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How to test calf strength (plantarflexors) and it's relevance to Achilles tendons and sport.
A thread🧵
Achilles Tendons retweeted
WE’RE RECRUITING Associates @Chews_Health (for the first time in 8 years!)
Chews Health HQ · Timperley, Manchester, WA15 7LU
MSK Associate · Self employed · Flexible hours
Full Advert Attached here: facebook.com/share/r/1BZYnn8…
Application link here: docs.google.com/forms/d/e/1F…
Achilles Tendons retweeted
Replying to @Seth0Neill @SBP_Physio @LinzyWolloff @kgSilbernagel @rj_devos @TendonGlasgow @KimHebertLosier @JitMangwani @UofLSoH @UoL_HC_Research @LLHRGroup
Well done Sam, apologies Dr Samuel Briggs-Price. Excellent body of work into the challenges that patients and clinicians face when treating Achilles tendon ruptures. Thanks for the opportunity to read, review and examine Sam’s thesis @Seth0Neill he did you proud
Achilles Tendons retweeted
Replying to @Seth0Neill @SBP_Physio @pdkirwan @kgSilbernagel @rj_devos @TendonGlasgow @KimHebertLosier @JitMangwani @UofLSoH @UoL_HC_Research @LLHRGroup
Sam did a great job. It was an absolute pleasure to examine his thesis
Well, 3.5 years later and I can formally congratulate Dr Sam Briggs-Price @SBP_Physio on completing this PhD! A great contribution to #ATR #Achilles #Tendon #Rupture work. Thank you to his opponents @pdkirwan and @LinzyWolloff
Is anyone interested in a #PhD into #achilles #tendon #ruptures #ATR With myself here at @uniofleicester
Working with a superb team in @kgSilbernagel @Bill_Vicenzino
@TendonGlasgow and @rj_devos
And some of our foot and ankle surgeons #BOFAS
le.ac.uk/study/research-degr…
Achilles Tendons retweeted
It is easy to see that "active recovery" is not going to produce a faster rate of post-workout recovery when we have a clearly described physiological model of fatigue. The active recovery workout will only ever add more fatigue on top of the pre-existing fatigue.
Achilles Tendons retweeted
Just musing about the educational landscape and the margins being blurred by AI
Of course, i acknowledge AI has endless benefits and applications in medicine - exciting times and a new frontier
That aside, in the process of writing my books, i wanted them to reflect my personality and pseudo-irreverence and i’ve deliberately - belligerently - avoided artificial help.
I want them to retain a human element and be authentic - which is crucial if you’re trying to represent knowledge gleaned at the ‘MSK coalface’ - and also make them readable and accessible (tolerable!😆)
At present i don’t feel this is achievable with AI ‘assistance’ (interference?)
Lots of clinicians have contributed variably philosophical, academic, poignant, soapbox esque reflections…. and i know immediately which of these have been AI assisted. And that’s ok. I get it. People are busy busy.
Expanding on this, i’ve spent many hours hand drawing numerous figures and images (with my 8 yo daughters crayons 🖍️😆) for the books.
People ask me why? Use AI? why don’t you use the original image?
Copyright aside, they are missing the point
It’s a process, which is fun, engaging and challenging in a positive way
Are the drawings crucial for the readers understanding? No. It’s part of the creative romance.
When i finally publish them, i can sit back and be proud that I took a project on without taking shortcuts - even if it selfishlessly means the product isn’t 100% orientated to the ‘absorb / assimilate / regurgitate’ generation
Achilles Tendons retweeted
Can shockwave immediately reduce tendon pain?
Research from Alsulaimani et al. (2026) would suggest not! Overall reduction in movement evoked pain was small and failed to reach the minimal clinically important difference of 1.5 points. Radial shockwave appears no more effective than sham for immediate changes in pain.
Reference:
Alsulaimani B, Perraton L, Bourke J, Powers T, Malliaras P. Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial. Clin Rehabil. 2026 Feb;40(2):171-181. doi: 10.1177/02692155251394951. Epub 2025 Nov 27. PMID: 41308020; PMCID: PMC12816402.
Achilles Tendons retweeted
What should you be doing for ATR rehab …. Our Delphi paper investigating optimal rehabilitation will be coming soon
Achilles Tendons retweeted
If you want to know the clinicians side of the story, then look at our recently published interview paper with clinicians
pubmed.ncbi.nlm.nih.gov/4110…
Achilles Tendons retweeted
then past 12 months
onlinelibrary.wiley.com/doi/…
Achilles Tendons retweeted
If you want to know the outcomes for ATR in the UK then look at our papers up to 12 months
sciencedirect.com/science/ar…
Achilles Tendons retweeted
Going forward: We MUST do better to support rehabilitation following rupture …
Provide information videos….
Accessible clinician contact lines for questions …..
take in to account weight gain and mental wellbeing …
don’t discourage patients away from their goals!
Achilles Tendons retweeted
Going forward:
- We MUST understand the varied presentations post ATR – painless low force mechanisms as well as painful high force mechanism
- We MUST understand the prescription and adherence to immobilisation protocols to properly understand the outcomes
Achilles Tendons retweeted
Healthcare professionals were reported to discourage patients away from sport
‘They've (physiotherapist) said that I should not consider playing (badminton) because of the amount of strain that's put on (the Achilles tendon)’
Achilles Tendons retweeted
Fear and reduced strength impact the return to activities – Which is the chicken and which is the egg?? ‘You still have it in your mind that it happened so unexpectedly so it can happen again’
Achilles Tendons retweeted
Immobilisation had a significant impact on mental wellbeing and weight gain. Keep this in mind when considering strength to bodyweight during rehab as a one unit increase in BMI results in a three percent decrease in calf raise repetitions
Achilles Tendons retweeted
and reported non-adherence to ‘non-weightbearing’ during the immobilisation phase
Achilles Tendons retweeted
Standardised protocols are anything but standardised. Studies investigating outcomes MUST measure protocol adherence. Patients were casted due to A&E pressures























