Mid-portion Achilles Tendinopathy

Question 1

mid portion achilles tendinopathy is defined as?

Answer 1

• localized pain > 2 cm above the achilles tendon attachment
• common tendinopathy butetiology is unclear beyond tendon overloading
• typically diagnosed through conjunction of special tests

Question 2

what special tests would be appropriate to use to rule in mid portion achilles tendinopathy

Answer 2

• royal london hospital test
• arc sign test

Question 3

what MMT/functional testing would be completed when assessing for mid portion achilles tendinopathy

Answer 3

• DF
• PF
• eversion
• SL drop test

Question 4

the overall prevalence of mid portion achilles tendinopathy has been reported between 4% to 7% with greater prevalence in respect to

Answer 4

• increasing age
• higher levels of athletic involvement

Question 5

what grade level is exercise rated at for treating mid portion achilles tendiopathy?

Answer 5

Grade A
- clinican should use tendon loading exercise, with loads as high as tolerated, as a first line treatment to improve function and decrease pain for individuals with mid-portion achilles tendiopathy who do not have presuemd railty of the tendon structure

exercises:
- isometric
- dynamic muscle contraction
- HSR

Question 6

what grade level is pt edu and counseling intervention seen as for mid portion achilles tendinopathy?

Answer 6

Grade B
- complete rest is not indicated= continue acitivity within pain tolerance of activity
- provide patient edu and counseling on midportion achilles tendinopahty