Achilles tendinitis

(redirected from Achilles paratendinitis)
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Formally called Haglund deformity. An exostosis over the posterolateral aspect of the calcaneus caused by recurrent friction, ± bursitis
Cause Multifactorial—e.g., abnormal mechanics leading to excess motion of calcaneus, congenital deformity of calcaneus, irritation from women’s shoes known as ‘pumps’
Management Open-heeled/flat shoes, moleskin padding of calcaneus, cryomassage, orthotics to control excess motion; surgical excision
Exam Positive 2-finger squeeze test

Achilles tendinitis

Sports medicine A condition characterized by pain and swelling along the tendon sheath proximal to the calcaneus Clinical Stiffness with ankle movement, tenderness, crepitus Imaging Usually nada, rarely, soft tissue thickening Management Physical therapy or brief immobilization, antiinflammatory agents

Achilles tendinitis

; Achilles paratendinitis Achilles tendon (tendo Achilles: TA) overuse syndrome; presenting in acute (<2 weeks' duration), subacute (3-6 weeks' duration) or chronic (>6 weeks' duration) forms; treated by RICE(P) and immobilization; postacute-phase remobilization includes a heel raise (to reduce tendon traction), biomechanical assessment and orthoses as necessary to control identified foot/limb anomalies (e.g. true or functional rearfoot varus, forefoot varus, forefoot valgus, plantarflexed first ray, limb-length discrepancy); it predisposes to total or partial tendon rupture (see Achilles tendon rupture)
  • acute Achilles tendinitis localized (sometimes nodular) TA swelling and rupture of tendon fibres, characterized by pain on activity, relieved by rest

  • chronic Achilles tendinitis TA pain in the morning on first standing, or after activity (e.g. active ankle plantarflexion; going on to tiptoes), with local tenderness, inflammation and a fusiform TA swelling 5 cm superior to its calcaneal insertion

  • subacute Achilles tendinitis diffuse swelling along the length of the tendon with pain and palpable crepitus on foot movement/posterior muscle group contraction