Just a thought - has he had in depth blood tests for connective tissue
diseases?
Lynda
>From: gmarks <[log in to unmask]>
>Reply-To: [log in to unmask]
>To: [log in to unmask]
>Subject: Achilles Tendonitis - chronic management
>Date: Sun, 2 Apr 2000 23:05:02 +0200
>
>Dear List
>
>Please could someone kindly advise on further management
>for a 10 year old boy with chronic bilateral achilles tendonitis.
>An active child, in swimming, tennis and rugby teams.
>The pain is situated mid tendon up to musculotendonous junction,
>and radiating down to tedon bone insertion when pain is severe.
>Most of his sport involvement has stopped due to the pain during,
>or, primarily the pain after playing sport.
>On palpation the tendon is slightly thickened.
>He has received treatment, in the form of ultra-sound, gastroc stretches
>(slow)
>and soleus
>stretches, (slow). Eccentric muscle control was worked on with body weight
>only.
>The pain remains, please could you give alternative managmemt ideas.
>With many thanks indeed.
>
>Sincerely Gillian MArks
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