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YOUR HEALTHY LIFESTYLE 

Active people

Achilles Tendonitis  December 2007
Staff Highlight 
 
Carman Wong
BSc Biol, BSc PT

Carman is a graduate from the University of British Columbia with his Bachelor of Science in Physiotherapy. He has been with Nose Creek Sport Physical Therapy Clinic since 2004.  He has completed many postgraduate studies and plans to complete his intermediate certificate in orthopedic and manipulative therapy in 2008.  He has a clinical interest in neck, shoulder and motor vehicle accident related injuries.

 

In 2006/07 he was in Beijing, China, city of the 2008 Summer Olympics, where he studied Chinese at Beijing Normal University and worked at the International SOS medical clinic.  He gained extensive experience there working with the expatriate and local community in Beijing.  He has a working knowledge of Cantonese and Mandarin Chinese and has treated many members of the Chinese community here in Calgary.  Carman is passionate about his team sports, which include soccer, volleyball, ultimate Frisbee, and hockey.

 

Welcome to Your Healthy Lifestyle.  This is a complimentary monthly e-zine that focuses on injury prevention and general health tips.  We hope you find it both informative and helpful.   You will find even more helpful resources on the Nose Creek website.

Enjoy and we look forward to your feedback

Merry Christmas and Happy New Year

From all the staff at Nose Creek Sport Physical Therapy

Achilles Tendonosis
By Carman
 

In the past I have treated quite a few soccer and other field sport players, whether competitive or recreational, who have come in to have their ankle pain treated.  This is not surprising as there is a lot of accelerating, decelerating, stopping, cutting and pivoting in these sports, often leading to ankle sprains and strains.  Aside from common ankle sprains, there are those ever lingering, recurrent pains at the back of the ankle; one condition commonly causing these pains is Achilles tendonosis.

 

The Achilles tendon at the back of your lower leg attaching to your heel is the biggest tendon in the body.  Inflammation or micro tearing of the tendon leads to a weakened tendon, causing a person to experience recurrent pains that never seem to go away.  Often there will be complaints of tenderness to touch, commonly 2-6 cm from the heel; redness, swelling and stiffness, thickening of the tendon in the back of the ankle; pain with repeated toe pointing, or standing up on the toes; stretching the calf muscles; pain with jumping, accelerating and stopping abruptly when running. 

 

 
 

How is this condition caused?  Causes can include a one time injury of a sudden push off or stop from the ankle, or landing from a jump and a feeling of sharp pain, and sometimes hearing a "pop or snap."  It can also be caused by repetitive overstretching and over training in running and jumping activities.  Previous multiple ankle sprains can cause ankle joint laxity and biomechanical problems in the ankle, leading to excessive strain on the tendon and subsequent tendonosis.

 

How can it be treated?  Inflammation should be initially treated with icing, rest, and modification of activities.  Taping and proper footwear can also help prevent the injury from getting worse.  The tendon then needs to be progressively stretched and strengthened so that it can be strong enough to withstand the forces put on it in running, jumping, etc.  If it is not fully strengthened, it will re-tear and be inflamed, causing a recurrent problem.  Full recovery can take anywhere from 6-16 weeks, depending how early treated and the severity.  If you have this problem definitely give us a call and come in so we can help you get back to playing faster!

Sports Nutrition

 

By Andrea Holwegner BSc, RD

President & Registered Dietitian

Health Stand Nutrition Consulting Inc.

We offer individual nutrition counseling, conference keynotes, workshops and more!

 

Website:  www.healthstandnutrition.com

Phone:  (403) 262-3466

Address:  1325a-9th Avenue SE  Calgary, AB  T2G OT2

 

Visit Andrea's website and subscribe to the FREE monthly "Sound Bites" newsletter to receive the latest nutrition tips, healthy recipes and more!

 

Nutrition Before Exercise or Sport Training

Here are some ideas to get you fuelled and ready to go before going for a workout or training for your sport.

 

Choose Foods High in Carbohydrates

· Carbohydrates are digested quickly so they won't be sitting in your stomach for a long time.

· Carbohydrates top up your energy since they are the major fuel for your muscles.

· Carbohydrates are found in fruits, vegetables, breads, cereals, and grains such as pasta and rice. Milk products also supply some carbohydrate.

 

Choose Foods Low in Protein and Fat

· Protein and fat are digested slowly and may make you feel sluggish and nauseated if you eat them to close to when you will be exercising. Save protein rich foods for after exercise.

· Protein and fat are found in fast foods, chips, meats, pastries etc.

 

Choose Foods Low in Fibre

· Fibre is digested slowly and may cause cramping and lead to a bathroom break during exercise. Save higher fibre foods for after exercise.

· High fibre foods include bran muffins, beans, and high-fibre cereals.

 

Eat 2-4 hours before exercise or sport training

· If you are consuming a meal or foods that contain protein, fat, or fibre you will need 2-4 hours to facilitate digestion so you can feel your best during exercise.

· Some people may be able to eat <2 hours before exercise. Choose smaller amounts of food the closer you get to exercise. Choose mostly carbohydrate rich foods the closer you get to exercise.

 

Experiment during training and don't try anything new before a competition!

· Different foods are successful for different people. The timing, type, and amount of food you should eat are highly variable.

 

Test out tolerance to fructose and lactose containing foods:

· Although many people can consume milk products before exercise, some people have difficulty digesting the lactose found in milk products.

· Although rare, some people get cramps during exercise after eating fructose containing foods (the main sugar found in fruit).

 

Liquid Assets

· If you are NOT consuming food, drink a sports drink that contains electrolytes (sodium, potassium etc.) to help you retain water. Alternatively drink plain water with food because food contains electrolytes to help you retain water.

· Drink 1 cup of fluid 2 hours before exercise, then 1 cup of fluid 30-40 min. before exercise.

 

Ideas to get you started:

· Fruit smoothie in the blender with milk, yogurt, banana, berries

· 100% unsweetened juice box, sports bar

· Hot/cold cereal, milk, dried fruit

· Instant breakfast shake

· Pasta, tomato sauce, salad

· Sports drink, high carbohydrate energy bar, yogurt

· Bagel, jam, chocolate milk, veggies

· Toast, honey, apple sauce

· Low fat muffin, milk, fruit

 Gift Certificates

Massage Gift Certificates are available for half hour or full 1 hour sessions. The gift of massage offers therapeutic trigger point release, relaxation of muscular tension, and improved body function through increased circulation. A great alternative gift idea.  After all who doesn't need a massage?

Running Evaluation Gift Certificates are a suitable gift for the competitive runner and for the person looking to improve their fitness level. Benefits include correcting muscle imbalances and running style, the opportunity to learn about prevention and also to learn injury specific exercises and running drills to help you run your best.

Give the gift of good health!