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With integrated pneumatic air-cells delivers intermittent Achilles compression and massage during ambulation while the removable elastic strap and breathable hypoallergenic fabric enable adjustable support for tendonitis, strain, or plantar fasciitis.
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Intermittent pneumatic compression provides superior therapeutic benefits compared to static compression sleeves by creating a dynamic massaging effect during gait cycle. The air-cells positioned along the Achilles tendon compress and release with each step, promoting circulation, reducing edema accumulation, and preventing adhesion formation during healing. The 3D anatomical knit contours precisely to the ankle and heel anatomy, eliminating bunching and pressure points while maintaining consistent therapeutic contact throughout the day.
✓ Achilles tendonitis (insertional and mid-portion) ✓ Achilles tendinosis and chronic tendon degeneration ✓ Acute Achilles tendon strain and partial tears ✓ Post-traumatic Achilles inflammation and edema ✓ Achilles peritendinitis (paratenon inflammation) ✓ Haglund's deformity associated pain ✓ Retrocalcaneal bursitis with Achilles involvement ✓ Plantar fasciitis contributing to posterior chain tightness ✓ Post-surgical Achilles tendon repair protection (with physician approval) ✓ Chronic venous insufficiency affecting lower leg and ankle ✓ Overuse injuries in runners and jumping athletes ✓ Occupational Achilles strain from prolonged standing ✓ Return-to-sport Achilles protection during graduated activity
Size Selection and Measurement: Measure ankle circumference at the narrowest point above the ankle bone (typically where the ankle meets the lower leg). Take measurements while standing with weight evenly distributed on both feet. Consult the sizing chart: XS (17-19 cm / 6.7-7.5"), S (19-21 cm / 7.5-8.3"), M (21-23 cm / 8.3-9.1"), L (23-25 cm / 9.1-9.8"), XL (25-27 cm / 9.8-10.6"), XXL (27-29 cm / 10.6-11.4"). If measurements fall between sizes, select the larger size for comfort during the acute inflammatory phase when swelling may be present.
Initial Application: Hold the support with the pneumatic air-cells visible (these appear as small raised bumps or pads in the fabric). Identify the heel pocket and ensure proper orientation for the affected ankle. Slide the support over the foot with the heel positioned in the heel pocket and the pneumatic cells centered directly over the Achilles tendon at the back of the ankle. The support should extend from just above the heel to approximately 2-3 inches above the ankle bone.
Positioning Pneumatic Air-Cells: The air-cells must be precisely positioned over the Achilles tendon for optimal therapeutic effect. The cells should sit along both sides of the tendon, creating gentle lateral compression that supports the tendon without direct posterior pressure on the tendon substance itself. Adjust the support up or down slightly until the air-cells align perfectly with your Achilles anatomy. You should feel the cells making contact with the area behind the ankle bone but not creating excessive pressure.
Securing the Elastic Strap: Once the support is properly positioned, locate the removable elastic strap (typically attached at one side with Velcro or hook-and-loop closure). Wrap the strap around the ankle and secure at the appropriate tension level. For acute inflammation, use lighter compression. For chronic conditions or athletic activities, increase strap tension for greater support. The strap should feel snug but not painful, and you should maintain full ankle range of motion with the strap secured.
Fit Verification: Stand and walk a few steps to ensure proper fit. The support should remain in position without sliding down the heel or bunching at the ankle. The 3D contoured knit should conform smoothly to ankle anatomy without wrinkles or gaps. The pneumatic air-cells should create a subtle massaging sensation as you walk, compressing with each step as your calf muscles contract. If the support shifts during walking, readjust or consider sizing down.
Wearing with Footwear: The low-profile design accommodates most athletic shoes, work boots, and casual footwear. Put on socks first if desired (thin performance socks work best), apply the support, then insert foot into shoe. The support adds minimal bulk to the ankle region, but shoes with a slightly looser heel counter may be more comfortable initially. Avoid overly tight shoes that could compress the support excessively and reduce the pneumatic effect.
Wearing Duration - Initial Phase: Begin with 2-4 hours of wear during the first day to allow adaptation. Monitor skin for any signs of irritation, excessive redness, or discomfort. Gradually increase wearing time by 1-2 hours daily until full-day wear is achieved (typically by day 3-5). During the acute inflammatory phase, wear continuously during all weight-bearing activities, removing only for bathing and sleeping (unless otherwise directed by your healthcare provider).
Wearing Duration - Chronic Management: For chronic Achilles tendonitis or tendinosis, wear the support during activities that stress the Achilles tendon: running, walking, standing occupations, sports participation. Remove during rest periods to allow normal tissue loading patterns. Many patients wear the support primarily during exercise and work, removing it during sedentary evening activities. Treatment duration varies from 4-12 weeks depending on condition severity and healing response.
Activity Integration: The pneumatic compression works best during active ambulation when calf muscle contractions naturally compress and release the air-cells. Light activity such as walking is encouraged while wearing the support. Avoid complete rest or immobilization unless specifically directed by your physician. The support enables graduated return to running and sports activities by providing dynamic support during movement. Follow a progressive activity plan as prescribed by your physical therapist.
Adjusting Compression Throughout the Day: As inflammation decreases or increases throughout the day, adjust the elastic strap accordingly. Morning stiffness may require lighter compression initially, increasing tension as the tendon warms up. After prolonged standing or exercise, you may need to loosen the strap slightly if swelling increases. The adjustable design allows real-time customization based on symptom severity and activity demands.
Combining with Other Treatments: The Achilles support integrates well with comprehensive tendonitis management protocols. Continue prescribed anti-inflammatory medications, perform daily stretching exercises (calf stretches, eccentric heel drops), and apply ice after activities as recommended. The support can be worn during physical therapy sessions and exercises. Some providers recommend combining with night splints for severe cases. Always follow your healthcare provider's comprehensive treatment plan.
Skin and Circulation Monitoring: Check skin condition daily after removing the support. Normal findings include mild temporary indentation from the fabric and light pinkness that resolves within 15-20 minutes. Warning signs requiring attention include: persistent deep redness, blistering, skin breakdown, excessive swelling below the support, numbness or tingling in the foot, blue or white discoloration of toes, or increased pain with support wear. If any concerning signs develop, discontinue use and consult your healthcare provider.
Cleaning and Maintenance: Hand wash the support every 3-5 days (more frequently if sweating is excessive) with mild soap and lukewarm water. Gently squeeze out excess water without wringing or twisting, which could damage the pneumatic air-cells. Air dry flat away from direct heat sources or sunlight. Do not machine wash or dry as this may damage the delicate pneumatic structures. The elastic strap can be removed before washing for easier cleaning. Inspect air-cells regularly for any signs of damage or loss of compression effectiveness.
Duration of Treatment: Typical treatment protocols for Achilles tendonitis involve 6-12 weeks of consistent support use combined with activity modification and strengthening exercises. Acute strains may resolve with 4-6 weeks of protection. Chronic tendinosis or degenerative changes may require longer-term or intermittent use during high-risk activities. Your healthcare provider will determine the appropriate treatment duration based on clinical progress, pain reduction, and functional improvement.
Transitioning Off Support: Gradual weaning is recommended rather than abrupt discontinuation. Begin by removing the support during lower-demand activities while continuing to wear during higher-impact activities. As strength and pain-free function improve, progressively reduce wearing time. Some patients continue using the support during sports or prolonged standing even after symptoms resolve as a preventive measure. Follow your physical therapist's specific weaning protocol.
When to Seek Medical Attention: Contact your healthcare provider if you experience: sharp, sudden Achilles pain (possible rupture), progressive weakness when pushing off the foot, inability to stand on toes, significant increase in pain despite appropriate support use, development of a palpable gap or deformity in the tendon, signs of infection, or lack of improvement after 4-6 weeks of conservative treatment with the support.
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