Achilles Tendinopathy
Achilles tendinopathy means that the tendons of the calve muscles where they attach to the heal are decreased in quality.
This could lead to micro ruptures or even a total rupture of the achilles tendon.
Cause
Repetitive overuse
Acute overload
Muscle fatigue
Risk factors
Stiff achilles tendon
Decreased blood flow in calves
Hyperpronation feet
Higher age
Obesity
Indications
Morning pain
Swelling
Pain
Tests
Inspection: muscle atrophy, palpable nodules and thickening
Limited range of motion: extending your calve muscles and subtalar joint mobility is limited
Limited strength of the calve muscles
Sensitive zone 2 cm to 6 cm above the insertion of the achilles (heel)
Positive arc sign
Hop
Heel raise
Activities: walking and running
Optimal Loading
Stay as active as possible without having physical pain
Eccentric strengthening of the calve muscles by doing calve raises
Advice
Perception of the time course
Weight loss
Adjusting footwear
Comments