Musculoskeletal System

Question 0

Etiology of Achilles Tendonitis

Answer 0

Repetitive overload of the Achilles’ tendon often caused by changes in training intensity or faulty technique. Patients with limited flexibility and strength in the gastrocnemius and soleus complex and patients with a pronated or cavus foot are at increased risk. Activities frequently associated with Achilles Tendonitis include running, basketball, gymnastics, and dancing. A history of Achilles Tendonitis increases the likelihood of an Achilles’ tendon rupture later in life.

Question 1

Achilles Tendonitis

Answer 1

AT is a repetitive overuse disorder resulting in microscopic tears of collagen fibers on the surface or in the substance of the Achilles’ tendon. The tendon is most often impacted in an a vascular zone located two to six centimeters above the insertion of the tendon.

Question 2

Achilles Tendonitis Signs and Symptoms

Answer 2

Aching or burning in the posterior heel, tenderness of the Achilles, tendon, pain with increased activity, swelling and thickening in the tendon area, muscle weakness due to pain, morning stiffness.

Question 3

Achilles Tendonitis Treatment

Answer 3

Initially RICE, nonsteroidal anti-inflammatory medications (NSAIDs), and analgesics as needed. A heel lift and cross training may be used to limit the amount of tensile lading through the tendon. Prevention includes heel cord stretching exercises, use of appropriate soft-soled footwear, eccentric strengthening of the gastrocnemius and soleus complex, and avoiding sudden changes in intensity of training programs.