This is topic Achilles tendinopathy-is physiotherapy worth it? in forum Medical Questions at LymeNet Flash.


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Posted by GretaM (Member # 40917) on :
 
Hi all,
I have Achilles tendinopathy in both my ankles. The left side also has some plantar fascitis.

I have been putting off physio primarily because of the cost, and also because I was hoping this was just Bart and would resolve on it's own.

I am also putting off seeing a sports doc because I can't afford to miss any work.

Did you have Achilles tendinopathy?

Did it resolve with treating bartonella?

Did you get physio? Did it help? Was it worth the cost?

Thank you
 
Posted by lax mom (Member # 38743) on :
 
My husband had both achilles tendons torn due to Lyme and a bazillion co-infections. He had physical therapy, but had to stop last year because he wasn't progressing. As his infections healed, the tendons healed.
 
Posted by poppy (Member # 5355) on :
 
Fluroquinolone drugs can also damage A. tendons. (levaquin, avelox, etc)
 
Posted by GretaM (Member # 40917) on :
 
Laxmom-ok, perfect, that is exactly what I needed to know.
I won't bother with physio until my coinfections are under control. Thanks [Smile]

Poppy-i will be sure to stay away from those abx's. Thanks [Smile]
 
Posted by ctone (Member # 38779) on :
 
You might want to check your medical records and
see if you've ever been given a floroquinolone abx. I had surgery and was given Levaquin without my knowledge. I had to go back and review all my records to find out, found out they also gave me cipro for an ercp without my knowledge.

Achilles heel problems are very specific to floroquinolone adverse reactions and can take monthes or even a year before showing up after taking a floroquinolone.
 
Posted by Keebler (Member # 12673) on :
 
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PT? ONLY if with a true LL therapist.

NO ICE, as stipulated in Dr. B's guidelines for P.T.

Ultrasound helped me. Strong stretches made it worse.

Hard massage made it worse but some kinds of gentle even if deep was helpful.

Sleeping in a splint: VERY helpful

Never going barefoot, other than when bathing.

Any time on my feet, even if just to bathroom in the middle of the night, in shoes with proper arch support: very valuable.

If anyway you can, this should help, too. I never have managed getting one but Carol in PA says very good:

SOTA LIGHTWORKS

What helped me (in absence of LL doctor availiablity) was 14 months on the full dose of andrographis, aggressive foot rest, splints at night and Birkenstock shoes / clogs.

A good podiatrist can help with a custom orthotic insert and shoe selection for you your feet. And to also see if anything else is going on.

The PTs that podiatrists know are usually the bst choice and the PT or OT can make you splints to sleep in - just hope they will also be somewhat LL. and take them Dr. B's guidelines.
-
 
Posted by Keebler (Member # 12673) on :
 
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Page 32. Physical Therapy, #2 . . . No Ice . . .


http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf

Advanced Topics in Lyme Disease (Diagnostic Hints and Treatment Guidelines for Lyme and Other Tick Borne Illnesses

Dr. Burrascano's Treatment Guidelines (2008) - 37 pages

------------
As important as any supplements, sections regarding self-care:

Go to page 27 for SUPPORTIVE THERAPY & the CERTAIN ABSOLUTE RULES

and also pages 31-32 for advice on a safe, non-aerobic exercise plan and physical rehabilitation.
-
 
Posted by lax mom (Member # 38743) on :
 
Greta: prior to being diagnosed with Lyme and his multiple co-infections, it seemed like the Drs and PT's were on a wild goose chase trying to fix one tendon/muscle/joint after another.

It's the nature of the beast having radiating problems. As soon as you think you have one under control, an "injury" pops up somewhere else.
 
Posted by Keebler (Member # 12673) on :
 
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Same experiences with body parts and strains popping up all over the place as lax mom. What helped the most was just regular all over massage, weekly (when I could afford that) . . . it helped in so many ways.

the ULTRASOUND on the bottom of the feet did help with some relief, though. And I would think light therapy would, too. Many PTs now have that as well.

Came back to add:

A certain kind of DANSKO clogs also helped but not the Sanita or any other imitations. LLBean clogs did not either, the pressure / angle is not correct as with a true Dansko clog.

Best, though to have your feet examined by a podiatrist who will know the best brands for your feet. The custom made orthotic was the best investment ever made (but very costly). Dansko and Birkenstock made do well as they have their own built in support but do ask a podiatrist first.
-
 
Posted by lpkayak (Member # 5230) on :
 
when i had tendon problems so bad i couldnt walk i began taking mitochondria protocol

one way is mito energy booster by vitacost

other protocols are posted by me but i cant go get them now-im typing wiht one hand

search me and mitochondrial protocols or something like that in the last 3-4 yrs

or go online and find it
 
Posted by jjourneys (Member # 39813) on :
 
Achilles on left leg was one of my major complaints at the LLMD's on Friday. He showed me some stretching exercises and that seemed to help.

He also asked if I ever sprained my ankle. I was into sports big time in my younger years, of course I've sprained my ankle many years ago.

LLMD said Lyme loves to attack body parts that have ever been injured.

Stretches are helping me.

Hope you find relief soon!
 
Posted by GretaM (Member # 40917) on :
 
Ctone-yes, had cipro quite a bit in 2008, but not recently.
Thanks for the reminder-I will double check not to accept any abx from the fluroq family [Smile]
 
Posted by GretaM (Member # 40917) on :
 
Keebler-OK, thanks! I will look into the splints. I have tried both TEns and ultrasound before when my ligaments ruptured. The Tens I know did not help-aggravated, but I can't remember about the ultrasound.
To save some money, I'm going to try the splint first, and use your advice about shoes.

Thank you [Smile]
 
Posted by GretaM (Member # 40917) on :
 
Laxmom-yes, I agree about the migrating pain and injuries, which is why I'm not too keen to go to physio again.

That and the cost. Haha.

Thanks [Smile]
 
Posted by GretaM (Member # 40917) on :
 
LP-i will google the mitochondria protocol. Thanks [Smile]
 
Posted by GretaM (Member # 40917) on :
 
Jjourneys-OK, that makes sense also.
Both ankles are messed from sports.
This Achilles really wasn't brought on suddenly, like by a jarring or twisting motion.

It quite honestly seems to have crept in...

So TBD makes sense.

I am so torn about massage for it also. I really need to do some research and find some lyme literate practioners around.
I am so worried to aggravate the tendons more.
 


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