WHAT IS IT? ACHILLES TENDINITIS
Achilles tendinitis is characterised by inflammation and thickening of the Achilles tendon over a gradual period of time. On palpation and ultrasound assessment of the paratendon, swelling, crepitus and discomfort can be detected.
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​WHAT CAUSES IT?
Irritation of the Achilles tendon can be due to the following factors:
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Over pronation of the feet
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Tight calf muscles
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Poor tensile strength through the tendon and calf muscles
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Hypomobile ankle and subtalar joints
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Overtraining or change in intensity, duration, frequency Incorrect or poor footwea
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Previous Achilles strain or rupture
HOW TO SELF MANAGE
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In paratendinitis you want to reduce swelling, so rest and ice to the area is advised. A heel raise can also be useful to help offload the tendon.​
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?
Your physiotherapist can further reduce swelling using treatment including massage, deep transverse frictions, taping, exercise prescription and electrotherapy modalities.
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