There are two distinct types of Achilles tendinitis—mid-substance and insertional—that require different treatment approaches; mid-substance tendinitis responds well to eccentric heel drops, while insertional tendinitis can be worsened by the same exercises, making proper diagnosis essential for effective rehabilitation.
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2 Types of Achilles tendinitis: don't confuse them | PodiatristAjouté :
There are two types of Achilles tendinitis. Treating one the same as the other can actually make [music] it worse. The first is mid-substance.
This responds well to eccentric heel drops, controlled lowering over the edge of a step.
Most physical therapy is designed for this one. The second is insertional. The exercises that fix mid-substance can actually inflame insertional tendinitis.
Drops below neutral are a no-go. Save this for your next PT session.
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