š§Pain on the back of the leg, especially on the tendon connecting calf and heel bone
š²Achilles tendon is the strongest and thickest tendon formed by two calf muscles as shown here gastrocenmius and soleus.
š©The pains are related to tendon attachment, origin or mid portion of the tendon.
šØāš¼Age- > 30 , <50 years of age on an average
šš¼Causes -
Overuse conditions mostly seen in sportsperson- Runners , Sprinters, etc
Diabetics
High cholesterol
Gout
Inflammatory arthropathies
Medications- Steroids etc
Poor footwear choices
Overweight individuals
šš¼Symptoms-
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
š©»Investigations -
If there is a suspicion of tear, Ultrasound is beneficial to rule out rupture of the tendon and immediate surgery is required
Treatment-
šš¼Acute cases- ice packs 10-15 mins 2-3/day
šš¼Modification of activities
šš¼Loading exercises is the best option to manage this condition ( more info coming soon )
šš¼Supportive shoes- trainers
šš¼Shockwave therapy treatment
šš¼Injections around the tendon are not recommended due to risk of tears ā
šImprovement is seen in 12 weeks if not then proceed to see a specialist
Journal of Athletic Training 2020;55(5):438ā447 ,doi: 10.4085/1062-6050-356-19
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#physiotherapist #physiotherapy #achillestendon #achillestendonitis #achillesrupture #tendonloading #exercisescience #rehabilitation
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