Tendonitis - Any advice to speed recovery?

[Mo Saycool]

I overdid it last Sunday on a charity bike ride and have ended up with what
I am pretty sure is a mild case of tendonitis in my right heel. I have
rested it as best I can since but there is still no improvement. I
appreciate I will need to arrange to see the doctor as soon as I can next
week, but I am unable to remain immobile until then. Has anyone got any tips
/ pervious experience they can share? Any pain relief that works well?
Should I try to strap my ankle or something?

 

[vernon levy]

"Mo Saycool" <steveATdarcyryanDOTfreeserveDOTcoDOTuk> wrote in message
news:[email protected]...
>I overdid it last Sunday on a charity bike ride and have ended up with what
>I am pretty sure is a mild case of tendonitis in my right heel. I have
>rested it as best I can since but there is still no improvement. I
>appreciate I will need to arrange to see the doctor as soon as I can next
>week, but I am unable to remain immobile until then. Has anyone got any
>tips / pervious experience they can share? Any pain relief that works well?
>Should I try to strap my ankle or something?

One of my colleagues has done something similar to you. He eventually went
to the A&E because, after ignoring the pain for nearly a week, the condition
worsened and his foot became very swollen and extremely painful. His
attempt at self-diagnosis i.e. 'it's nothing to worry about, I'll go to the
doctor if it get's worse', has led to him being unable to: ride a bike, walk
without considerable discomfort and being prescribed some
anti-inflammitories.

You might like to try some Ibuprofen. Supermarket own brands are
considerably cheaper than branded versions.
>
>

 

[Tony Raven]

Mo Saycool wrote:
> I overdid it last Sunday on a charity bike ride and have ended up with what
> I am pretty sure is a mild case of tendonitis in my right heel. I have
> rested it as best I can since but there is still no improvement. I
> appreciate I will need to arrange to see the doctor as soon as I can next
> week, but I am unable to remain immobile until then. Has anyone got any tips
> / pervious experience they can share? Any pain relief that works well?
> Should I try to strap my ankle or something?
>
>

http://orthopedics.about.com/cs/ankleproblems/a/achilles.htm

--
Tony

"The best way I know of to win an argument is to start by being in the
right."
- Lord Hailsham

 

[Helen Deborah Vecht]

Avoid *anything* that provokes the pain.
Elevate painful part as much as possible.
Consider higher heels.
Consider two-three days on maximum dose ibuprofen or similar.

--
Helen D. Vecht: [email protected]
Edgware.

 

[Ningi]

Mo Saycool wrote:
> I overdid it last Sunday on a charity bike ride and have ended up with what
> I am pretty sure is a mild case of tendonitis in my right heel. I have
> rested it as best I can since but there is still no improvement. I
> appreciate I will need to arrange to see the doctor as soon as I can next
> week, but I am unable to remain immobile until then. Has anyone got any tips
> / pervious experience they can share? Any pain relief that works well?
> Should I try to strap my ankle or something?
>
>

I've been afflicted by tendonitis (ITBS) for 18 months. The best
suggestion I can make is ice and Ibuprofen. Also, try and work out if
there's a root cause (pedal position, saddle height, shoe fit etc.) that
you can address to stop it reoccuring.

Pete

 

[Jim Price]

Helen Deborah Vecht wrote:
> Avoid *anything* that provokes the pain.
> Elevate painful part as much as possible.
> Consider higher heels.
> Consider two-three days on maximum dose ibuprofen or similar.

I'd love to know what is the maximum adult dosage for ibuprofen, as I've
had different figures given to me when in hospital compared to the
recommendations on the packet. The single pill they gave me in hospital
had more mg than the daily dose on the packet I have!

JimP
--
Let's think the unthinkable, let's do the undoable, let's prepare to
grapple with the ineffable itself, and see if we may not eff it after
all. - DNA

 

[Tony Raven]

Jim Price wrote:
>
> I'd love to know what is the maximum adult dosage for ibuprofen, as I've
> had different figures given to me when in hospital compared to the
> recommendations on the packet. The single pill they gave me in hospital
> had more mg than the daily dose on the packet I have!
>

The maximum allowable dosage under medical supervision will frequently
be much higher than for self administration for obvious reasons. An for
equally obvious reasons the self administration doses should not be
exceeded without medical supervision.

--
Tony

"Anyone who conducts an argument by appealing to authority is not using
his intelligence; he is just using his memory."
- Leonardo da Vinci

 

[Jim Price]

Tony Raven wrote:
> Jim Price wrote:
>>
>> I'd love to know what is the maximum adult dosage for ibuprofen, as
>> I've had different figures given to me when in hospital compared to
>> the recommendations on the packet. The single pill they gave me in
>> hospital had more mg than the daily dose on the packet I have!
>>
>
> The maximum allowable dosage under medical supervision will frequently
> be much higher than for self administration for obvious reasons. An for
> equally obvious reasons the self administration doses should not be
> exceeded without medical supervision.
>
The hospital in question didn't continue medical supervision after I had
left the hospital, approximately 5 minutes after being administered the
dose. They just said come back if the problem doesn't go away (it being
a case of eyestrain). I suspect they would prefer to remain nameless.
The big purple tablet worked a treat though.

JimP
--
Let's think the unthinkable, let's do the undoable, let's prepare to
grapple with the ineffable itself, and see if we may not eff it after
all. - DNA

 

[Ambrose Nankivell]

Jim Price wrote:
> Tony Raven wrote:
>> Jim Price wrote:
>>>
>>> I'd love to know what is the maximum adult dosage for ibuprofen, as
>>> I've had different figures given to me when in hospital compared to
>>> the recommendations on the packet. The single pill they gave me in
>>> hospital had more mg than the daily dose on the packet I have!
>>>
>>
>> The maximum allowable dosage under medical supervision will
>> frequently be much higher than for self administration for obvious
>> reasons. An for equally obvious reasons the self administration
>> doses should not be exceeded without medical supervision.
>>
> The hospital in question didn't continue medical supervision after I
> had left the hospital, approximately 5 minutes after being
> administered the dose. They just said come back if the problem
> doesn't go away (it being a case of eyestrain). I suspect they would
> prefer to remain nameless. The big purple tablet worked a treat
> though.

I can't see why the hospital should want to remain nameless, given that they
successfully and efficiently cured your problem, like what a GP would have.
--
Ambrose

 

[Tony Raven]

Jim Price wrote:
>
> The hospital in question didn't continue medical supervision after I had
> left the hospital, approximately 5 minutes after being administered the
> dose. They just said come back if the problem doesn't go away (it being
> a case of eyestrain). I suspect they would prefer to remain nameless.
> The big purple tablet worked a treat though.
>

It was given under medical supervision so they could assess your health,
medical conditions, body weight etc and it sounds like they gave you a
one off dose, not a course.

--
Tony

"Anyone who conducts an argument by appealing to authority is not using
his intelligence; he is just using his memory."
- Leonardo da Vinci

 

[Jim Price]

Ambrose Nankivell wrote:
> I can't see why the hospital should want to remain nameless, given that
> they successfully and efficiently cured your problem, like what a GP
> would have.

My suspicion was based on getting in and out without being able to
remember the name of the hospital. It only struck me later that I
couldn't name it. I'm not saying they do want to remain nameless,
because I don't know either way, it just seemed a little odd afterwards.

JimP
--
Let's think the unthinkable, let's do the undoable, let's prepare to
grapple with the ineffable itself, and see if we may not eff it after
all. - DNA

 

[Tony Raven]

Jim Price wrote:
>
> Thanks for that. I realised as soon as I hit send that I should have
> googled for it, but <python mode> I was in a hurry on my way to break my
> bath!
>
> It seems to fit with the dose I was given, but 2.4g in 24 hours is
> double what it says on my pack at home.
>

http://www.medicinenet.com/ibuprofen/article.htm says 3.2g a day when
directed by a doctor, otherwise 1.2g

--
Tony

"Anyone who conducts an argument by appealing to authority is not using
his intelligence; he is just using his memory."
- Leonardo da Vinci

 

[Ambrose Nankivell]

Jim Price wrote:
> Ambrose Nankivell wrote:
>> I can't see why the hospital should want to remain nameless, given
>> that they successfully and efficiently cured your problem, like what
>> a GP would have.
>
> My suspicion was based on getting in and out without being able to
> remember the name of the hospital. It only struck me later that I
> couldn't name it. I'm not saying they do want to remain nameless,
> because I don't know either way, it just seemed a little odd
> afterwards.

Not having signs does seem strange. Presumably it wasn't your local
hospital. If it is, then congratulations on not needing to have anything to
do with them or knowing anyone who does.

I'm fairly well known at my hospital. I'd rather not be.
--
Ambrose

 

[Tony Green]

Tony Raven wrote:
> Jim Price wrote:
>>
>> I'd love to know what is the maximum adult dosage for ibuprofen, as
>> I've had different figures given to me when in hospital compared to
>> the recommendations on the packet. The single pill they gave me in
>> hospital had more mg than the daily dose on the packet I have!
>>
>
> The maximum allowable dosage under medical supervision will frequently
> be much higher than for self administration for obvious reasons. An for
> equally obvious reasons the self administration doses should not be
> exceeded without medical supervision.
>
An example being someone like me who has a Hiatus Hernia. Anything more
than a small dose of Ibuprofen (or any other NSAID) can be very
unpleasant and potentially dangerous.

But before I developed it, there was one occasion when my GP prescribed
bloody-great doses.

--
Tony Green
http://www.beermad.org.uk

 

[Jim Price]

Tony Raven wrote:
> Jim Price wrote:
>>
>> Thanks for that. I realised as soon as I hit send that I should have
>> googled for it, but <python mode> I was in a hurry on my way to break
>> my bath!
>>
>> It seems to fit with the dose I was given, but 2.4g in 24 hours is
>> double what it says on my pack at home.
>>
>
> http://www.medicinenet.com/ibuprofen/article.htm says 3.2g a day when
> directed by a doctor, otherwise 1.2g
>
The site appears to be US-centric. Now I wonder what could be the
influencing factors on Americans needing higher maximum doses?

I see they got to your sig.

JimP

--
Let's think the unthinkable, let's do the undoable, let's prepare to
grapple with the ineffable itself, and see if we may not eff it after
all. - DNA

 

[Ambrose Nankivell]

Jim Price wrote:
> Tony Raven wrote:
>> Jim Price wrote:
>>>
>>> Thanks for that. I realised as soon as I hit send that I should have
>>> googled for it, but <python mode> I was in a hurry on my way to
>>> break my bath!
>>>
>>> It seems to fit with the dose I was given, but 2.4g in 24 hours is
>>> double what it says on my pack at home.
>>>
>>
>> http://www.medicinenet.com/ibuprofen/article.htm says 3.2g a day when
>> directed by a doctor, otherwise 1.2g
>>
> The site appears to be US-centric. Now I wonder what could be the
> influencing factors on Americans needing higher maximum doses?

They have vaguely different drug regulation authorities?
--
Ambrose

 

[Mo Saycool]

"Ningi" <[email protected]> wrote in message
news[email protected]...
> Mo Saycool wrote:
>> [snip]
>
> I've been afflicted by tendonitis (ITBS) for 18 months. The best
> suggestion I can make is ice and Ibuprofen. Also, try and work out if
> there's a root cause (pedal position, saddle height, shoe fit etc.) that
> you can address to stop it reoccuring.
>

Thanks for all the advice. Foot up on the arm of the sofa, ice, ibubrofen,
an ankle support and a few hours of the Giro have made a big difference
yesterday and I'll continue the regime today. I think the root cause could
potentially be crank length. I took delivery of a new bike just after Easter
which has 172.5mm cranks as opposed to the 170mm on my old bike. Seat height
is identical on both bikes and I have been using the same make / model
pedals (and therefore, same cleats and shoes) so that is the only difference
I can point to. I do have the ability to adjust the float so I will try that
first on my next outing after I am recovered, but if that doesn't work, then
it looks like a 170mm crankset is what I need.