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Achilles tendinitis, also known as Achilles tendinopathy, is soreness of the Achilles tendon. It is accompanied by alterations in the tendon's structure and mechanical properties. [2] The most common symptoms are pain and swelling around the back of the ankle. [1] The pain is typically worse at the start of exercise and decreases thereafter. [3]
Non-surgical treatment is an alternative as there is supporting evidence that rerupture rates and satisfactory outcomes are comparable to surgery. [2] If appropriate treatment does not occur within 4 weeks of the injury outcomes are not as good. [8] Achilles tendon rupture occurs in about 1 per 10,000 people per year. [5]
Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
Recent research has indicated that while the test is an accurate detector of achilles rupture, it is unable to distinguish between partial tear (tear of the gastrocnemius or soleal portion only) and a complete tear of both portions. [4] Complete tear of achilles tendon in ultrasound with Simmonds' test
Enthesopathies may take the form of spondyloarthropathies (joint diseases of the spine) such as ankylosing spondylitis, or psoriatic arthritis, plantar fasciitis, and Achilles tendinitis. Further examples include: [citation needed] Adhesive capsulitis of shoulder; Rotator cuff syndrome of shoulder and allied disorders; Periarthritis of shoulder
Middle age is the most common age of affection, females are more affected than males, and the occurrence is often bilateral. A clinical feature of this condition is pain in the back of the heel, which is more after rest. Clinical evaluation and lateral radiographs of the ankle are mostly enough to make a diagnosis of Haglund's syndrome. [2]
A 2010 review concluded moderate evidence exists to support the use of prolotherapy injections in the management of pain in lateral epicondylitis, and that prolotherapy was no more effective than eccentric exercise in the treatment of Achilles tendinopathy. [10] A 2016 review found a trend towards benefit in 2016 for lateral epicondylitis. [11]
[22] [23] [24] Treatment typically involves rest, ice, non-steroidal antiinflammatory agents (NSAIDs), and physical therapy. [17] [18] A heel lift or orthotics may also be helpful. [17] [21] In those in whose symptoms last more than six months despite other treatments, surgery may be considered. [17] Achilles tendinitis is relatively common. [17]
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