The achilles tendon is a strong, durable structure capable of absorbing and producing large loads as we walk, hike, and run. When the tendon is overloaded without adequate recovery periods this structure is prone to painful and limiting conditions such as achilles tendonitis and tendinopathy. One of the important risk factors for achilles injury among...
Customized foot orthotics based off a clinical examination, plaster or foam cast have been utilized for decades in order to treat overuse injuries of the foot, ankle, knee, hip and even spine. These orthotics are usually not covered by insurance and usually run into the hundreds of dollars compared to an off the shelf model....
In prior posts we described risk factors for an initial episode of achilles tendinopathy including muscle imbalances, calf weakness (concentric and eccentric), and loss of mobility within the foot and ankle. Once the tendinopathy is established, patients demonstrate significant deficits in range of motion, strength, balance, endurance, and jumping ability (Silbernagel et al. 2006). These...
Our prior posts on tendon injuries have described the structural changes that take place with chronic symptomatic tendinopathies. The disorganization of tendon fibers and the body’s attempts to heal the injured tendon are best viewed on ultrasound or MRI imaging. MRI is a very sensitive tool, but lacks specificity meaning a positive finding may or...
One of things I enjoy about the profession of Physical Therapy is its’ constantly changing nature of the medical evidence behind what we do. Often I come across a new article or research report, which challenges my previous line of thought about an injury or treatment and requires me to change. Achilles Tendinopathy is commonly and...
Achilles Tendon Problems Achilles tendinopathy commonly occurs in runners and jumpers, with up to 50% experiencing the condition in their lifetime(1). Not all those affected are active with 33% of individuals reporting a sedentary lifestyle(2). Individuals with this condition report pain, stiffness, and loss of function with daily and recreational activities. This condition was originally...