Achilles Tendinopathy Flashcards
What are the types of Achilles tendinopathy?
Insertion tendinopathy
2cm within insertion on calcaneus
Mid-portion tendinopathy
2-6cm above insertion point
What are the risk factors of Achilles tendinopathy?
Sports that stress Achilles e.g. basketball, tennis etc
Inflammatory conditions
Diabetes
Raised cholesterol
Fluoroquinolone antibiotics
What are two examples of fluoroquinolone antibiotics?
Ciprofloxacin
Levofloxacin
How do Achilles tendinopathies present?
Gradual onset
Pain/aching in Achilles tendon or heel with activity
Stiffness
Tenderness
Swelling
Nodularity on palpation of the tendon
How is Achilles tendon rupture excluded?
Simmonds’s calf squeeze test
USS
How is Achilles tendinopathy managed?
Rest
Ice
Analgesia
Physiotherapy
Orthotics (e.g. insoles)
Extracorporeal shock-wave therapy
Surgery- to remove nodules, adhesions or alter tendon
Why do we not give steroid steroid injections for Achilles tendinopathy?
Tendon rupture risk