Achilles tendinitis


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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

References in periodicals archive ?
Whether you're suffering from a chronic challenge such as diabetic foot or Achilles tendinitis, or a recent problem such as a sprained or broken ankle, orthopaedic foot and ankle specialists have the training and experience to care for you.
But a knee injury and Achilles tendinitis kept him from competing during the 2013 indoor and outdoor track seasons.
Sure, stilettos make ya look like you have legs for days, but while you're tottering on those towering heels, your feet may be suffering (think: muscle damage, Achilles tendinitis, pinched nerves and worse).
It seems as though you may have developed Achilles tendinitis in your left leg.
Sprains, collapsed arches and Achilles tendinitis were all consequences of the foot's faulty evolutionary modification.
Between varicose veins, bad knees, shin splints, heel spurs, Achilles tendinitis, stress fractures and any number of hernias, there seems to be an awful lot of human-specific ailments to suggest our bodies weren't made for a lot of pounding.
Youkilis returned to the Red Sox on Wednesday from the World Baseball Classic with a mild sprain and mild Achilles tendinitis in his left foot.
He's on the disabled list with Achilles tendinitis and a sore elbow, perhaps serving to highlight the point that baseball won't last forever.
If you suffer from Achilles tendinitis, choose a shoe designed to reduce stress in that area.
Symptoms: Achilles tendinitis is an inflammation of the achilles tendon, a tough, fibrous cord that attaches the calf to the heel.