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 ?
13,14 AT is a relatively large superficial structure, easily imaged by ultrasound which can be helpful in distinguishing between Achilles tendinitis, paratenonitis, and retrocalcaneal bursitis.
Insertional Achilles tendinitis, an inflammation and breakdown of the Achilles tendon where it connects with the heel bone.
Inflammation of this band can lead to Achilles tendinitis and posterior tibial tendinitis, which in turn can cause pain or discomfort on the inner side of your foot and ankle.
Heel pain is often associated with such conditions as Achilles tendinitis (inflammation of the tendon that attaches the calf muscles to the heel) and a heel spur (a protrusion on the underside of the heel bone that can intrude into the soft tissue, causing irritation and pain).
Achilles tendinitis, common after excessive exercise or walking.
These include the treatment of chronic tendinitis such as tennis elbow, golfer's elbow, Achilles tendinitis and the rotator cuff.
Myerson MS, McGarvey W: Disorders of the insertion of the Achilles tendon and Achilles tendinitis.
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.
Interventions for treating acute and chronic Achilles tendinitis.