Tom Willemann Health Tips

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Insertional Achilles Tendinopathy Eccentric Treatment Protocol

A quick update for patients with this type of tendinopathy using a eccentric treatment plan as described by the researcher Alfredson.  The success rate of this type of  eccentric treatment program is less successful typically for insertional tendinopathies as compared to mid-portion tendinopathies.  If you are not having success or are just starting with the traditional program it may benefit you to limit the range of motion at the ankle.  The starting position should be from the heel on  floor to a complete heel raise.  I would avoid a full heel drop as depicted in the pictures below.  A recent pilot study demonstrated greatly improved outcomes when limiting the ankle range of motion.  Generally, I will instruct patients that they should experience some  low level discomfort/pain during this training as described in the research in order to have improvements.  These programs can take up to 12 weeks for positive results.

Heel Raise Ending Position

Heel Raise Position to Avoid

Hopefully all our athletes and weekend warriors from surrounding Paramus and Ridgewood area can benefit from the slightly different approach!
 

Tom Willemann

Tom Willemann

Tom Willemann is a premier physical therapist based out of Bergen County, New Jersey. He holds an MS in physical therapy from the University of Miami, is credentialed in the world-renowned McKenzie Method of Mechanical Diagnosis and Therapy (MDT), and holds an OCS (Orthopedic Clinical Specialist) certification. As of 2018, there are approximately 14,000 ABPTS certified specialists in the nation and less than 400 of them are located in the state of New Jersey. Tom is the owner and director of Apex Orthopedic Rehabilitation in Paramus. He opened the clinic, which specializes in spine and sports injury prevention, in 2004 after many years of experience in the field. Tom’s caring interest in others and his strong belief in continuity of care, combined with his clinic’s ability to find solutions for the most difficult orthopedic problems, have earned Apex Orthopedic Rehabilitation its excellent reputation with patients and medical professionals in northeastern New Jersey and beyond. A true “family man,” Tom takes pride in his clinic’s warm and welcoming environment.
Tom Willemann

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