ankle

Question 1

Achilles Tendinopathy risk factors:

Answer 1

Patient Characteristics: Age, Sex, Ethnicity, BMI, Smoking, Physical Activity levels, Prior lower limb tendinopathy, Alcohol Use.

Biomechanical Factors: Shoe type, Leg dominance, Static Arch Index, Foot Posture, Limited Dorsiflexion, Increased isokinetic plantar flexor strength.

Question 1

Achilles Tendinopathy Diagnosis:

Answer 1

• Increased tendon thickness.
• Localized pain in the middle of the tendon.
• History of Overload.
• Increased pain post-activity (hours later or next day).
• Imaging changes indicative of Achilles tendinopathy.

Question 2

Achilles Tendinopathy aggravating factors:

Answer 2

Dorsiflexion.

Overuse (continuing the same volume and load of movement).

Question 3

Normal Ankle ROM

Answer 3

Dorsiflexion: 10-20 degrees.

Plantarflexion: 40-55 degrees.

Question 4

Achilles Tendinopathy
Activity modification:

Answer 4

Relative rest/modification of activity.
Pain monitoring using a traffic light system (pain levels up to 5/10).
No residual pain within 24 hours.
No exacerbation after activity.
Adjustment of activity guided by irritability level.

Question 5

Tests for Achilles

Answer 5

thompson’s, gap palpation, matles, royal london hospital, arc. Pain during single-leg heel raise and hopping

Question 6

Three types of Achilles injuries

Answer 6

Achilles rupture

Insertional achilles tendinopathy

Midportion achilles tendinopathy