🧐Pain on the back of the leg, especially on the tendon connecting calf and heel bone
😲Achilles tendon is the strongest and thickest tendon formed by two calf muscles as shown here gastrocenmius and soleus.
😩The pains are related to tendon attachment, origin or mid portion of the tendon.
👨💼Age- > 30 , <50 years of age on an average
👉🏼Causes -
Overuse conditions mostly seen in sportsperson- Runners , Sprinters, etc
Diabetics
High cholesterol
Gout
Inflammatory arthropathies
Medications- Steroids etc
Poor footwear choices
Overweight individuals
👉🏼Symptoms-
Pain and tender to touch tendon with /without swelling
Pain with prolonged sitting
Pain with weight bearing activities
Pain with first step in the morning
Pain and poor function is long term can result in depression and low mood
🩻Investigations -
If there is a suspicion of tear, Ultrasound is beneficial to rule out rupture of the tendon and immediate surgery is required
Treatment-
👉🏼Acute cases- ice packs 10-15 mins 2-3/day
👉🏼Modification of activities
👉🏼Loading exercises is the best option to manage this condition ( more info coming soon )
👉🏼Supportive shoes- trainers
👉🏼Shockwave therapy treatment
👉🏼Injections around the tendon are not recommended due to risk of tears ❌
😊Improvement is seen in 12 weeks if not then proceed to see a specialist
Journal of Athletic Training 2020;55(5):438–447 ,doi: 10.4085/1062-6050-356-19
Come and see us for further information
#physiotherapist #physiotherapy #achillestendon #achillestendonitis #achillesrupture #tendonloading #exercisescience #rehabilitation
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