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Chronic Achilles Tendonitis![]() Chronic Achilles tendinitis (also spelled tendonitis) occurs when the Achilles tendon becomes inflamed over a period of time. Usually due to repetitive overuse, irritation or may be a result of acute tendinitis that has been left untreated or has not been allowed sufficient rest. The pain of chronic Achilles tendonitis can occur lower down the ankle at the insertion point of the tendon (insertional tendinitis) into the heel bone or part way up the tendon (midpoint or non-insertional tendinitis). In addition, it is common that the tendon becomes enlarged and inflexible with the build up of scar tissue. Although this condition is very common among male recreational runners between the ages of 35-45, Achilles tendinitis can also affect people participating in lower impact sports, like golf, and less active pastimes, such as gardening who may have poor foot mechanics or weakened muscles in the calf and tendon tissue. Symptoms of Chronic Achilles Tendinitis Include:![]()
If you feel a sharp pain, as though you've been hit in the back of the ankle, and hear a "pop" sound, your Achilles tendon has likely ruptured. A ruptured (completely torn) Achilles tendon is caused when the Achilles tendon is overstressed to the point of tearing. It will be very difficult for you to walk or move your ankle if this is the case. Causes of Chronic Achilles Tendinitis Include:
![]() Chronic Achilles tendinitis can be a difficult condition to treat due to the build up of scar tissue on the tendon. Scar tissue can form in any direction. Ultimately what causes stiffening, entrapping a nerve, restricting movement, less elasticity, poor circulation, flexibility and leaves the tendon more chance to further injury. How Do You Treat Chronic Achilles Tendonitis?Be Proactive About the Health of your Injury! Your doctor has given have conservative treatments before even suggesting surgery. It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the any already damaged tissue. This added scar tissue will be problematic, requiring more physical therapy and conservative treatment options post-surgery. If not dealt with properly, your Achilles tenosynovitis injury could end up in worse condition than before the surgery! This is why surgery is only performed as a last resort. The trick with any tendon injury is getting it to heal with minimal scar tissue growth and with as much realignment of tendon fibers as possible - something the TShellz Wrap is great at! Even with optimum healing, there is always less elasticity in a previously injured tendon. This will cause the tendon to hurt, during ANY exercise. Allowing your Achilles tendon to rest is always recommended following injury. Avoid all activities that may have caused the injury or irritation and begin cold compression treatments as soon as possible. The Achilles tendon is a difficult tendon to rest completely as it is an essential tendon for walking and daily activities. Alternative medications like cortisone injections are NOT advised for any type of Achilles Tendon condition. This is because there is increased risk of rupture of the tendon following a cortisone injection. "Medical evidence shows that cortisone shots can damage the surrounding tissue, fray the Achilles tendon, and even trigger a rupture. Most side effects are temporary, but skin weakening (atrophy) and lightening of the skin (depigmentation) can be permanent." (reference: American Academy of Orthopaedic Surgeons) Stage 1: If the injury is very recent (acute) - use a good quality cold pack and Arnica Pain Relief Cream. If the injury has been going on for awhile, then skip to Stage 2 below.If you are experiencing pain and swelling in the very early stages of the injury (first 48 to 72 hours), the first step in a conservative treatment protocol would be to focus on reducing the discomfort by applying a quality cold pack to the injured achilles along with a high quality pain relief cream such as our Arnica Infusion Cream. Not only will you use your cold pack for the first 48 to 72 hours after the injury, but you should also use it during other stages of the healing process. Some examples include...
Having a Cold Compress or Ice Pack available at home to use if and when the need arises is helpful. Many of you already do so. However, too many people over-focus on cold therapy while ignoring the most critical aspect to healing - nourishing the injured tissues with a healthy supply of blood flow needed to repair and rebuild the injured tissues. This leads to the most important recommendation... Stage 2: Focus on Increasing Blood Flow To The Injured Tissue - As This is The ONLY Way It Will Heal For the Long-TermEven though the concept is simple, improving blood flow to injured tissues can be difficult. When the injury is ankle related, the challenges are even greater. Traditional methods require your muscle to move to promote blood flow (exercise), but that same motion that promotes blood flow can at times lead to making your pain and condition worse.
Most people we deal with tell us these scenarios have happened to them many times in the past. Perhaps it has already happened to you. Promoting blood flow within a muscle or soft tissue injury to help the body heal itself is a concept that has been utilized for centuries. This is where the focus has to be if you are seeking long-term improvement. Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, recovering from an injury or condition will be delayed...sometimes for a very long period of time. The real challenge is how do you promote blood flow to the tendon without causing further injury? This goal is further complicated by the fact the achilles (and muscles controlling the ankle joint) are involved in the majority of the physical movements we perform each day. When people think blood flow beyond exercise, they instantly think "heating pad". Unfortunately, many individuals make the mistake in believing that a simple heating pad or microwavable gel packs will provide the blood flow needed to heal injured tissues. Nothing could be further from the truth. ![]() To begin with, heating pads and warmed gel packs work on conduction. The heat they generate has to be forced through multiple layers of skin and fatty tissues. With each layer of skin the heat passes through, there is a corresponding energy loss because that heat is absorbing into each layer it passes through- the skin is an excellent insulator! Your body responds to this heat by increasing the blood flow near your skins surface (not in your injured tissue) to dissipate the heat and it does so quite effectively. By the time what little heat reaches below the skin, sub-dermal layer and fat layer into the targeted area (the dense, injured tissues), very little energy remains and this does not effectively enhance blood flow. With little blood flow reaching these injured tissues - healing just doesn't happen. The heating pad may feel comforting when on the body, but that is because the warmth is absorbing into the skin. Moist heat has been believed to be more effective at warming internal tissues versus dry heat, because it is believed that water transfers heat more quickly than through air. Clinical studies do not support that popular belief. When you are using a heating pad, all that you are really accomplishing is warming of the skin. The unintended consequence is that you draw blood flow AWAY from the targeted tissues (the injured ones deeper in the body) and direct the blood flow to the surface of the body. Warming the skin will not significantly contribute to healing of muscles, tendons, ligaments, cartilage, or any other tissues. So If A Heating Pad Is Not The Answer, What Is?In order to effectively stimulate blood flow to the dense tissue deep within the body, an energy based on an electromagnetic principle (diathermy) is needed. In essence, this is a conversion energy vs a conductive heat (like the heating pad example above - that is conductive heat). Electromagnetic energy waves are not conductive heat waves - they are a much longer wavelength and hence, penetrate deep into the body. They are very safe and very effective as research over decades has shown. The F.D.A recognizes this as fact. When these energy waves are emitted,they penetrate right through your skin and fat layers until they are absorbed by tissue high in protein. This means ligaments, muscles, cartilage, tendons and bone. Once they reach the targeted areas, they are absorbed and quickly converted into thermal energy... right at the location of the injury. This results in relaxation of the vessel walls. The vessels then gently expand, allowing for more nutrient rich blood flow along with extra oxygen and antibodies to reach the damaged tissues. Plus, the enhanced blood flow helps in flushing cell waste and fluid build-up from the injury site - further enhancing the ability of the body to heal. ![]() As mentioned above, standard heating pads and heated gel packs accomplish the exact opposite of your goals. They direct blood flow to the skin, not to the injured muscles and soft tissues you are trying to heal. Electromagnetic energy is a form of energy will easily penetrate through clothing, skin, and fatty tissues... directly into your injured muscles and soft tissues within the achilles and ankle. After the energy absorbs into the achilles, the metabolic response then kick starts the repair and rebuilding process. More blood now begins to flow effectively to the injured tissues deep within the body. The injured tissue needs the extra blood flow to heal as it is through the blood the body carries the oxygen, nutrients, and antibodies needed for proper and long-term healing. While the concept of electromagnetic energy is slowly catching on in North America, the truth is, it is a technology that has been utilized in other societies for decades. Over the past 30 years, researchers in Japan and China have completed extensive studies on the use of the modality and their findings have been impressive. In addition, success has been reported in studies from countries such as Sweden and Germany. Research is continuing and soon, much of North America will know what the Far East and Europe has known for a long time; electromagnetic energy provides a wide range of health benefits for those not only suffering from achilles injuries, but for many other soft tissue ailments (plantar fasciitis, bursitis, tendinitis, Tenosynovitis, frozen shoulder, golfer's elbow, tennis elbow, hamstring strain etc.) as well. Now, on to recommendation number two in the journey to heal your injured achilles... The Achilles T•Shellz Wrap® - Heal Your Achilles For The Long TermThe best option we came across in our research to accomplish true healing of achilles injuries is the Achilles T•Shellz Wrap®. Use of this device results in a dramatic increase in blood flow to the injured tissues located deeper within the body - all in a non-invasive manner. Have you seen what happens when you add water to a flower wilted from drought? In essence, your injured achilles is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood brings new life to your cells by delivering healing nutrients and oxygen that are vital to your tissue. In addition, the blood carries away toxins and cellular waste cleaning the area and healing it faster. Without a good supply of blood, your achilles simply won't heal properly. Using a T•Shellz Wrap® will not expose you to the risk of causing further harm to soft tissue like you can when using rigorous exercise. The Achilles T•Shellz Wrap® accomplishes the goal of enhanced blood flow without the need for intensive exercise and as such reduces your risk of re-injury. T•Shellz Wrap® = Accelerated Healing Power for Your Achilles Injury![]() The Achilles T•Shellz Wrap® is based on the scientifically validated principle of Electromagnetic energy as we discussed previously. This form of treatment is safe and effective as shown in numerous studies which can be referenced through the National Library of Medicine. Professional athletes and those in the medical field have been users of the technology for decades - it really hasn't been until recently that companies like ours introduced the treatment devices to the home user. Electromagnetic energy from the T•Shellz Wrap® does not absorb into the skin - it absorbs directly into the damaged muscle and soft tissue (as a result, you will not feel the same level of heat on the skin versus a heating pad). The longer wavelength provides the electromagnetic energy wrap with the capability of penetrating deep into the body (well over two and a half inches). EM energy emitted from the T•Shellz Wrap® is absorbed by high protein tissue (muscle, tendon, ligament, cartilage) and is converted into Kinetic energy - much of this energy being released as heat. Overall, EM energy will warm soft tissues, improve blood circulation, and boost metabolism and enzyme activity. In stimulating localized blood flow to damaged soft tissue, you provide needed oxygen, nutrients, and antibodies to regenerate new, healthy collagen. In addition, you will experience a clearing of toxins and excess fluid build up from the injury site. Over the intermediate term, this helps to reduce incidents of swelling as trapped fluids will be whisked away - reducing pressure on blood vessels. Using the T•Shellz Wrap® is truly a unique experience. Within moments of applying a treatment to your injured achilles, you can feel the sensation due to the increase in blood flow deep within the area. During a treatment, and for quite some time after you finish, the treated area will feel relaxed and warm. It's a very soothing sensation and extremely effective. This is especially important because the insertion point of the Achilles tendon receives very little blood flow to begin with. Who Should Use the T•Shellz Wrap®We recommend the use of a T•Shellz Wrap®:
Increased Blood Circulation = Increased Healing Rate What Else Makes the Achilles T•Shellz Wrap® So Special?We believe the T•Shellz Wrap® to be one of the most effective treatments to stimulate blood flow to dense, injured tissues such as muscles, tendons, ligaments, and other similar tissues. We can promise that you will receive a product that is designed to be safe and does what it is supposed to do... reduce pain (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) temporarily increase length & flexibility of soft tissue (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) and aid your body in recovering from tendon, muscle and other soft tissue injuries via enhanced blood flow. The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v. It has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long so you can sit or lie comfortably and watch TV, read or surf the net while you're using it. Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet. A Recap of the Benefits of the T•Shellz Wrap®..
When Should I Use My TShellz Wrap During the Day?The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my T•Shellz Wraps and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.
The Achilles T•Shellz Wrap® would then be used:
Stage 3 - In Between Treatments With T•Shellz Wrap®, Apply Our New Fast Acting Pain Relief Cream Called ARNICA INFUSIONDealing with aches and pains affecting the foot, ankle, leg, knee, hamstring, hip, back, arm, shoulder, elbow, wrist, or hand? If so, then applying the Arnica Infusion to any of these targeted areas will bring about fast relief from the pain and sore tissues. Simply apply a small amount of cream to the body and moments later, you will experience a soothing and comforting sensation over the area. Arnica Infusion is specially designed to relieve pain due to sore muscles and joints associated with arthritis, backaches, sprains, strains, and bruises. No matter if you are dealing with an acute injury, chronic pain, or a general "flare-up" - you will experience fast relief from pain and inflammation. This is a product that many of our current MendMeShop customers asked us to develop. So we focused our time and resources over the past few years and came up, with we believe, will be one of more effective, fast acting, topical pain relief creams on the market. You are likely familiar with some of the standard topical agents on the market as most of our customers use them. The are mass marketed and even found in most department stores now. Well, we are here to say that Arnica Infusion goes many steps beyond what they offer. Made in the USA at an FDA registered manufacturing facility, you can be assured that Arnica Infusion is both safe and effective. We only source top grade ingredients while implementing strict quality control checks during every step of the production process. Expect the same high quality that MendMeShop customers have been accustomed to since we started the company in 2005. The "Cool Blue" formula is the perfect balance between the smooth application of a cream and the effective absorbing factor of a gel. It is not too thick and not too thin - just the right texture. Best of all, it feels very nice on the skin! Each application of Arnica Infusion feels so comforting and soothing, we are certain it will become an item you will not want to live without. Arnica Infusion IngredientsThe Arnica Infusion formula is based on a combination of scientific research and the use of high quality ingredients. The properties within the formula were chosen for their pain relief, anti-inflammatory, and soothing qualities. The acting ingredients within the formula include ones many of us are familiar with; along with ones that have not received a lot of publicity (only in research circles). Extensive testing resulted in a blending of ingredients that provides the most synergistic of benefits. The notable ingredients in the Arnica Infusion formula include:
Extensive quality control procedures during the manufacturing process ensure the ingredients and final product are both safe and effective. We would not stake our reputation on anything but the best. When Do I Apply the Arnica Infusion?While At WorkApply Arnica Infusion at work to help reduce acute discomfort associated with overuse of muscles and joints. No matter if you are in a physical demanding job or work within an office environment, you will be placing stress on different parts of the body and aches and pains will result. Before Or After Work, Sports, & ActivityIf you suffer from a sprained ligament, pulled muscle, strained tendon, or even bruising - apply Arnica Infusion for quick relief of the pain. Chronic Pain SufferingApplication of Arnica Infusion can be done up to a maximum of 4 times per day on a consistent basis to help bring about relief from various pains and aches. In-between Treatments With the T•Shellz WrapsFollow up your T•Shellz and Cold treatments with an application of Arnica Infusion. Combine the pain relieving benefits of Arnica Infusion along with the healing benefits of the wraps to make your recovery go much more smoothly. Do not apply Arnica Infusion within a 2 hour timespan before a T•Shellz Wrap® treatment. Whether you decide to use the Arnica Infusion in conjunction with the T•Shellz Wrap® and other treatments - or if you decide to use the cream as a stand-alone product - you will not be disappointed with the results. We guarantee it. A Note On OverCompensationSince you are reading this, you probably know that serious achilles injuries do not just disappear. Over time, they usually wreak havoc on your knee and ankle due to lack of movement and over-compensation. It will also wreak havoc on your opposite achilles due to overcompensation. Recovery takes a longer time for such chronic (long term) injuries, but proper healing is essential to regain strength and get you back to the activities you enjoy. The longer your injury endures, the greater the risk of running into serious overcompensation injuries. To Stop Re-Injury & Reduce the Risk of a More Serious Overcompensation Injury, You Need to Heal Quickly & Completely!Anyone in need of rapid recovery and complete healing must consider a comprehensive treatment plan that includes an effective means to minimize swelling and inflammation yet also stimulate healing and tissue elasticity. We have found no better set of tools that can be used at home than this:
What You Definitely Need to Successfully Treat | ![]() Achilles Tendon Facts There are over 250,000 achilles tendon injuries each year in the US. Achilles tendon ruptures are common in people between the ages of 30 and 50. In runners, too rapid an increase in mileage, hill training without proper strengthening, and recent or inadequate changes to running gear can cause injuries to the Achilles tendon. Achilles tendonitis accounts for an estimated 11% of running injuries. 3-5% of athletes are forced to leave their sports career due to Achilles tendon overuse injuries that go untreated. Medications mask the pain but do very little in the healing of Achilles tendonitis. Anti-inflammatories, cortisone injections, and pain killers can cause Achilles tendonitis to worsen. A fully ruptured tendon REQUIRES surgery. It will not heal on its own. Achilles tendonitis and Achilles tendinitis are the same thing. Continually using your Achilles tendon while it is injured will lead to a more serious and/or chronic injury. ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |