achilles tendonitis and scar tissue

Correctly address the origin both of inflammation and scar tissue,which is NOT in the tendon.

Where would the scar tissue be?

Do you recommend to look for the cause of the inflammation and not just treat the site of the pain?

Hi Stephanie,

I have a very bad case of achilles tendontitis as well. The only thing I can remember just before I strained it I had really bad cramps in my calves one day while training. My calf was still sore a few days later but didnt think anything of it. I kept training on the sore calf then a few sessions later it was full blown pain in the morning. I think my calves were not firing properly after the cramps and it may have caused my problem. I dont have time for therapy right now (kids/work/home stuff) But I cant really massage the painful area right now. It feels good but the next day it’s too sore. I think massaging the calf and and above the injured area helps me. Ice at the end of the day and maybe some asprins. Also be careful about the shoes you wear. make sure they dont cut into the insertion of the tendon too much. Hot shower helps in the morning. Kensio tape help a little too.

Sorry for the rambling :slight_smile: Just trying to help…

The scar tissue may be there,and methods which directly address it may help. Not so for what causes the scar tissue to be there first hand.

Yes. Otherwise the existing limitations now revealing themselves as an Achilles’ issue will keep on producing their outcomes,when not there somewhere else!

Yes. Otherwise the existing limitations now revealing themselves as an Achilles’ issue will keep on producing their outcomes,when not there somewhere else!

I could hear you say this before you wrote it :slight_smile:

(Whenever I now have a niggle, I know that it’s a ‘blessing’ to have, as I need to fix something else that will make me run faster and ‘free-er’. )

My mistake this time was changing up things too much when competition season approached, so some things become stronger and other things became weaker, while the mind went off track…

If I’m sprinting and feel my achilles, I just need to pump my arms more (and correctly), and the pain goes away.

Anyway… I still need to get rid of this scar tissue, as it’s there and won’t go away until I rub it away? (?? please correct), and in order to keep the niggle away afterwards, I’ll address the other issues?

The scar tissue is here:

Uploaded with
(I had an x-ray to cancel out the possibility of stress fracture, as doctors in Paris thought, but it wasn’t)

(p.s. thanks nycjay, of course you helped)

Pumping the arms faster increases feedback,and this is the reason you do not feel pain anymore. If there is need to increase feedback,then faulty feedback is coming from somewhere else,and that is where the injury cycle starts. Address that,get rid of the reason scar tissue is there,and the mechanichal stress will take care of the rest.
You may want to start taping your tib-fib ligament on your shin (right where the solid black line indicates “Achilles tendon” in the picture above) with non-elastic tape,to increase feedback from the soles of the feet,and see what changes you start noticing.
Keep the taping 8 hours daily for a couple of months during your daily activities and training. Make sure to replace it after taking showers and bathing.

I have been loving more and more, compression clothing. Long tights rule.
Perhaps 80% less issues now.

Interesting experience. Again,simply an increased feedback scenario.
It is also interesting to note how many products created for whatever claimed purposes end up providing at least some meaningful service simply by increasing general feedback to the brain,often (if not always) without the producers having any clue.
Now we may want to discuss if,and when such a scenario is desirable performance wise.

Perhaps relevant to discussions about feedback, pain, and the brain.

Interesting and well written article.
Pro soccer players love it.
Beyond all discussion we found it provides very low level feedback overall,and its use is generally limited by two huge factors:

  1. where to generate feedback from
  2. what kind of feedback is being generated

Take home message:everything creates a (sensory) feedback. The choice of the means by which it is generated,and its purposeful use are what makes a huge difference in the results (motor output).Knowledge of the intricacies of our brain-body connection and experience allow to choose the most appropriate and effective means to a desired end both in therapy and training.

An interesting starting point for further discussion may be observing how training has been always viewed,analyzed,and managed from an output (efferent) perspective,almost completely ignoring the input (afferent) side of the equation. Take for example neural fatigue:it is always linked to certain output characteristics (how,how often,and how intensely an output is produced),and never to input ones (lack of appropriate feedback for a given task).

I posted yesterday, but, nothing happened…
From what i have noticed, It helps to give you a slightly better feel, If all things being equal - the Compression pants allow you to feel what’s going on and allow you to hold slightly better posture, and hence, give you better stride mechanics, which give you better pace at a faster cadence (Talking distance running and Speed intervals) This better mechanics leads to Fewer Leg issues (as it should)
I feel without them, my mechanics is good, but just good. With the compression pants, the mechanics feel Better, but not yet perfect. It’s all improving, and is so much better than 12months ago.
I also notice i need to keep Magnesium up - helps me a lot (esp in warmer weather, it’s a very sweaty climate here)
Shoes make a huge difference - As my mechanics improve, my shoes last longer - but, once they have worn out, Lower Leg issues big time. Fixed within a few days (or sooner) upon new shoes being worn.
The combination of all Three, Magnesium, Good shoes and Compression wear leave my legs feeling better at age 35 than they did at age 21 (all throughout my 20’s really)

I still Foamroll - but, as the mechanics are getting better and better, the need to foamroll is becoming less and less. And the time spent on the foam per session is less. If the muscle is loose and long from the foamrolling - you get better Feedback during your next session, mechanics improves giving more positive feedback. I would rather Cut a running session and ensure Legs/hips/back etc are able to give me good feedback. Every time i (or you) run with tightness, one gets poor feedback. Is it worthwhile running just for the sake of running because your program calls for it? I would rather run with as good as a Feedback as i can, if that means NOT running, then i wont.

Hope that makes sence?

Tightness comes from lack of proper feedback first hand. What is tightness in the end? Shortened muscles. Why are muscles shortened? Because they are not receiving enough signal to re-lengthen. Foam rolls,tempo,long time being rubbed up and down on massage beds,adjustments may help filling the time gap,but the point is:if the system does not know and learn how to keep the signals up to the level of external demand , it will always protect itself somehow. At muscle level: shortening. No massage,no tempo,no adjustment,no day off neither contain nor can input proper and enough information.

Agreed. And the more we learn to perform our tasks Correctly, the less Shortening we create.
This takes time, and some respond quicker than others.
In the mean time, we do what we have to do to get to that Perfection.
Also - depending on event, and getting to that Point of perfection, we need to hold as perfect form as we can for as long as we can, but, often we will go further, and continue our task Past perfection and into a too deep of a fatigued state.

Charlie mentioned this a lot - Base your training on what you see happening to the person Today. You might think he can handle 500m of high speed work, but, If he starts slapping the floor, or droping his hips, or other such issues that change his form, It’s time to end the session, even if it’s only 300m of speed work. You may make up for the lack of volume in the weights room? or wherever, if you can.

I do the same with my clients. I get them to hold as perfect form as They can in the gym - once their form goes, i pull them out. Sure, they could knock out 3 more Forced Ugly reps, but, what are those ugly reps teaching them?

The hard thing with endurance running - is your fitness improves sooo much quicker than anything else. (does for me) and my legs lag behind a long way. Trying to find that right balance between volume (for fitness) and Recovery (for muscle feedback) is harder than it seems.

Sprinting from a coaching standpoint visually is much easier. You’re in the one area. Distance runs could be a 20km run!

I also have found, the Polar Rs800cx run, is a fantastic Feedback device. On a long run, Cadence and speed is vital. As you fatigue, cadence drops and speed can remain the same. The closer you can keep the two Paired the better. It reinforces positive feedback even as you tire

Sounds like you are training your aerobic system for one side of the equation only (to support the output,but not to recover from it). But this may well be a different discussion altogether!

No adjustment, no tempo, no day off…so what do we do then?

Train every day,sending the right information over and over,and making sure:

  1. neurologically, the system learns how to recover from it (muscle re-lengthening at muscular lever,which allows for proper CNS “recovery” and organism restoration)
  2. biologically, and from an energy systems point of view,to adequately train the recovery pathways ,not only the output ones.

These are only two options which come to my mind,just to answer your question.I am sure we could think and discuss of many more available options. Thinking of training rigidly and only in terms of constructs that may well prove themselves meaningless in the future such as those you mention above seems quite limited to me anyway.

I think you must have mis-read my post?
To make a long post short -
I train the system to handle the loads I present it with.
One part of the system can handle perhaps 140-160km/wk
But, half the system cannot
So - it’s a balanced act between training it enough to get a Fitness response, but the system Must recover from day to day.
A lot goes into, how to achieve this Recovery in the sessions.

What i don’t do
Is train my ass off, then purely do outside influences to recover from the said training.

The Training must recover itself

However - If one can do 20% more volume by implementing Other aspects of recovery, and still be recovered - then who is going to Win?
the doing xx amount within their means, or the one doing 20% within their means by adding in extra items that allow for extra recovery (all else being equal)

However, if one just Add’s in 20% more volume - without the Aids, then recovery will suffer, and you’re just training yourself into a hole, or injury etc.
With proper training, in maybe 6months time, I could do the 20% more volume anyways? And still be a positive environment

How this applies to this thread?
You need to find ways you’re training is causing issues. Or life is?
There are ways to make the volume, or intensity you’re doing right now more manageable and hence create less issues. And there are ways in your training that “may” need adjusting to create less issues. The trick is finding the Cause of the issues (volume, intensity, shoes, clothing, stress, technical, mechanical etc) and fixing it from there.