Healing of Chronic Calcaneal insertion and corporeal Tendinotinis could be accelerated by Dynamic Manual Adhesiolysis®. We treat the whole Suro-calcaneo-fibular Plantar system = elasto-dynamic transmission belt which is adapted to prolonged standing, walking and running. Whathever the order, Dynamic Manual Adhesiolysis® is a seven steps treatment: Then, the usual osteopathic dysfunctions of the foot, ankle, knee (fibula head almost always subluxed) and rebalance the pelvis (consequence or cause of the calcaneal tendon) can be treated. https://osteopathie-adhesiolyse.com/en/joints/Heel/

1. ACHILLE’S TENDINOSIS

2. Exclusion of Achille’s bursitis easily treated when their causes are
removing (friction, support of hyper-counter of the shoe)
and Haglund disease in athletes (interim efficiency).
We treat the whole Suro-calcaneo-fibular Plantar system
= elasto-dynamic transmission belt which is adapted to prolonged
standing, walking and running
Healing of Chronic Calcaneal
insertion and corporeal
Tendinotinis could be
accelerated by Dynamic
Manual Adhesiolysis®.

3. I won’t developp usual rehabilitation (stretching,
eccentric strengthening…) essential for athletes.

4. Whathever the order, Dynamic Manual Adhesiolysis® is a seven steps treatment:
Then, the usual osteopathic dysfunctions of the foot, ankle, knee (fibula head almost
always subluxed) and rebalance the pelvis (consequence or cause of the calcaneal
tendon) can be treated.
Manual Adhesiolysis can be started with
antagonist anterolateral compartment of the leg,
always contracted-stuck for compensation

5. SPECIFIC TREATMENT BY DYNAMIC MANUAL ADHESIOLYSIS®
1. Anteromedial tibial compartment “opening” on its full height. It’s consist in breaking
Adhesions between periosteal insertions of muscles (posterior tibialis, Flexor Digitorum
and Hallucis Longus with Soleus) and the posteromedial tibial border. It should liberate
the posterior tibial neuro-vascularization and refocuses the calf muscles laterally.
2. Adhesiolysis of Calf improves gliding of Sural Triceps muscles (medial, lateral
Gastrocnemius and Soleus) from popliteal fossa (Gastrocnemius condylar insertions…) to
common tendon blade. It releases the popliteofibular, tibiofibular circulation and
llaterally refocuses the calf.
N.B.: NB: incidentally, patients prone to cramps improved
(by decreasing chronic asphyxia ...)

6. 3. Manual Adhesiolysis of scar fibrosis painful nodules accelerates healing of the Achille’s
tendon..
4. Manual Adhesiolysis of Achille’s tendon fibers insertions (and its retinaculum) on the
posterior and medial surface of the calcaneus to liberate the Medial Calcaneal Nerve and
laterally refocus the Sural triceps

7. 5. We’ll think to perform adhesiolysis of the Posterior Tibial Nerve; Tibialis Posterior, Flexor
Digitorum and Hallucis Longus tendons under and behind the medial malleolus.
6. Manual Adhesiolysis of insertion of Flexor Digitorum Brevis on the underside of the Calcaneus
is crucial
7. Manual Adhesiolysis muscles and tendons of the foot will emphasize the Average Plantar
Fascia..
NB: We can try an Velcro elasticized contention to refocus laterally the Sural Triceps after and
effecive application test which relieved pain immediately.