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

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