WHAT IS IT? ACHILLES PARATENDONITIS 

  • Achilles paratendonitis is characterised by inflammation and thickening of the sheath surrounding the Achilles tendon.

  • On palpation and ultrasound assessment of the paratendon, swelling, crepitus and discomfort can be detected.

​WHAT CAUSES IT?
  • Over pronation of the feet

  • Tight calf muscles

  • Poor tensile strength through the tendon and calf muscles

  • Hypomobile ankle and subtalar joints

  • Overtraining or change in intensity, duration, frequency

  • Incorrect or poor footwear

  • Previous Achilles strain or rupture

 

HOW TO SELF MANAGE
  • Implement the R.I.C.E.R. protocol to reduce pain and swelling

  • Modify aggravating activities

  • Stretch calf muscles

  • Review footwear

PROGNOSIS

This condition requires prompt management, as the tendon can remain thick and inflamed.  This then has the potential to progress into a more degenerative condition referred to as Achilles Tendinopathy

HOW PHYSIO HELPS?
  • Assess biomechanics

  • Review and modification of training program

  • Soft tissue massage

  • Deep transverse frictions

  • Joint mobilisation

  • Taping to offload the tendon

  • Exercise prescription

  • Electrotherapy

  • Prescription of a heel raise to offload the tendon

 

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