In my opinion, one cannot overstate the importance of a good physical exam. In cases of Achilles tendinopathy, the exam includes finding the exact location of the pain and rating its severity using a scoring system with which the patient’s progress can be tracked. It is helpful to compare ...
Achilles insertional tendinopathy (AIT) is inflammation and painful thickening of the Achilles tendon at its insertion on the posterior calcaneus. This most commonly occurs in middle-aged and elderly patients due to repetitive microtrauma leading to inflammation and bony metaplasia, ultimately resulting in...
Insertional or distal Achilles tendinopathy (Fig. 4) is a chronic overuse condition frequently found in runners and dancers and is also associated with wearing high heel shoes.33 A posterosuperior boney prominence at the calcaneus, the so-called Haglund deformity, is a common association and though...
The patient had no preexisting symptoms of tendinopathy, was a nonsmoker, and had no risk factors for complication. A discussion was had with the patient regarding operative versus nonoperative management of his injury, and decision was made to proceed with operative repair of his Achilles tendon...
Introduction/Purpose: Non-operative treatment of Insertional Achilles tendinopathy (IAT) is historically thought to be effective in 50-70% of cases, the success rate of modern non-operative treatment is not well defined in the current literature. The purpose of this study is t...
Causes of Achilles rupture include tendinopathy, which is associated with overactivity of the sympathetic nervous system (SNS). The combination of those medications could lead to serotonin syndrome, which indicates an overactive SNS. It is possible that the duration and the interaction between this ...
Clinical examination suggested Achilles tendinopathy which was further confirmed by US exam. He was prescribed physical therapy with focus on eccentric loading. At 4-week follow up, his pain persisted and he was significantly limited in ability to ambulate. Considering failure of conservative treatment...