In this blog, we shall go over the key steps to follow to help your Achilles pain be gone for good.
Step 1: Understanding and Managing Tendon Overload
Achilles tendon injuries typically start in the “reactive” phase due to overload. This occurs when you place too much strain on your tendon. This can happen suddenly for example after an intense workout (like doing 200 box jumps in a CrossFit session) or from accumulated strain over time (such as increasing a basketball player’s training frequency).
Load Tolerance and Rest
When people hear “rest,” they often think it means completely avoiding the gym. Complete rest can be counterproductive for tendon injuries. Tendons follow the principle of “use it or lose it.” Completely resting can lower your tendon’s load tolerance and make future injuries more likely once you resume activity.
However, continuing to push through pain can worsen the injury and cause structural changes in the tendon. The key to recovery is balanced load management. Start by listing exercises that exacerbate your symptoms and those you can perform without pain. By identifying and modifying the movements causing pain, you can adjust your routine to aid the healing process.
Activities that heavily load the tendon for example jumping or sprinting should be temporarily replaced with low-impact exercises such as squats and deadlifts. As your tendon heals, gradually reintroduce the activities that previously caused discomfort.
Avoid Stretching the Achilles Tendon
Contrary to common belief, stretching the Achilles tendon should be avoided during rehabilitation. Stretching can increase compressive loads on the tendon, worsening pain. Instead, focus on improving ankle mobility with soft tissue mobilisation techniques for example in the clinic we use Active Release Techniques frequently to treat this issue.
Using Heel Raises
Heel raises in shoes can help manage certain types of Achilles tendinopathy by reducing tendon compression. While helpful for some, heel raises are not substitutes for proper strengthening exercises.
Step 2: Creating a Rehab Plan
Exercise is the best treatment for tendon pain. Strengthening the tendon and increasing its load-bearing capacity is key to recovery.
Phase 1: Isometric Exercises
Isometric exercises, where the muscle contracts without joint movement, are excellent for reducing pain and maintaining strength. Isometrics can help decrease pain for up to 45 minutes and improve strength. For Achilles tendon injuries, partial heel raises performed in a standing position can activate the calf muscles and load the tendon. Aim for 5 sets of 45-second holds, performed 2-3 times daily. Isometrics should be challenging, contracting the muscle at 70% of its maximum capacity. This will help restore the tendon’s load tolerance and prepare you for the next phase.
Phase 2: Strength Training with Isotonics
Tendinopathy rehabilitation aims to enhance the tendon’s ability to bear loads. After initial pain reduction with isometrics, progress to isotonic exercises involving eccentric and concentric muscle contractions. Exercises like standing calf raises and seated heel raises should target both the gastrocnemius and soleus muscles. Perform these exercises slowly and with heavy weights, focusing on good technique.
Additionally, introduce exercises that have some impact involved, such as box jump landings, to gradually reintroduce the tendon’s spring-like function. Begin with low-impact landings and progressively increase intensity as tolerated.
Phase 3: Plyometric Training
Before starting plyometrics test your strength with double-leg and single-leg heel raises and assess your ability to perform single-leg hops pain-free. The goal of this phase is to reintroduce the tendon’s role as a spring. Begin with double-leg pogo hops and short light running sessions, gradually increasing volume and intensity.
Start with two to three sessions per week, allowing for rest days in between. As you progress, incorporate higher-level plyometric activities like squat jumps, skipping and single-leg hops. Gradually increase frequency and intensity based on your tendon’s response.
Final Thoughts
The rehabilitation process for tendon injuries requires patience and careful progression. Listen to your body, make gradual adjustments, and seek professional guidance when needed.
Contact the clinic today on 0578678904 or book now.
When weight training, choosing the right shoe may help you break any personal records and improve performance.
When you go into the gym you will see a wide variety of shoes. From bright coloured Nike and Adidas shoes to old school Converses or Metcons and Nanos. This brings us to the point of this blog post, you would not pick a pair of rugby boots to go and play tennis. Shoes are built for set purposes and you should understand what your shoe can do for you and your training goals before you go to the gym to make sure you have the right one on.
Having A Stable Foot
Your foot is your foundation when performing any weightlifting movement. If your foot is not stable then you will not have a solid base to generate force and power for your movements. Even though your foot is very mobile it has the ability to be in a stable position by being in a neutral arched position. So your choice of footwear must integrate this foot position.
Barefoot Shoes
Firstly the barefoot shoe. These shoes provide the feeling of training barefoot but still offer some degree of support for your foot. The theory behind barefoot shoes is you are increasing the feedback your body is getting from the ground and also strengthening up the smaller muscles in your feet by making them work harder. Barefoot shoes also have a wide toe box and therefore allow your foot to have more space inside your shoe rather than being constricted. These are a good option for someone who wants to squat barefoot but has to wear shoes at their gym.
Flat Soled Shoes
If you compete in powerlifting, you will have seen some people rocking a pair of Chuck Taylors. They are terrible for running, but for squatting they are not too bad. The shoe has a 0mm drop from heel to forefoot. This is a big difference from a weightlifting shoe which can have a 20mm drop. If you have poor ankle mobility then these shoes will not offer you any help and if you have not fixed your ankle mobility before squatting or performing Olympic lifts then you may experience discomfort wearing these shoes and will not perform at your best. People who low bar squat may find these a good choice of shoe because you sit back into your hips more with this variation of squatting and therefore your knees will not have to move as far forward. A negative with these shoes is they have a narrow toe box meaning you will struggle to grip the floor as well.
Cross-Trainer Shoes
With CrossFit being a popular form of training, there is always going to be a shoe designed for that style of training. These shoes have good support at the heel and then a flexible forefoot design as well. The most common and popular kinds of cross-trainer shoes are Nike Metcons and Rebook Nanos.
They are both a good alternative to your normal running shoes and lifting shoes. Especially when you have a workout that combines all kinds of movements from box jumps, running, rowing machine and Olympic weightlifting. But if your goal is to just go for a run or just to squat and deadlift then these shoes are not the best option, they are built to be a good all-rounder.
Final Thoughts
When it comes to picking your shoe it should be chosen based on your personal goals. If you do have questions on what shoes might be best for you or issues with mobility when lifting and want to improve on this, then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Currently, people will do anything to compete and perform at their best. When it comes down to game day, it is common for people to try and ignore their pain and then push through it. This goes back to the phrase we have been told from when we were young of ‘No pain, no gain’.
In the world today, no pain, no gain is frequently said and acted upon to cover up pain. We wrap our ankles and wrists before games, wear knee sleeves and take pain killers and use creams to get through training by keeping the pain at a low enough level in order to perform. Although this allows us to compete on a consistent basis but these temporary solutions for dealing with pain during competition and even training sessions have become regular occurrences for people during their routines.
So what can be the effects of pushing through pain?
Pain tells us that there may be injury occurring to the body. The type of pain can vary from sharp, stabbing or throbbing sensation. Pain can be muscular or you could be feeling it in a joint. It often occurs due to overuse, poor technique and inflammation. It is important to note that pain does not improve because of a proper warm-up or mobility work pre-session.
This is because pain is not a soreness. Whereas muscle soreness will almost always improve when you have done a throughout warmup. When your muscles are sore this is a natural part of training. So if you have done a warm-up and your pain improves it is most likely because you are just sore and can continue with training.
There are a few reasons why phishing through pain can be harmful. Firstly as mentioned earlier, pain can be a warning sign of a problem being caused for your body, similar to a check engine light on your dashboard. Although there may be times of pushing through pain to get a performance in, if it becomes part of your training routine it can be detrimental to your body and your progress. Continually ignoring pain is when injuries occur.
Pain also changes the way you move. This is because your body is trying to find a position where it is protected. But this can also affect your movement and therefore directly limit your mobility and diminish your strength. This is especially true for gym-goers when using a barbell. Because trying to push through the pain when you are lifting heavy will limit your development.
So do not ignore the signs with your body when it is in pain. Learn to embrace pain as a chance to fix your body so it can run for a long time safely.
If you suffer from pain and would like an examination and treatment to help relieve your symptoms and improve your movement patterns then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
For or any athlete or gym-goer, the ability to move pain-free and being mobile on the field is key to performance. Whether you play rugby, football, hurling and weightlifting, these all require muscle strength, flexibility, proper body mechanics and technique to prevent injury and perform your best.
Preventing Pain and Injury
People who are training consistently for a sport or activity are more likely to be stiff and sore after training or a match. This is especially relevant for those who participate in contact sports like rugby. In the clinic, we have a wide range of treatment options, which will help target your muscles and joints to gain more flexibility and decrease painful movement. This can help decrease the risk of injury because it encourages flexibility and movement so you have a better range of motion to throw, catch and run.
Restore Function
Many sports require repetitive motion that can lead to overuse injuries. This is because you need consistent practice at a certain skill to achieve accuracy and distance. This means muscles around the arm and shoulder can become injured. If the muscles and joints can become painful and inflamed you will start to limit the movement to protect the sore joint. While rest is helpful for repetitive motion injury, in the clinic with techniques such as massage therapy can restore normal function, relieve muscle spasms and pain quickly.
Enhance Performance
In the clinic, we will do a full functional screen to see where the body is not moving efficiently and help recognise where we can help improve your movement to help your sports performance.
Treatment methods we use in the clinic are:
Chiropractic adjustments
Mobilisation
Active Release Technique (ART)
Dry needling
Diet advice
Dynamic Neuromuscular Stabilization (DNS)
Laser therapy
If you have niggle or feel tight in certain areas and want to get it sorted, then contact the clinic for a full functional assessment to see where your imbalances are. To do this contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Rugby is one of the most popular sports around today and is one of the toughest on the body. As many people who play rugby know, there are few areas of the body that can avoid getting hit or injured while playing because of how heavy of a contact sport it is. In this blog, we’re going to look at which injuries are the most common, and what actions you can take to avoid them.
Common injuries
It is common for players to get bruises or strains to the muscles when playing rugby. Almost half of rugby injuries are on the muscles but many can be avoided or prevented. So knowing the best ways to do this is crucial to your game management.
Another 25% of injuries are head injuries. With the main head injury being concussions.
Fractures are another common and more serious injury involved in rugby.
Also sprains such as ankle sprains (which are the most common) can occur at ligaments in various areas of the body for example the knee, shoulder and ankle
Risk factors?
Although the injuries mentioned above are the most common injuries in rugby, different people will be at risk in different ways. For example, children are more at risk of fractures than other age groups because bones still developing until you are in your 20’s.
Also, the role you play in the team has an effect on the risk of injury. Hookers and flankers are the most injured players on the team and put themselves in positions where they are more likely to get injured, this is especially relevant in tackling.
Injury prevention
So as we have covered there are many injuries you can pick up during rugby and it is common to think that this comes with the territory of playing the game. But you can reduce the risk of injury and therefore play more minutes on the pitch.
It has been shown that most rugby injuries take place right at the start of the season. This is because people have fallen out of their training routine and are suddenly going from 0 to 100 when returning to play. By doing this the muscles and ligaments are not fully prepared for being back and are at a greater risk of injury. The best thing to do in the offseason is to still train and keep your body at a good level of fitness so you are prepared for the return to the pitch.
Certain muscles and joints are at more risk of injury in certain positions. For example, backs are more likely to injure their knees because of being in a compromised position. If your body isn’t functioning correctly and is tight in certain areas then injuries are more likely to occur. This can occur because if you force the joints or muscles into positions they are not used to then they can be injured whereas if they were loose, mobile and stable, then they have less chance of injury. This is the area we focus on in the clinic. We do this by doing a full functional assessment and then explaining which areas of your body can be worked on to help improve performance and decrease the risk of injury.
If you want to know more about potential causes of injuries or get your pain sorted, then contact the clinic for a full functional assessment and treatment. Contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
With gyms opening up again and sports teams having training and matches, everyone will be getting much more active over the coming weeks. But after a long rest period, rushing back into training at full speed can cause an injury. So, if it is a casual round of golf or getting back into the gym here are some tips and advice to get performing safely.
Stretch
Before training, it is important to do a targeted warm-up before you start actively. This might not mean doing a 5-minute cycle before your gym session because instead, it will be beneficial to target to muscles you are training that day rather than just simply getting the heart rate up. For example, if you are going for a run you should focus on warming up your hips and legs. This can be done with exercises such as lunges and side shuffles. Then some hip mobilising exercises such as hip CARs which are attached below.
Fuel your body
Having the right food before a workout is vital to performing at a good intensity. This doesn’t mean consuming protein shake after protein shake but instead having a well-balanced meal before your workout and also throughout the day so you do not feel like you are crashing throughout the day.
Stay hydrated
Before and during your workout it is very important to stay hydrated. So if you know you will be training later you should make an effort to make sure you are hydrated before. You can also include natural electrolytes into your diet such as coconut water or pink Himalayan sea salt.
Be patient
After a long period of time off it is normal to have lost some of your strength or general physical fitness. So if you find it difficult to bench press what you used to or the number of reps has decreased don’t get discouraged. Set a goal to work to over the coming weeks and gradually increase your weights and sets. This will give you a great platform to get to where you were pre COVID and pugs beyond where you previously were.
If you have taken a break from the gym and you are feeling stiff or want to prevent a possible injury when you are back training then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
At the Lawlor Clinic we provide Chiropractic for all the family from newborn to old age. Many of the problems that patients present with as adults can be addressed in childhood and treated appropriately with Chiropractic care.
Some of the common conditions we deal with in the different demographics include:
A common condition we see frequently in the office is knee pain. In a lot of cases we can trace the pain in the knee back to a dysfunctional joint above or below it, unless you got a direct trauma to the knee itself.
This is largely because the ankle and the hip have far more range of motion and thus more risk for injury and dysfunction than the knee itself. The knees are hinge joints, which means they primarily move in flexion and extension, with a bit of rotation. The femur (thigh bone) sits on top of the tibia (shin bone), cushioned by the meniscus (cartilage) in-between the two. It’s all held together by a lot of strong ligaments, along with the muscles of the thigh and calf there to support as well. Here are 3 common factors:
1. Big toe dysfunction– this problem is more common than you would think. When the big toe gets stiff and loses movement, the body starts to compensate to try and get the same range. This leads to the ankle collapsing inwards and also the knee along with other problems further up the body. This inward collapse of the knee toward the other one is called a valgus stress- and you don’t want to have this!
2. Ankle mobility– limited motion, specifically dorsiflexion or lifting the ankle up towards the body, requires the knee to go more forward to make up the distance lacking at the ankle. Knees forward over the toes is another risk for injury. There is too much strain on the knee in that position and eventually something will give.
3. Glute activation-or lack there of. With our modern lifestyle we are sitting much more, which means the glutes are not getting worked as much as they should be. Specifically, weakness in the glute medius and other external rotators can predispose us to valgus stress at the knee…. which if you remember: you don’t want to have this!! Try these clam shells to get your glute muscles firing:
There are many other reasons why you may have knee pain, but these are some of the most common we see in the clinic. Instead of straining the knees with your movements, why not work on moving properly through the ankles and the hips to take the pressure off them and prevent future injuries? Want to get your knee pain assessed? Contact us today!
If you are a follower of the golf world, you probably have heard the latest news from the world’s number 1 golfer, Rory McIlroy. It is suspected that he damaged his anterior talofibular ligament (ATFL), while playing soccer. What golf fans are dying to know is, how long will it take him to come back from this? If it is confirmed to be a full rupture of the ligament, typically that takes somewhere between 8-12 weeks to recover from. But with the right treatment the process can be helped along. As Ireland’s leading golf injuries experts here are our top tips for recovery from such an injury:
Laser therapy -Why laser therapy? It helps speed recovery by stimulating the tissues to heal. We are one of the first in Ireland to have a Lite Cure Medical Class IV laser.
Rock Tape – kinesiotaping can be very beneficial for injuries, not only for decreasing swelling in the area, but providing support that does not restrict movement.
Joint mobility– we have all heard the saying, “use it or lose it”. This is especially true in the body. It has been shown that keeping joints moving after injuries actually helps them improve faster, by improving circulation in the area and maintaining range of motion.
ART® – Active Release Techniques ® can help to release tight muscles, ligaments, and joints in the area, improving range of motion and helping speed healing.
IASTM– Instrument assisted soft tissue mobilisation- helps to break down adhesions and scar tissue in the area and promotes proper healing of the injury.
Active Rehabilitation– tailored exercises can help keep the joint moving and strengthen surrounding muscles. One of the best exercises post ankle injury is balance work, to help regain proprioception in the joint.
Ice with compression- devices such as the Game Ready, can help with pain management as well as helping decrease swelling after an injury.
The ankle is such an important joint, especially for athletes. Any dysfunction here can lead to problems throughout the body, so proper treatment and rehab after injuries is vital. With the right approach it is possible to return from such an injury and get back to playing with minimal residual issues.
Contact us today to see if we can help with your recovery from injury.
Yours in Health,
The Lawlor Clinic
Chiropractic | Golf & Sports Injuries | Active Release Techniques (ART®)