Achilles Tendinopathy

Question 1

What type of disorder is Achilles Tendinopathy?

Answer 1

Degenerative disorder - overuse causes a process of micro trauma or tendon degeneration, leading to inflammation

Question 2

Describe the Epidemiology of AT

Answer 2

• Common in distance runners
• Men>Women
• more likely to affect older athletes

Question 3

What function does the Achilles serve?

Answer 3

• Transmits force

- Absorbing external forces to limit muscle damage

Question 4

What are some extrinsic factors to AT?

Answer 4

Changes to training programme; Increasing intensity; Surfaces; Schedule; Shoes

Question 5

What are some intrinsic factors to AT?

Answer 5

• Tendon vascularity, gastrocnemius-soleus dysfunction, age, gender, body weight
• Lower extremity malalignment; High arch; Flat foot; limited dorsiflexion; Pronatory type foot; Lateral ankle instability

Question 6

Complaints of AT:

Answer 6

PAIN
Acute: Beginning and end of training
Chronic: Pain during all exercise and interfere with daily activities

Question 7

Clinical presentation of AT:

Answer 7

• Diffuse swelling
• Tenderness on palpation, 2-6 cm proximal from tendon insertion
• Pain in full plantar flexion