Ross and Galina in this case I recommended to use a cool therapy around the tendon cover with a thin towel ( no directly to the tendons ) just the soft tissues in the plantar area or in the upper part of the gastrocnemius ( no in the Avilés tendon ) to reduce the pain and do LDM around the area of the tendon. I used in the past this to get some kind of analgesia effect in combination with a Gel with Diclofenaco ( Voltaren Gel) and then when the swollen subsid I do more ease the LDM in the unkle Protocol from the video library ,. with good results ,. I did a Ice bag with a light pressure for 15 minutes in and intermiten way and I recommended do the same to the patient every two hours the rest of the day and the swollen go away 50% and after to days I give the LDM and the unkle Protocol ,. Make sense for you ? Any comments?