Return of the a Achilles tendinitis

[flyfisher117]

I'm into this a year, my tendinitis is coming back and I don't know what to do.

March/April the doctor confirmed its Achilles tendinitis. The stretches the doctor gave me aren't helping. He didn't act like he believed I was doing them.
The stretches in the Mtn Tough app aren't helping. I can do everything they reccomend with zero pain. I have been doing their reccomended stretches and workouts all summer..

I essentially didn't do much this summer other than very light gym work and very minimal outdoor activities. I've been taking collagen, stretching, icing etc. I was starting to feel OK back in September. For what ever reason it's now starting to flair up again.

Is this something it would be beneficial to find a physical therapist for? Find a new doctor? Has anyone battled this and found a fix?

 

[Coach Chris]

What are you doing now that is irritating it?
Other than the modalities mentioned above what else have you done to strengthen your lower leg muscles?

 

[rickyw]

Is this something it would be beneficial to find a physical therapist for? Find a new doctor? Has anyone battled this and found a fix?

Dry needling of the lower soleus and Achilles tendon and manipulation of the talus. If they lack ankle stability due to a history of sprains then they may need some proprioceptive rehab. Typically a mixture of these approaches works quite well as long as the clinician has good hands and knows how to go about things