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Achilles tendinopathy

🧐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



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