achilles tendon tear

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I have a client that has what I think is a 2or 3 years old achilles tendon tear. I have worked using cross-fiber and recently using Michael Young's streches but the pain is still there.
When I ask her to extend the foot, she can do it, but the gastroc remains flacid, so I think there was at least a partial tear.

What are the options for this client? Is there a way to avoid surgery to re-attach the tendon?

Has anyone had any experience with this?
Thanks
 


It all depends upon the degree, being how badly it is torn and that needs to be done using an MRI. At this point, scar tissue and adhesions have formed to compensate, again it depends upon how badly it is torn. I would say that if she is still having the issues that she has right now, surgery would be the best bet.
 


Thanks for the reply.

Have you dealt with this issue before? Is this surgery a hard one to go through and/or recover?

Is there anything that can be done to minimize what needs to be done surgically?

Sorry for all the questions, I just would like to be as effective as I can...
 


They definitely need to consult an orthopedist, and be referred to physical therapy to help strenghten both the gastroc and soleus. If they have already been through that route, then yes, they need surgery. I should have stated that in my first post.

I have had a few passing clients that have had it done and have been fine afterwards... no one that was long standing, otherwise I would have more info for you.
 


i currently have a client with a torn soleus. he got an MRI and is seeing a physical therapist 2xs a week and me once a week.
 


Thank you.
I sugested this client sees a doctor and once the diagnosis is clear, we go from there.
 


Just to add, don't feel bad you can't help too much--remember the achilles tendon has a poor blood supply so there's always problems if that tendon becomes injured.
 


Thanks for the reminder.
I tend to want to fix even the unfixable...
 


How do you know if there is a tear? I have a client that plays tennis a lot and she comes in so I can get through the next game and I massage her archilles tendon quite deep for about 30 minutes.
Trish
 


I don't really know that it is torn. All I know is that when she extends her foot (points her toes), her gastroc muscle does not contract, so I'm assuming that there is at least a partial tear. But she hasn't gone to a doctor to have it diagnosed yet because she doesn't have insurance.
 


Can she walk on her toes only? on her heals only? alternating? on one leg, then the other? See if there is a difference.

Have her start strengthening it anyway... the easiest way is to have her start with both feet flat on the ground, and raise onto her toes. Do this 10x or as many times as she can for now, build up to doing 3 sets of 10, 3x a day. If that becomes easy for her, then have her build up to doing it standing on one leg only. Then progress to doing it on a stair, bringing her heal all the way down over the stair then raising up to being on her toes.

This is basically what she would be doing in PT, and you can find these exercises in Manual Muscle testing...
 
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  43. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅBEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Massage
  44. AliceSpa:
    TUESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Young Beauties Today at Alice Spa. Open 10am to 9pm: LUCKY (12:30pm-9pm): is Vietnamese, small body, busty D cup, very beautiful face, Young/Cute/Petite/Pure/Submissive, Fair Skin/Perky Ass/Sweet, Super Open-Minded bbbj cim cof rim, excellent service, also strong massage. KITTY (12:30pm-9pm) is a new Korean girl
  45. ForeverWarden:
    Tuesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Tracy & Vivian. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5โ€™1โ€ and 100 lbs. She is very popular for her exotic massage & services.
  46. HolidaySpa:
    Tuesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: EMMA, JENNY & CINDY. EMMA is a very beautiful slim Chinese honey with C Cups, beauty face, & nice services to drive you wild. Jenny has a medium build, nicely curvy with a slim waist, pretty face, and very flexible skills. Jenny will make you very happy. CINDY is slim
  47. SugarLoveSpa:
    Tuesday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: CHRISTINA, JENNY, KELLY & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York. CHRISTINA is Spanish, C Cups, 5'3", tall & nice curves, very open minded. KELLY is a young Singaporean lady, slim with C Cups & liberal skills. JENNY is a sweet & young Korean girl with C Cups. Very versatile services. TIFFANY
  48. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Angel ๐Ÿ’• Very beautiful girl from Taiwan, very curvy, young and sexy, she can provide a great massage and wonderful touch and super service. Angel is so sexy, especially her 34C breasts and her big juicy tight bum you can wors
  49. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Lucy ,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿฆต๐Ÿฆต๐Ÿ‘…๐Ÿ‘…๐Ÿ‘„๐Ÿ‘„๐Ÿˆต๏ธ๐Ÿˆต๏ธ
  50. Moneylee:
    full season wellness center: NewYoung girl big breasted beautiful buttocks charming temperament Cherry , Young girl big boobs beautiful face deep massage Anika ,Young beautiful face sexy body and good deep massage Selena ,Young girl big boobs beautiful face deep massage Bobo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿ‘…๐Ÿ‘…๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿฆต๐Ÿฆต
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