Achilles Tendinopathy

• Therapeutic Approaches for Managing Chronic Achilles Tendinopathy (3 marks)

  
  

  Eccentric Strengthening Exercises

  Shockwave Therapy    

  Orthotics or Heel Lifts
•  in the Silfverskiöld test you notice a soft tissue problem, you can do another test to highlight gastrocnemius or soleus isolation describe the test

  To determine if the gastrocnemius or soleus is more involved, extend the knee and dorsiflex the ankle with the patient sitting or lying supine to isolate the gastrocnemius. Flex the knee and dorsiflex the ankle with the patient sitting or lying supine to isolate the soleus.
• If dorsiflexion remains restricted with both the knee extended and flexed


  it indicates a bony restruction
• If ankle dorsiflexion increases significantly with the knee flexed

  It indicates soft tissue restriction involving the gastrocnemius
• Assessment for Ankle Equinas: Determining if it is Bony or Soft Tissue

  Perform the Silfverskiöld test2. Position the patient supine with knees extended3. Dorsiflex patients ankle with the knee extended and note the range of motion4. Passively dorsiflex the ankle with the knee flexed and note the range of motion
• give an example of how you evaluate management for achilles tendonoitis 

  • VAS scale
  • patient feedback
  • VNRS scale
• name three symptoms of achilles tendinppathy 

  • tendon swollen or thickened
  • pain and stiffness at the back of heel, morning stiffness
  • warm and tendor to touch, pain worsen with activity
• name a cause of achilles tendinopathy 

  overuse, trauma, repetetive strain
• detailed rehab advice AT prt1

  1. Rest2. Apply ice3. Take NSAIDs for pain4. Do gentle calf stretches
• detailed rehab advice AT prt2

  1. Middle phase (2-6 weeks)Start with eccentric calf raises2. Progress to single-leg drops twice daily3. Add more weight-bearing exercises gradually
• detailed rehab advice AT prt3

  1. Later phase (6-12 weeks)Try exercises like jump squats

  2. Consider orthotics if gait needs correcting
• Maintenance (beyond 12 weeks)

  1. Continue with eccentric strengthening and stretching2. Gradually increase activity to avoid recurrence3. Regular follow-ups are crucial for adjusting the program