1) effective stretch and strengthening regime for my achilles tendon.

2) An understanding of the POSE running technique

3) Going barefoot.

This article is how to sort your Tendinosis in 8 weeks

I began  using ice and , stretching,

Here are my two favourite stretches

the world famous tree pushing stretch

the not so world famous.. hold the top of your foot keep your knee straight and feel your calf being ripped off the bone, stretch

but I  also employed  "eccentric loading exercises" ( the lowering part of  a calf raise, for you body building type)

• Get the balls of your foot on a block or a step
• and use  both feet  (handsupport) to get you above the block.
• then lower down with the weight on the injured side.
• I found being on a staircase with a handrail helped me control the load.

Here is a handy "You Tube" clip

After that, it was  3 sets of 10 reps . How awful the pain is suggests the amount of load you can work with in the early stages.

This was inspired by some ideas from crossfitter Philip Holbrook ( and his physio) and this report….

Eccentric calf muscle training for the treatment of chronic achilles tendinosis

by Toros Tsermakian, Ioannis Mitsakis, Christos Lyrtzis, Ioannis Tsartsapakis,  Menelaos Mitsakis, Christos Papadopoulos,  and Georgios Nousios,  who sort of observed/discovered the following

• Overuse injuries involving the Achilles tendon are common, especially among runners.
• The majority of Achilles tendon overuse injuries occur in men,
• higher rate in middle-aged athletes than do most other overuse injuries.

So,  they studied the effect of eccentric calf muscle training in 18 athletes with chronic Achilles Tendinosis with a long duration of symptoms despite conventional nonsurgical treatment. Calf strength and the amount of pain during running was  measured before and after the study.

At the start of the trail,  all patients had Achilles tendon pain so sever that they could  not run. There was also   significantly lower  calf muscle strength on the injured side.

At the end of the study. Almost everyone was cured. It bloody well worked for me.

for a fuller report visit here http://www.jssm.org/suppls/11/posterpresentations.pdf

• In the early stages i used ice after the exercise to help with the swelling.

The following article has been reproduced by kind permission of the author, Matthew Barreau, who is a USATF Level II Certified Endurance Coach and highly respected.  It is an analysis of the phases of the running stride focused primarily on the action of the lower body. Included are details of running drills and their benefit as they relate to particular aspects of stride efficiency.

For more information, you can email Matthew on  riaarunnerboy@hotmail.com

THE 5 P’s of Running

There is no clear place to begin talking about the running stride, as the success of each phase is ultimately a product of how well the phase before it was performed. As will be explained later, I believe the recovery phase to be the most important of the running phases. Therefore, I will begin this discussion with the phase immediately following recovery, and build up to that crucial phase of form. That way, any errors in the recovery phase, being a product of things happening before it, will be able to be detected more easily.

I have separated the running stride into the Five “P’s”:

• Preparation
• Propulsion
• Push off
• Pull Through,
• Percussion

The first four are actual phases of the running stride, while the percussion is more of a tool of self-check.

Preparation

The preparation phase begins after the foot has swung down from its recovery phase position close to the upper thigh, and come into the position it will hold until impact with the ground. This will be described as the time when maximum knee lift has occurred (this depends on the speed of the run, where faster running means more leg lift). The foot should be in a dorsi-flexed position, with the mid to forefoot falling directly below the knee. As the knee is a support mechanism in running (detailed later), it makes sense that it should be directly above the contact with the ground as the time of impact. The dorsi-flexed foot will minimize absorption of running energy by the calf muscle. If the foot is plantar flexed, then as gravity pushes the body downward, the calf will be forced to lengthen in order to provide a push off role (see push off phase for more details). This eccentric contraction of the calf is extremely costly, as this type of contraction is the most straining on the body. Landing on the mid to forefoot will also minimize “braking” and trauma on other joints. By landing on the heel, impact forces are transferred up the legs, and can even reach the back.

After the leg has got into the position described above, it begins the downward swing to the ground. Muscularly this is caused by the extension of the hip muscles (glutes, upper hamstrings). Because of this extension, which will continue throughout the running motion, your foot will actually be moving backward upon impact. Therefore, you want the foot to land slightly in front of the center of mass (COM), so that by the time it becomes “useful” it will be directly under the COM , if not slightly behind. (The moment the foot touches the ground, it has merely made contact, and has not yet become a supporting mechanism. Since your body is travelling forward this entire time, the COM will move ahead of the foot strike by the time it becomes a supporter.) If the hip extensors are called into action while the foot is in front of the COM, then they are becoming active in simultaneously pulling and helping support the body’s weight, which is a great strain on the muscles and can eventually lead to great hamstring difficulties, including overuse injuries and premature tiring. Should the foot fall in front of the COM, a “braking” effect will occur. Tired quads can be a product of over striding, as it causes the quads to support the body’s vertical and horizontal components simultaneously. Conversely, if the foot should fall behind the COM by too much, an inefficient falling motion will occur.

The knee must be slightly bent upon impact. This will allow the mid to forefoot to position itself directly under the knee and the supporting system of the body. A straight leg will not only negate much of the lower legs power potential (quads), but it will also cause a greater strain on the hamstring and calf muscles when they are called into action to unbend the joint; moving any joint through a range of motion is significantly easier than the initial unbending of the joint itself.

Drills

Heel walks – By concentrating on keeping the toes off the ground, you are strengthening the anterior shin muscles. This will help in keeping the toes up just before the foot’s impact with the ground, minimizing “absorbing” by the calves.

Toe walks – This exercise strengthens the calves. These are mini-plyometrics, as each step produces a small bouncing motion. During the preparation phase, it is important to have strong calves to resist absorbing energy at the point of impact.

‘A’ mechanics- The focus of this drill is to bring the leg as quickly as possible to the position it will be in just before it begins descending toward the ground; the knee will be at its highest point, and the toe will be positioned directly beneath it.

‘B’ mechanics – From the ending position of ‘A’ mechanics (knee up, toe up and beneath the knee), this exercise is about bringing the leg down and backward (clawing action). The foot will make a “scuffing” sound while moving down and back upon contact with the ground

‘C’ mechanics – This is a range of motion exercise that mimics ‘A’ mechanics, but also includes repeating the motion with the knee pointing out to the side. This helps hip mobility, while maintaining ‘A’ form.

Propulsion

For the most efficient stride, all of the energy of motion must be direction in the motion of travel, which, in the case of running, is forward. Any alternative motions are merely wasted energy. The COM should remain at a constant height to eliminate the use of energy in any vertical component of forces. In analyzing the forces in the running stride, a vertical component is present due to the need to counter the forces of gravity. However, to be most efficient, the forces supplied by the body will be just enough to counter the gravity, and not superfluous to that; in other words, no net change in COM height.

The forward motion is caused primarily by hip extension. In order to maximize each stride, the range of motion of the hip must be adequate enough to allow for maximal hip extension. Obviously, the farther one can push with each step, the longer the stride will be (frequency and stride length are the primary components in overall running speed). If you merely extended your hip without changing the angle of your knee or ankle, you would lower your COM. So, while your hip extends, your knee must extend simultaneously, also. The ankle comes into play at the end of the stride, which will be examined in the next section.

Drills

Walk-through lunges – This motion exaggerates the propulsion phase. Catching the weight on the landing foot will help strengthen the glutes for support while running, and the walk through motion strengthens the glutes for their role in propulsion.

‘B’ mechanics – The benefit for this phase is merely a continuation of the last phase: in teaching the foot to be moving backward upon impact with the ground, the glutes will be able to provide more of a propulsion effort to the stride.

Push off

The push off phase is actually a continuation of the propulsion phase, but deserves special attention, as it can help determine whether you run forward faster, or run with more of a bounce in your stride. Seemingly more than any other phase, this final push off will be the cause of wasted energy. The two major components of the final push off are near-maximal knee extension and a plantar-flexion of the ankle joint. As previously described, the knee is primarily a height maintenance mechanism in running; as the hip extends, so must the knee. When the hip is at full extension, the knee has yet to completely extend. Hence, as there is no more extension of the hip, there is no need to further extend the knee. Doing so will only cause a greater vertical component to the running stride, and give the sensation of leaping or bounding with each stride, rather than running. As previously discussed, completely straightening the knee joint will require an undue stress on the hamstrings and calves in order to bend it for the recovery phase. Additionally, it will take more time to get the lower leg into the recovery phase, which will create more upper body twisting. Excessively tired quads can be a product of having too much of a vertical component in the running stride. The final aspect of the movement aspect of the running stride is the toe-off. After the hip has been fully extended, the ankle joint is the last chance to add horizontal movement and with it, length to the stride. And with virtually no added time cost to this toe-off, there is clear benefit to the motion. (I say virtually no added time because a small time component is present. For the toe-off to be a horizontal component, the leg must be as far back as possible. The timing of the toe-off also coincides with the beginning of the recovery phase [pull through] of the leg to minimize the extra time of contact on the ground.) To gain the greatest force from this toe-off, the principles of plyometrics must be heeded too: a loaded muscle will provide a greater response than an unloaded one. When the foot first strikes the ground, the added weight of the body on the calf muscle becomes the loading. If landing with the ankle in a plantar-flexed position, the loading will be too much and too slow, and the golgi tendon organ (responsible for muscle relaxation) will win out, canceling any potential load-fire coupling benefits. Additionally, any extra strain on the calf from the landing will tire the calf, naturally decreasing its potential to give back energy through the toe-off. Strong quads are then also important for a proper toe-off, as they will support much of the load of the body, leaving the calves available for propulsion rather than support.

Drills

Walk-through lunges – As you complete the walk-through portion of this drill, placing an emphasis on the extra push with the toes teaches the body to do the same during the running motion.

Toe walks – If done with a little bounce in the stride, the plyometric effect of this drill will give the calves extra strength for pushing off. It is important to focus on the quickness of the bouncing in order to desensitise the golgi tendon organ, which causes muscle relaxation. This would diminish the calves’ abilities to provide extra inches to stride length.

Pull Through

When training the body, it is said that increases in performance come during the recovery phase, rather than during the actual training session. The same principle can be applied to the running stride; the increases in stride efficiency will come from the recovery phase of the stride, or how fast you can get the leg through in order to begin the next preparation-propulsion-push off cycle.

The pattern of movement for the pull through phase can be classified simply by the pneumonic “heel up, toe up, knee up.” This, again, emphasizes the need for a toe-off motion in completing the propulsion phase of the stride. The “heel up” begins with the toe-off creating the heel to rise, and continues with the need to get the heel to the upper thigh as quickly as possible. This will shorten the lever that needs to be brought forward, creating a faster pull through phase.

The toe up and knee up basically occur at the same time (keep in mind that all three of these events happen nearly simultaneously, as the goal is to have them occur as quickly as possible). As the heel is being brought to the upper hamstring, the knee is already being driven forward. As the foot swings through, it is then dorsi-flexed (toe up), and placed in the position it will remain in until contact with the ground. This flexing of the anterior shin muscles also helps begin the flexing of the knee.

Bringing the knee up is almost a misnomer, as it gives the illusion that the goal is to create a vertical component of movement. However, the primary thought behind “knee up” is in allowing the lower leg a slight amount of extra time to fall down into position for the landing. In essence, this is merely a slight pause in the motion of the upper leg while the lower leg uncoils.

Drills

Carioca – The major action in this drill is the quick raising and lowering of the rear leg. The emphasis on quickness and raising the leg will greatly involve the hip flexors, which are the primary movers in the pull through phase.

Walk-through lunges – When beginning the walk-through motion, the pattern of movement mimics running. The need for getting the leg through quickly is important in this drill because if you do not you will fall; essentially the same as in running.

‘B’ mechanics – Especially when doing drills such as continuous fast leg, these drills can place an emphasis on leg recovery. To focus on the pull through phase, begin with the hip fully extended, and do heel up, toe up, knee up as quickly as possible.

‘A’ and ‘C’ mechanics – Both of these drills are involved with this phase of running because of their involvement with strengthening the hip flexor muscles. For best results, focus on quickness of hip flexion.

The reasoning behind bringing the leg as close to the body involves more than just creating a shorter lever for quicker movement. By bringing the lower leg up against the upper leg, the hip flexors (a traditionally weaker muscle) do not need to exert as much force during the pull through phase. Instead, the hamstrings help support the weight of the lower leg during this phase. Raising the leg higher will also make the legs less of a rotational force. Because of this, the upper body does not need to counteract as much rotary movement, allowing for a more forward-focused movement. A strong core will assist even more with this process, as it will provide additional inhibition of rotary movement through its stabilization properties.

Percussion

The final “P” of the running stride is percussion. This is merely a means of self-check in the absence of technical coaching and/or video equipment. Looking in a mirror does not provide great feedback, as a head-on mirror will reflect too small an image and not allow adequate time to get to a cruising speed (when a patterned stride occurs). A mirror on the side requires a turn of the head, which is not a natural part of the running stride, and will therefore provide inaccurate assessments of form. Energy cannot be created nor destroyed, it merely changes forms during its existence. One of these forms is movement, and another is sound. Optimally, while running, the goal is to put complete energy into movement. This, then leads to the assumption that the most efficient stride will also be the quietest (assuming all other things are equal). The sound produced by your feet hitting the ground is a transfer of energy your body is producing to the noise you hear, and is a result of the vertical component of force you place into the ground (and it conversely gives back to you). In a gravitational environment, some vertical component will always be necessary, so some sound will occur. The goal is to simply minimize it.

Drills

Running – From one thing evolves another, and such is the whole of the running motion. As running is a cyclical pattern, an error can compound itself many times over. Ultimately, the most basic test of form is the sound the foot makes with the ground. Any noise is a transfer of energy in a downward motion, rather than the forward motion of running.

Upper Body action

What to look for in a runner’s upper body:

• Minimal rotation of the upper body is the goal, so a strong core is necessary
• The abdominal and lower back muscles must be of sufficient strength to absorb as much rotational forces created by the lower body as possible
• The arms, shoulders, and neck should be in a relaxed state, to allow for a greater freedom of motion
• Tightness in one area of the stride has been known to affect other aspects of the stride, as everything is ultimately one interconnection motion
• Elbow angle will range from slightly less than 90° at its forward most point, to 90° as it passes the side of the body, to slightly more than 90° as it swings behind the body
• The range of motion will be greater and more forceful as the speed of running increases.
• The head should remain in a neutral position above the shoulders
• Overall, there should be a slight forward lean in the body to help utilise gravity’s forces to assist in the running process