Anecdotal n=2...My wife and I both had recurring achilles issues from new shoes at different points. Both specific running/hiking shoes, but the issues was really hard to directly relate to the shoes as it would occur a bit randomly and there was no issue while wearing the shoes. I noticed mine because I left my shoes on a trip to visit family and didn't get them back for 6 weeks. my achilles finally got better and then once I got the shoes back it came back. FWIW - they were solomon trail running shoes.
Placing an increased tension load on a tendon that has got 'injured' that way is illogical especially in the early stages of recovery.
Quote from: sheavi on January 11, 2019, 05:42:39 pmPlacing an increased tension load on a tendon that has got 'injured' that way is illogical especially in the early stages of recovery.Meh, I’m not sure the stages of healing model applies well this directly to tendonopathy. If your at the point of eccentric exercises of 180 reps a day which will place a stretching load on the tendon depending on how there done anyway. Plus logic doesn’t really come into doing something cos a running physio said so in his blog. It’s just a trial and error thing unless you’ve just had an acute rupture of course! Why not try dry needling or those funny injections of your own blood whizzed round or a vasodilator patch or ultrasound. Kitchen sink approach there’s as much good evidence for one as the other. Ps that’s not actual advice just me being a knob
Quote from: Sasquatch on January 11, 2019, 06:53:44 pmAnecdotal n=2...My wife and I both had recurring achilles issues from new shoes at different points. Both specific running/hiking shoes, but the issues was really hard to directly relate to the shoes as it would occur a bit randomly and there was no issue while wearing the shoes. I noticed mine because I left my shoes on a trip to visit family and didn't get them back for 6 weeks. my achilles finally got better and then once I got the shoes back it came back. FWIW - they were solomon trail running shoes. This would likely have been due to a compressive force through to the achilles.
Quote from: sheavi on January 11, 2019, 07:14:44 pmQuote from: Sasquatch on January 11, 2019, 06:53:44 pmAnecdotal n=2...My wife and I both had recurring achilles issues from new shoes at different points. Both specific running/hiking shoes, but the issues was really hard to directly relate to the shoes as it would occur a bit randomly and there was no issue while wearing the shoes. I noticed mine because I left my shoes on a trip to visit family and didn't get them back for 6 weeks. my achilles finally got better and then once I got the shoes back it came back. FWIW - they were solomon trail running shoes. This would likely have been due to a compressive force through to the achilles. Indeed you are probably correct. However, neither of us EVER noticed any compression of the tendon while wearing the shoes walking, hiking or running. My point was for Rich to also look at any other changes that may have lead to the tendonitis flaring up.
Rich, the swelling "a few inches " above your heel. How many inches? And any idea how it started? Footwear is often an contributory factor - change in rise as suggested above, cycling in non-supporting shoes, or from simple direct irritation - but doesn't seem like if you think Karate is the issue.It could be tendinopathy, in which case heavy load dynamic exercises into pain is standard approach. Eccentric (heel drops) are popular and may be better than concentric-eccentric (heel raise-heel drop). Standard texts suggest not stretching. Monitor pain response: should be painful during exercise (up to ~5/10, more than just a slight ache/soreness), should be no worse the following morning, should gradually ease over 4-6 weeks.Could also be inflammation/irritation of the tendon sheath or one of the bursae - hence question about the site of swelling - this is less likely to be helped by heavy load eccentric exercises.