[Aama-cases] Achilles Tendonitis Case

[Santoro, Michael A. M.D.]

Dr. Rosen,

On a non-acupuncture treatment modality, I've found the rehab method of
scraping to be useful for chronic tendonitis, such as plantar fasciitis,
lateral epicondylitis, etc., and think it could be helpful here.  There
are 2 competing methods, each of which use similar techniques (and a lot
like the gua-sha scraping we learned).  For information on the
techniques and pt/ot providers near you who do it, go to 
http://www.astym.com/ or
http://grastontechnique.com/grastontechnique/default.htm

Also, a localized PENS type treatment, using points which surround the
painful area (i.e. KI-3 to BL-59; BL-60 to KI-7), crossing leads,
running 15-30 Hz for 10 minutes, then 1 Hz for 10 minutes, can be
helpful.  You can also modify this technique by using the 2-needle PENS
technique right at the Achilles insertion into the os calcis.

Please feel free to call if you wish.

Michael A Santoro, MD, MPH, FACPM, DABMA
Occupational & Environmental Medicine, Medical Acupuncture
Medical Director, Midwest HealthStrategies, Muncie, IN
(765) 751-3302 direct/voicemail
(765) 281-8674 pager




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