Achilles Tendinosis

Anatomy

The Achilles tendon is the tendinous extension of three muscles in the lower leg: gastrocnemius, soleus, and plantaris, inserting into the calcaneus (heel bone). The tendon passes behind the ankle and is the thickest and strongest tendon in the body. It is about 15cm long, and begins near the middle of the leg.

Ankle_AchillesTendinosis_large

 

Mechanism of Injury

  • Overuse injury, eg. in runners, leading to degenerative changes in the tendon.

Symptoms

  • Stiffness occurs in the morning and often before and/or after activity.
  • A local swelling can often be palpated with distinct tenderness. This tenderness can be located on one side of the tendon.
  • Pain may be gradual or more sudden onset.
  • Depending on severity may be just ‘noticeable’ pain or debilitating pain.
  • There may be a palpable nodule in the tendon.

Treatment

Please consult with your medical professional for a complete diagnosis and treatment plan.