Achilles tendinopathy

Question 1

Risk factors

Answer 1

-Sudden increase in Load
-Decrease strength
-Decrease Ankle Dorsiflexion
-Excessive Ankle Dorsiflexion
-Prior tendon injury

Question 2

What are some subjective findings

Answer 2

-Pain or stiffness in achilles tendon
-Thickening

Question 3

What are some objective findings

Answer 3

-Palpation of Achilles tendon
-Muscle strength testing

Question 4

What are some clinical tests

Answer 4

-Straight leg raise test
-Hyper Plantarflexion test
-Royal London Hospital Test
-Arc Test
-Hop test
-Single leg heel raise

Question 5

DDx

Answer 5

-Paratenon inflammation
-Bursitis
-Plantaris tendinopathy
-Sural nerve neuropathy

Question 6

Management

Answer 6

-Education
-Load management
-Footwear and orthotics
-Strengthening exercises

Question 7

What are some tier 1 exercises

Answer 7

-Standing heel raise
-Squat
-low step up

Question 8

Tier 2 exercises

Answer 8

-Lunge
-Single leg heel raises
-Walking

Question 9

Tier 3 exercies

Answer 9

-Double leg hopping
-Running in place
-Single leg max jump

Question 10

Tier 4 exercises

Answer 10

-Single leg hopping
-Single leg drop jump
-Lateral single leg hop

Question 11

What are four best exercises for Achilles tendinopathy

Answer 11

-Calf raises (deficit for mid portion)
-Seated calf raise (soleus bias)
-Hopping (double, single)
-Deadlifting