ask mike reinold show

Latest Research on ACL and Achilles Repair Rehabilitation

On this episode of the #AskMikeReinold show we are at the annual ICCUS Society meeting with Phil Page, Mike Mullaney, and Lane Bailey discussing their latest research projects on ACL and Achilles repair rehabilitation. To view more episodes, subscribe, and ask your questions, go to https://mikereinold.com/askmikereinold.

 

#AskMikeReinold Episode 70: Latest Research on ACL and Achilles Repair Rehabilitation

Listen and Subscribe to Podcast

You can use the player below to listen to the podcast or subscribe. If you are enjoying the podcast, PLEASE click here to leave us a review in iTunes, it will really mean a lot to us. THANKS!

 

4 replies
  1. Mike M.
    Mike M. says:

    Achilles tenon: using the anatomy trains model, in my practice I have found that by mobilizing each muscular compartment before stretching reduces stress on Achilles’ tendon. Thought process was don’t stretch tendon, mobility of soft tissue must be done first. Mobilize superficial overall lower leg envelope, gastrocnemius and soleus envelope , mobilize the connective tissue between soleus and toe flexors and posterior tib. That region from calcaneous to the top of gastroc tendon is commonly dehydrated and stuck superficially to deep. If toes can’t flex and extend freely then that connective tissue is influencing gastroc/soleus compartment probably forcing the tendon to take on stress instead of transferring the stretch to the gastroc/soleus muscular connective tissue.
    So when I hear about these studies the summary information is top level and have no idea what’s taken into account.
    Just my 2cents

  2. Graeme Leverette
    Graeme Leverette says:

    Hi,
    I have a question regarding stretching and achilles repair. They made a comment that without stretching there would be a loss in end-range dorsiflexion ROM, and for the non-athlete this wouldn’t be a problem, however I find that most of these post-surgical patients just have pain or compensation with simple tasks such as walking due to their lack of dorsi-flexion. Therefore, my question is if there is actually a problem with elongation of the tissue? Does this result in a higher recurrence rate, or any future problems, or does this mean they happily have better dorsiflexion ROM (and therefore more comfort with daily activities requiring dorsiflexion). Without a doubt, this has encouraged me to add end-range strengthening, whether that be in the form of toe walking, or whatever other creative methods are out there.
    Thank you for the response, I would love to hear if there are in fact future injury concerns due to stretching.

    • Mike Reinold
      Mike Reinold says:

      The fear is that too much DF would be bad. I don’t think that the group was saying that losing DF is OK in non-athletes, I agree with you that may be bad. It’s losing a little end range ROM, but still being able to DF. But yes add end range strength!

Comments are closed.