Posterior ankle pain

Question 1

What are some subjective questions you would like to ask

Answer 1

-How the pain started
-What causes pain and flare ups
-Does it behave like a typical tendon pattern
-Site of the symptoms, diffused or localised
-Where are they pointing when showing the pain

Question 2

What are some objective assessments

Answer 2

-Active and passive Ankle joint ROM
-Pain replication with palpation/streching/loading
-what is the tissue effected (tear/rupture, paratendon, fascia)
-Specific tests

Question 3

What are some specific tests to rule out DDx of achilles tendinopathy

Answer 3

-Royal london hospital test
-Arc sign
-Straight leg raise
-Calf capacity testing
-Passive heel flick
-Imaging

Question 4

Positive result for Royal London hospital test

Answer 4

Positive for Achilles tendinopathy when the tenderness is absent in max dorsiflexion

Question 5

Positive result for Arc test

Answer 5

Area of localised swelling moves with AROM (DF and PF)

Question 6

What is the posterior heel flick

Answer 6

-Forced plantarflexion reporduces pain, posteiror impingement