Achilles Tendinopathy with a prudent gentle exercises combined with shockwave therapy to stimulate the healing of the muscles and tendons continues to increase and heel raises loading

This tendon comprises of long collagen fibre bundles each bundle is cloaked by fine fascial sleeves for better gliding capacity. There are also elastic fibres, connective tissues but the problem is when Achilles tendon while it does not have its own the sheath it lies in the rather loose envelope of connective tissue. When the Achilles tendon is happy and healthy it has a high degree of stability and elasticity. Our happy healthy tendon are pre-tensioned like elastic rubber bands and in fact function like a catapult.

The elastic properties of a kangaroo tendon for example allow the animals to jump very far, much further than can be explained purely by the contract till force of the contractile elements of their legs.

It is no wonder that when our Achilles tendons become older and in fact they get stiff and sore and deteriorate we begin to lose our ability to walk comfortably run and jump.

In fact the Achilles tendon can struggle to heal properly and this can cause the Achilles tendon to sometimes spontaneously rupture even though we don’t feel much pain. Tendons have produced endless research because so many of our athletes depend on healthy tendons.

But all of us will know someone who is also his Achilles tendon has suddenly snap and one has to have either surgery or a boot and the process of rehabilitation takes six months to a year






Primer London 2015 Dr Robert-Jan de Vos0006






































This is one of the outstanding lecture presentations on Achilles tendon management.

These lecture notes have been put on the blog due to high demand

The shockwave therapy is used activate various biological cells and therefore the various exercises are more effective shockwave therapy also reduces the pain which means that the exercises are more comfortable

Do not do these exercises if you have severe tendon pain before you have seen a sports physician or your GP it is important to know that Achilles tendon have failed to repair properly and can rupture spontaneously.

This is only the tip of the iceberg in understanding tendon  health care.  Each person requires their own exercise and shockwave therapy is useful to reduce pain and increase tissue healing  If one is a runner or sports person it is essential to include biomechanics

Running gait analysis, comfy quality running shoes, orthotics, and the rehabilitation process has to be extremely well monitored there are many forms of exercise such as running and jumping which will in fact cause the tendon to fail to repair properly. The healing of a tendon requires good careful monitoring AND THE EXERCISES SHOULD BE RELATIVELY PAIN FREE







Edinburgh Osteopath Helen How has over twenty-eight years experience of treating patients at the How Osteopathic Clinic (Trinity Edinburgh). Registered Osteopath Helen combines the latest advances in osteopathy with a gentle patient-centred approach to diagnosis and treatment ensuring that osteopathic treatment at the How Clinic is suitable for a wide-range of conditions including; back pain, neck pain, shoulder pain, knee conditions Helen uses Video Clips exercises educational information and outcome which is sent to your computer smartphone or iphone if you wish Treatment at the How Osteopathic Clinic is tailored to the individual and where necessary uses a combination of osteopathic techniques including, Traditional Osteopathy, Cranial Osteopathy, Electrotherapy, Vibrotherapy and Sports Remedial Massage. The holistic approach to osteopathy at the How Osteopathic Clinic, in addition to a full one hour treatment sessions, is designed to alleviate symptoms rapidly and can often significantly reduce the number of osteopathic treatments required. One of the few Osteopaths in Edinburgh and in Britain who uses the unique, gentle fleximatic vibrotherapy or shockwave therapy massage equipment combined with traditional osteopathic techniques in order to to find, feel and palpate those hard fibrotic bands of muscles which accumulate over the years of prolonged sitting, Helen has attended conferences held throughout the country; Helen has been using Shockwave Therapy for over 3 years now for Patella Tendons , Achilles Tendons Plantar Fasciitis and Tendon pain Hips, Upper Proximal Hamstring tendinopathy along with rehabilitation loading Contact Helen How, Registered Osteopath, 14 Craighall Gardens, Edinburgh EH6 4RJ To make an appointment contact Helen on 131 551 1044 or Text /Call 07889304762