Achilles

Question 1

When would posterior impingement be considered over Achilles issues based of subjective Hx

Answer 1

• posterior impingements are common in ballet dancers - more so than Achilles tendinopathies

Question 2

If a pt presents similar to a mid portion Achilles tendinopathy but the pain is more medial, what other diagnosis should be considered ?

Answer 2

• FHL or Tib Post involvement

- plantaris involvement

Question 3

If a pt presents similar to a mid portion Achilles tendinopathy but the pain is more superior, what other diagnosis should be considered ?

Answer 3

Consider plantaris involvement

Question 4

What is a key differential diagnosis for mid portion Achilles tendinopathy

Answer 4

• posterior impingement (especially in ballet dancers)

Question 5

How might you differentiate posterior impingement from mid portion Achilles tendinopathy

Answer 5

• passive PF

Question 6

What occurs in DF with regards to insertional tendonopathy

Answer 6

The retrocalcaneal bursa, bone and Achilles’ tendon are compressed