Achilles Tendinopathy

Muscle Power Deficits

Posterior ankle/achilles pain

Patients with varying degrees of achilles tendon pathology making presentation and potential treatment differ slightly; however, they will usually present with fairly localized pain in the achilles tendon and toward the heel!

For more clinical findings click here!

Anatomy

  Image via Complete Anatomy by 3D4 Medical

Image via Complete Anatomy by 3D4 Medical

Special Tests

 The  arc sign  is and excellent assessment to help rule in presence of achilles tendon pathology due to it’s high specificity rating!  (Click image to watch 1-2 minute video)

The arc sign is and excellent assessment to help rule in presence of achilles tendon pathology due to it’s high specificity rating!

(Click image to watch 1-2 minute video)

Treatment

 Insufficient dorsiflexion can be a contributing factor to achilles irritation. If this motion is limited, the achilles can experience increased loading eventually leading to tissue disruption. The  gastrocnemius muscle  can be a source of movement restriction and should be addressed! (Soft tissue mobilization can be executed in this position as well)  (Click image to watch 1-2 minute video)   

Insufficient dorsiflexion can be a contributing factor to achilles irritation. If this motion is limited, the achilles can experience increased loading eventually leading to tissue disruption. The gastrocnemius muscle can be a source of movement restriction and should be addressed! (Soft tissue mobilization can be executed in this position as well)

(Click image to watch 1-2 minute video)

 

Therapeutic Exercise

 The  gastrocnemius  (also achilles tendon) is subject to the highest (eccentric) torque demand during gait, which is further increased while running! As other impairments are being addressed, you may want to consider improving eccentric loading capacity. (Click image to watch 1-2 minute video)

The gastrocnemius (also achilles tendon) is subject to the highest (eccentric) torque demand during gait, which is further increased while running! As other impairments are being addressed, you may want to consider improving eccentric loading capacity. (Click image to watch 1-2 minute video)