Natural Healing and Recovery: Shockwave Therapy for Achilles Tendonitis

Achilles tendonitis is a painful and often limiting condition affecting the Achilles tendon, essential for movements like walking and running. When the tendon becomes inflamed, activities as basic as walking or climbing stairs can lead to discomfort and stiffness around the heel. While traditional treatments such as rest, stretching, and exercise are the cornerstones of treatment, shockwave therapy can offer an innovative approach that helps support the  treatment of  this often challenging condition.  In this blog, we will discuss the benefits of shockwave therapy for Achilles tendonitis treatment, what you can expect during a typical treatment session, and lifestyle changes that can help you manage this painful condition.

Understanding Achilles Tendonitis

The term achilles tendonitis only tells part of what is going on with your tendon. The more accurate term for tendon injuries is tendinopathy. Tendinopathy is a general term that refers to a range of injuries to a tendon, the fibrous connective tissue that attaches muscle to bone.

There is a continuum model dependent on the inflammation and distribution of disorganization of the tendon. It is important to understand what stage the tendon is at as it will affect the treatment prescribed. 

Achilles tendinopathy is thought to be caused by repetitive stress and micro-trauma to the tendon as a result of a sudden increase in loading activities. A weakened or deconditioned tendon can be more easily injured.

Often the sequela of tendon pathology initially is inflammation of the Achilles tendon after an overuse or sudden strain that has irritated the tendon, leading to pain, stiffness, and swelling near the heel. The tendon which connects the calf muscles to the heel bone and is essential for movements like walking, running, and jumping. The tendon can get irritated where it attaches to the heel bone (calcaneus) or in the mid section of the tendon. This condition is common in runners and athletes, and can make activities like walking or climbing stairs and the first step of the day uncomfortable and limit flexibility in the foot.

Without treatment, Achilles tendonitis can worsen and potentially lead to chronic pain or more severe issues, such as tendon tears. Early interventions like rest, stretching, and physiotherapy are helpful, but those with ongoing symptoms may find relief through advanced treatments, including shockwave therapy.

What is Shockwave Therapy?

Shockwave therapy is a non-invasive treatment that uses sound waves to stimulate the body’s natural healing processes. These high-energy sound waves are delivered directly to the affected area, helping to break down scar tissue, increase blood flow, and reduce inflammation in the tendon. It has been widely used to treat various musculoskeletal conditions, including plantar fasciitis, tennis elbow, and, increasingly, Achilles tendonitis.

The treatment works by targeting damaged tissues, encouraging the body to regenerate healthy cells and accelerate healing. Shockwave therapy is typically used as a complementary procedure to other treatments, making it convenient and accessible for those looking to manage pain and speed up recovery. 

Benefits of Shockwave Therapy for People with Achilles Tendonitis

Shockwave therapy offers several benefits for individuals struggling with Achilles tendonitis. This treatment option stands out because it not only addresses pain but also promotes healing at a cellular level, providing long-term relief. Here’s how it benefits those with Achilles tendonitis:

• Pain Relief: One of the most immediate benefits of shockwave therapy is pain reduction. The treatment stimulates nerves and reduces sensitivity in the affected area, helping to alleviate pain.
• Improved Blood Circulation: Shockwave therapy increases blood flow to the Achilles tendon, which is essential for delivering nutrients and oxygen to damaged tissues. Enhanced circulation supports faster healing and reduces inflammation in the tendon.
• Breakdown of Scar Tissue: Chronic Achilles tendonitis often leads to scar tissue buildup in the tendon, which can impede healing and cause stiffness. Shockwave therapy helps break down scar tissue, allowing the tendon to regain flexibility and function more efficiently.
• Stimulation of Collagen Production: Collagen is a protein that plays a critical role in tendon health and repair. Shockwave therapy encourages the production of collagen, strengthening the tendon and supporting the repair of damaged tissue.
• Reduced Inflammation: Achilles tendonitis is often associated with inflammation, which can worsen pain and prolong healing time. Shockwave therapy has anti-inflammatory effects, helping to reduce swelling and create an environment conducive to recovery.

Research has shown that shockwave therapy can be particularly effective for chronic cases of Achilles tendonitis that haven’t responded well to other treatments. By addressing both the symptoms and the underlying causes of the condition, shockwave therapy offers a comprehensive approach to healing.

Shockwave Therapy Sessions: What to Expect

Understanding what to expect during a shockwave therapy session can help you feel more comfortable and prepared for the treatment.Here’s an overview of what a typical session involves:

• Preparation and Assessment: Your physiotherapist will begin by assessing your Achilles tendon and discussing any symptoms you’re experiencing. They will ask about your medical history, the onset of symptoms, and any treatments you’ve tried previously.
• Application of Gel: To ensure effective transmission of sound waves, a specialized gel is applied to the treatment area. This gel minimizes friction and enhances the efficiency of the sound waves as they enter the tissue.
• Shockwave Delivery: Using a handheld device, the physiotherapist will deliver controlled shockwaves to the Achilles tendon. The intensity and frequency of the waves can be adjusted to suit your comfort level and therapeutic needs. While the sensation may feel unusual, it is generally well-tolerated. Some individuals report feeling mild discomfort, which usually subsides quickly after the session.
• Post-Treatment Guidance: After the session, your physiotherapist will advise you on how much to load the tendon depending on the stage of the healing, pain and sensitivity. 

People often experience some improvement in pain and mobility after a few sessions, but the full benefits of shockwave therapy typically become apparent after several weeks as the body continues to heal. Most treatment plans involve weekly sessions over a period of three to six weeks, depending on the severity of the tendonitis and the individual’s response to therapy.

How Long Does it Take to See Results from Shockwave Therapy?

The timeline for experiencing results with shockwave therapy can vary based on the severity of Achilles tendonitis and how well your body responds to treatment. Many individuals notice an improvement in pain levels after just a few sessions. However, since shockwave therapy stimulates cellular healing, it may take several weeks for the full benefits to become evident.

For those with chronic Achilles tendonitis, gradual improvements in flexibility, mobility, and pain relief are typically observed as the body continues to repair itself. Commitment to the full course of treatment sessions is important to achieve optimal results. By combining shockwave therapy with recommended exercises and lifestyle adjustments, people often achieve long-lasting relief and improved tendon function.

Potential Side Effects of Shockwave Therapy

Shockwave therapy is considered a safe and non-invasive treatment option, especially when compared to surgical alternatives for chronic Achilles tendonitis. However, as with any medical treatment, some mild side effects can occur. The most common side effects include mild discomfort during the treatment, as well as temporary redness, swelling, or bruising around the treatment area. These side effects are generally short-lived and tend to resolve within a few hours to days after the session.

Some individuals may experience mild soreness in the treated area, similar to the sensation after a deep tissue massage. This soreness typically subsides within a day or two and is part of the body’s natural healing response to the therapy. Shockwave therapy should be performed by a qualified professional who can adjust the intensity of the treatment according to your comfort level and therapeutic needs, ensuring minimal discomfort and risk.

In rare cases, individuals with specific medical conditions—such as blood clotting disorders or those who are pregnant—may be advised to avoid shockwave therapy. It is essential to discuss your medical history with your physiotherapist before starting treatment to ensure that shockwave therapy is appropriate and safe for you.

Managing Achilles Tendonitis: Essential Lifestyle Changes

In addition to shockwave therapy, adopting certain lifestyle changes can help manage Achilles tendonitis effectively and support long-term recovery. Here are some key adjustments to consider:

• Gradual Reintroduction of Physical Activity: While your tendon heals, avoid high-impact exercises like running or jumping. Low-impact activities, such as swimming or cycling, maintain fitness without straining the Achilles tendon. Gradually reintroduce higher-impact activities once the tendon is stronger, following guidance from your physiotherapist.
• Supportive Footwear: Wearing shoes with proper heel cushioning and arch support helps reduce tension on the Achilles tendon. For those on their feet for extended periods, good footwear can greatly improve comfort and prevent further tendon irritation.
• Calf Stretches and Strengthening Exercises: Regular stretching and strengthening of the calf muscles help alleviate strain on the Achilles tendon. Simple exercises like calf stretches and heel drops improve flexibility and tendon resilience, supporting recovery and preventing future issues.
• Attention to Body Mechanics: Practicing good posture and maintaining proper body alignment during daily activities reduces unnecessary strain on the Achilles tendon. Avoid leaning forward excessively when standing or walking, and aim to keep a neutral spine.
• Gradual Increase in Activity Levels: Avoid abrupt increases in workout intensity or volume, which can strain the Achilles tendon. Gradually build up intensity over time, allowing your body to adapt naturally to new levels of activity.

Incorporating these lifestyle changes alongside professional treatments like shockwave therapy can significantly improve recovery outcomes for Achilles tendonitis, providing a comprehensive approach to long-term tendon health.

Walk With Confidence Again

If Achilles tendonitis pain is holding you back, shockwave therapy may be the solution you need to regain movement and comfort. This advanced treatment not only provides relief but also supports long-term healing and tissue recovery. 

The team at Avenue Physio in Calgary Downtown can help you return to your active lifestyle and experience lasting relief from Achilles tendon pain. Contact us today and take the first step toward a healthier, pain-free future!