studies suggest that the use of insoles or night splints does not significantly improve outcomes in treating Achilles tendinopathy, emphasizing the importance of exercise instead.
• 🏋️ Proper tendon loading is crucial, as low-load exercises may not bring beneficial changes, while progressive loading strengthens the tendon and improves its resilience.

Q & A

What is Achilles tendinopathy?

Achilles tendinopathy is a condition characterized by pain and a decrease in performance in the Achilles tendon area. It commonly affects runners and athletes, leading to reduced push-off strength during running or jumping and inflammation or swelling around the tendon.

What are the two main types of Achilles tendinopathy?

The two main types of Achilles tendinopathy are insertional tendinopathy, which occurs at the point where the tendon attaches to the heel bone, and mid-portion tendinopathy, which occurs 2-5 centimeters above the heel.

What is the difference between tendinitis and tendinopathy?

Tendinitis refers to inflammation of the tendon, while tendinopathy is a more general term that includes tendon pain and degeneration without necessarily involving inflammation.

What are the common causes of Achilles tendinopathy?

Common causes include overloading of the tendon, improper biomechanics of the lower limb (such as knee inward rotation or excessive heel pronation), and lack of tendon conditioning to handle stress.

What is the recommended approach to treat Achilles tendinopathy according to recent studies?

Recent studies suggest that eccentric strengthening exercises for the calf muscles are the most effective treatment for Achilles tendinopathy. These exercises help to improve tendon thickness, strength, and resilience.

Are shoe insoles or night splints effective in treating Achilles tendinopathy?

Studies have shown that using shoe insoles or night splints does not provide significant benefits in treating Achilles tendinopathy compared to exercise-based treatments. Therefore, they are not generally recommended.

What is the progression of pain in Achilles tendinopathy as the condition worsens?

Initially, the pain may be moderate and occur at the start and end of physical activity, subsiding when the muscles warm up. As the condition worsens, the pain becomes more consistent, occurring during both physical activity and daily tasks.

How should you adjust your exercise routine if you experience increased pain after exercising?

If you experience significant pain (rated 4-7 out of 10) the day after exercising, you should reduce the exercise intensity or volume, as this indicates that you have overstrained the tendon.

Why is it important to increase the load on the Achilles tendon gradually during exercises?

Gradually increasing the load on the Achilles tendon during exercises helps to strengthen it effectively without causing excessive strain or inflammation, promoting long-term recovery and reducing the risk of re-injury.

What is the correlation between Achilles tendinopathy and tendon rupture risk?

People with Achilles tendinopathy have a higher risk of tendon rupture. The degenerative changes in the tendon associated with tendinopathy can make it more susceptible to tearing under stress.