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Eccentric Calf Muscle Training - The Story

2010; Thieme Medical Publishers (Germany); Volume: 24; Issue: 04 Linguagem: Inglês

10.1055/s-0029-1245824

1439-1236

H. Alfredson,

Orthopedic Surgery and Rehabilitation

This started 1995. Myself I was a recreational runner, who gradually started to get midportion Achilles tendon pain. I tried rest and alternative training for 3 – 4 months without effect on the painful condition. My friend the radiologist Dr Lars Öhberg had a look with the ultrasound machine, and this showed a thickened midportion (11 mm) with structural abnormalities located on the ventral side of the tendon. At that time I was responsible for the tendon treatments at our clinic, and we treated patients with this condition with open surgery (central longitudinal tenotomy, excision of macroscopically abnormal tendon tissue), followed by immobilization in a cast for 6 weeks and althogether a 4 – 6 months rehabilitation period. I went to talk to my boss, Professor Ronny Lorentzon, about him operating me in my Achilles. He looked at me like I was telling him a joke and said, forget it, you have yourself in a recent study shown that it takes about 4 – 6 months to recover from surgery, and there will be a period with sick leave. We have many patients on our waiting list and cannot afford to have you on sick leave. I went away, being very disappointed and a little angry.