Is Dry Needling an Effective Treatment for Achilles Tendinopathy?

Achilles tendinopathy is a common and often frustrating injury that affects the Achilles tendon, which connects the calf muscles to the heel bone. Chronic hip pain, like Achilles tendinopathy, stems from underlying muscle imbalances. As more people look for effective ways to manage this condition, one treatment that has gained attention is dry needling therapy in Edmonton. But is dry needling an effective treatment for Achilles tendinopathy? Let’s get the details.

Understanding Achilles Tendinopathy

Achilles tendinopathy is characterized by pain, swelling, and stiffness in the Achilles tendon. This injury is typically caused by overuse in activities that repetitively stress the tendon, such as running, jumping, or intense physical training. It can also develop from sudden increases in physical activity, improper footwear, or biomechanical issues like flat feet or poor running technique.

Causes of Achilles Tendinopathy

Achilles tendinopathy is a condition that results from damage caused to the Achilles tendon, often due to biomechanical issues. Here’s a deeper look at some of the primary causes:

  • Overuse: Overuse is one of the most common causes of Achilles tendinopathy. This occurs when the Achilles tendon is subjected to repetitive stress, particularly in running, jumping, or other high-impact movements. The repeated loading and unloading of the tendon can lead to microtears in the tendon fibres. Over time, these microtears accumulate, leading to inflammation, pain, and tendinopathy if the tendon does not get enough time to heal between activities.
  • Sudden Increase in Activity: A sudden and significant increase in the intensity, duration, or frequency of physical activity can overwhelm the Achilles tendon. For example, someone who abruptly increases their running distance or starts a new exercise regimen without adequate preparation can strain the tendon. Like any other tissue, the Achilles tendon requires time to adapt to increased demands. Rapid changes in activity levels do not allow the tendon sufficient time to strengthen, making it more susceptible to injury.
  • Improper Footwear: Improper wearing shoes that do not provide adequate support can lead to Achilles tendinopathy. For instance, shoes with insufficient arch support, worn-out soles, or heels that are too high can alter the foot and ankle mechanics, putting undue stress on the Achilles tendon. Inappropriate footwear is a common issue among athletes and individuals who are on their feet for extended periods.
  • Aging: As we go on age, our tendons naturally lose elasticity and become stiffer. This makes them more prone to injury, including tendinopathy. The Achilles tendon, one of the most prominent and most used tendons in the body, is particularly susceptible to these age-related changes. The reduced flexibility and diminished ability to absorb impact forces can lead to tendinopathy development, even with previously well-tolerated activities.

Dry Needling: An Effective Approach Towards Tendon Pain

The dry needling technique involves inserting thin, sterile needles into specific areas of trigger points. These trigger points are often associated with tight bands of muscle fibres, which can contribute to pain and dysfunction. Although the dry needling technique is based on traditional Chinese principles, it is grounded in Western medicine and targets muscular and connective tissue issues.

Is Dry Needling Effective for Achilles Tendinopathy and How It Works

Dry needling in Edmonton is increasingly being recognized as an effective treatment for Achilles tendinopathy. Here’s how dry needling works to alleviate the symptoms of Achilles tendinopathy:

1. Release Muscle Tension

Dry needling can release muscle tension. When the needle is inserted into a trigger point or a tight area in the muscle, it can elicit a local twitch response—an involuntary contraction of the muscle fibres. This twitch helps to reset the muscle, leading to a reduction in tightness and tension. For individuals with Achilles tendinopathy, this release of tension in the calf muscles (such as the gastrocnemius and soleus) and the surrounding tissues can decrease the excessive strain on the Achilles tendon, thereby reducing pain and improving mobility.

2. Improve Blood Flow

The needle insertion during dry needling also increases local blood flow. This enhanced circulation is necessary for healing, as it brings oxygen and nutrients to the injured tissues while also aiding in removing metabolic waste products. Improved blood flow helps to reduce inflammation around the Achilles tendon, which is often a significant source of pain and discomfort in tendinopathy. By promoting better circulation, dry needling supports the body’s natural healing processes and accelerates recovery.

3. Stimulate Healing

Dry needling can also trigger a localized inflammatory response, which, although counterintuitive, is beneficial for healing. The minor trauma caused by the needle prompts the body to respond as if there is a new injury, releasing chemicals that promote tissue repair. This controlled inflammatory response helps to stimulate the production of new collagen fibres, essential for the Achilles tendon’s regeneration and strengthening. As a result, the tendon becomes more resilient and less prone to re-injury.

4. Pain Relief

Pain relief is the most immediate and noticeable benefit of dry needling for Achilles tendinopathy. The technique directly addresses the muscle tightness and dysfunction that contribute to the pain experienced in tendinopathy. By releasing trigger points, dry needling decreases the mechanical load on the Achilles tendon, reducing pain. Additionally, the enhanced blood flow and stimulation of healing processes contribute to longer-term pain reduction, allowing individuals to engage in rehabilitation exercises and activities with less discomfort.

Is Dry Needling Right for You?

Dry needling in Edmonton is a promising treatment option for Achilles tendinopathy, mainly when used as part of a holistic approach to recovery. Addressing the underlying muscle tightness and dysfunction can help reduce pain, improve mobility, and accelerate healing through IMS therapy in Edmonton. Contact  Next Step Physiotherapy if you’re struggling with Achilles tendinopathy or any other musculoskeletal issue. We’re here to help you take the next step towards a pain-free life.

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