283 Achilles Problem and Shockwave

If your Achilles “warms up” after a few minutes but keeps coming back, this episode explains why rest alone often fails—and how shockwave therapy plus the right loading plan can help you finally turn the corner.

Episode Summary

Does your heel feel stiff the first few steps in the morning… then loosen up… then ache again after training? That pattern is common with Achilles tendinopathy—a tendon problem that’s often more about tissue breakdown and slow healing than simple inflammation.

In this episode, you’ll learn what’s really happening inside the tendon, why icing/rest/anti-inflammatories can calm symptoms but not rebuild tissue, and why shockwave therapy has become a strong option for stubborn cases—especially when you’ve already tried the basics without lasting relief.

Read the companion article here:
https://drjustintrosclair.com/the-achilles-problem-that-rest-alone-wont-fix

What You’ll Learn

You’ll walk away knowing:

  • The difference between “tendinitis” and tendinopathy
  • Why Achilles pain often improves during movement… then returns later
  • Why rest can reduce pain but still not fix the tendon long-term
  • What shockwave therapy is (and what it isn’t)
  • The difference between mid-portion vs insertional Achilles tendinopathy (and why it matters)
  • A simple 3-step path to get back to running, hiking, work, and life

Key Takeaways (Quick Wins)

Most chronic Achilles pain isn’t just inflammation—it’s a tendon that needs the right signal to remodel. Shockwave can help restart the healing response, but the long-term win comes from pairing it with a smart, progressive reload plan so the tendon gets strong again without constant flare-ups.

Episode Timeline (Timestamps you can adjust)

 The “morning stiffness” story you might recognize
 What Achilles tendinopathy really is
 Why “rest only” often becomes months of frustration
 The big misconception: inflammation vs tissue change
 Why the Achilles heals slowly (blood supply matters)
What shockwave therapy does inside the tendon
 Who shockwave helps most (and realistic expectations)
 Mid-portion vs insertional: two common types
What a typical shockwave plan looks like (3–5 sessions)
The 3-step plan: assess → shockwave (if fit) → reload
 Next steps / scheduling info

Who This Episode Is For

This is for you if:

  • Your Achilles is stiff in the morning or after sitting
  • You feel better after warming up, but pain returns later
  • You’ve tried stretching, icing, rest, shoe changes, or “taking time off” and it keeps coming back
  • You want to avoid injections or surgery (if possible)

If you’re in Lafayette, Louisiana and Achilles pain has been limiting your activity—and standard conservative care hasn’t delivered lasting relief—call or text 337-453-5199 to schedule a consultation. We’ll help you figure out what type of Achilles issue you have and whether shockwave therapy is the right next step.

Resource Mentioned

Companion article: https://drjustintrosclair.com/the-achilles-problem-that-rest-alone-wont-fix

About the Author
Dr. Justin Trosclair, D.C., an expert in Chiropractic Care, has been focusing on back and neck pain relief for over 12 years and has delivered treatment to more than 6000 patients. With advanced training in treating disc derangement conditions, you can count on him to keep up to date with the latest research in physical medicine for spinal pain. He has 5 years of hospital experience in China, is currently working in Germany, and had a private practice in Colorado for 6 years. Dr. Trosclair hosts a doctor to doctor interview podcast called ‘A Doctor’s Perspective‘ with over 220 episodes. During his free time he wrote 3 books. Today’s Choices Tomorrow’s Health (rebooting health in 4 categories), a Do-It- Yourself acupressure book for 40 common conditions called Needle-less Acupuncture, and a step by step guide to look like a local for Chinese dinner culture called Chinese Business Dinner Culture. If you have kids, you may be interested in his 6 series tri-lingual animal coloring book series (english, spanish and chinese).