Achilles Tendonitis Causes, Symptoms, and Diagnosis - It All Hangs Together

2023-06-04に共有
Getting a diagnosis of Achilles tendonitis right depends to a large extent on listening to the patient to understand what caused their heel pain and deciding whether this as well as the symptoms fit this type of injury. Treat My Achilles co-founder Maryke Louw takes us through the typical causes of Achilles tendonitis, the symptoms to look out for, and the steps we use to arrive at an accurate diagnosis.

🌟Need more help with your injury? You’re welcome to consult one of the team at TMA via video call for an assessment of your Achilles injury and a tailored treatment plan: www.treatmyachilles.com/

📽️Other videos mentioned in this video:
▶️ How Fluoroquinolone Antibiotics Cause Achilles Tendonitis and Achilles Tears:    • How Fluoroquinolone Antibiotics Cause...  
▶️ Antibiotic (Cipro) Induced Achilles Tendonitis Treatment:    • Antibiotic (Cipro) Induced Achilles T...  
▶️ Learn how the Menopause can Cause Achilles Tendonitis:    • Learn how the Menopause can Cause Ach...  
▶️ Got Hit In The Achilles Tendon? How To Treat It:    • Got Hit In The Achilles Tendon? How T...  
▶️ How Statins Can Cause Achilles Injuries:    • How Statins Can Cause Achilles Injuries  
▶️ Haglund's Deformity Treatment:    • Haglund's Deformity Treatment  
▶️ How Neural Tension can Cause Achilles Tendinopathy:    • How Neural Tension can Cause Achilles...  
▶️ Top Tips for Insertional Achilles Tendinopathy:    • Top Tips for Insertional Achilles Ten...  
▶️ Tingling Heel & Achilles - Causes & Treatment:    • Tingling Heel & Achilles - Causes & T...  
▶️ Treatment Options for Achilles Tendonitis:    • Achilles Tendonitis Treatments - The ...  
▶️ Rehab Exercises for Achilles Tendonitis and How to Progress Them:    • Exercises For Achilles Tendonitis/Ten...  

📚Chapters:
00:00:00 Introduction
00:00:33 Where is the Achilles tendon and what does it do?
00:01:53 What causes Achilles tendonitis?
00:13:40 Achilles tendonitis symptoms
00:23:38 How to diagnose Achilles tendonitis
00:30:04 How we can help

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References:
Cook JL, Rio E, Purdam CR, et al. “Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?” British Journal of Sports Medicine 2016;50:1187-1191.

De Vos, R.-J., et al. (2021). "Dutch multidisciplinary guideline on Achilles tendinopathy." British Journal of Sports Medicine 55(20): 1125-1134.

Hanlon, S. L., et al. (2021). "Beyond the Diagnosis: Using Patient Characteristics and Domains of Tendon Health to Identify Latent Subgroups of Achilles Tendinopathy." J Orthop Sports Phys Ther 51(9): 440-448.

Hutchison, A. M., Evans, R., Bodger, O., Pallister, I., Topliss, C., Williams, P., & Beard, D. (2013). “What is the best clinical test for Achilles tendinopathy?” Foot and Ankle Surgery, 19(2), 112-117.
Tu, P. (2018). "Heel pain: diagnosis and management." American Family Physician 97(2):86-93.

Khan KM, Forster BB, Robinson J, et al. “Are ultrasound and magnetic resonance imaging of value in assessment of Achilles tendon disorders? A two year prospective study.” British Journal of Sports Medicine 2003;37:149-153.

Longo, U. G., Ronga, M., & Maffulli, N. (2018). “Achilles tendinopathy.” Sports Medicine and Arthroscopy Review, 26(1), 16-30.

Malliaras, P. (2022). "Physiotherapy management of Achilles tendinopathy." Journal of Physiotherapy. 68 (4), 221-237.

Scott A, Docking S, Vicenzino B, et al. “Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012. British Journal of Sports Medicine 2013;47:536

コメント (21)
  • @ElijahXMedia
    Yea I have insertional …got it after playing a lot of basketball after being inactive, been sore for a month.
  • Thank you for the wholesome info. That is my condition with the injury esp on left foot. You have diagnosed with exactness and have analysed it. It s true the pain starts and forces a stop on my 10 k jog run when i m left with 2 & 1/2 kilometres to go.This occurs every time I'm about to finish I walk a long 8k to work & back, 3 times a week and do a jog on this 2 days in the week plus on Sat & Sun Perhaps is too much walking to work??? I thought the walk was supplementing my running ❤ TY
  • 20:04 amazing explanation. I am suffering from exactly this and had to stop playing tennis because I am afraid of a tearing up. 21:11 I am looking for a solution and found your so helpful videos.
  • Thank you for all this content. I saw an Orthopedic doctor and did an ultrasound and an xray and they are saying tendonitis. Had no “ouch” moment just started aching and increased slowly. But I got a ton of swelling in my ankle on the opposite side of where the tendon hurt the most, and my entire foot and ankle was super swollen so I was surprised to hear not much swelling. Also I got a roughly golf ball sized purple bruise over by the tendon. So again surprised to hear you say no bruising. A little confused now! But it definitely hurts most smack dab in the middle of my tendon/ankle. Not high or low.
  • That was a great video with very helpful information. I was attempting to diagnose the pain I have been feeling and there was no difference between pinching the Achilles on either side. However when I lightly apply a massage gun (very lightly) to back of the tendon there is a decent amount of pain. Zero pain on the other side. This is an older overuse injury from hiking too much and continues to come back. It fits most of the descriptions for tenonitis, but I'm curious if you think it could be something different given the self diagnosis technique?
  • Great video thank you. I am presenting with tendonitis in the right foot and after a few weeks it has moved to the left foot. I dont do any strenuous or intense exercises but have recently increased stretching and strengthening glute/hamstring muscles as a way to reduce piriformas pain. Is there any correlation with the stretching / piriformas as its close to sciatica? Ive also noticed a bersa on the left foot. How does treatment differ with a bersa? Thanks!
  • @mexdrago3009
    Mine is insertional and pain travels to the heel which may seem like plantar fasciitis. What your explaining sound exactly what's wrong me all these years. Im always offered insoles and they get it wrong no matter how well I explain where my pain is. Podiatrists seem to not listen to me. Are orthodontist better?
  • @majesticsword
    Excellent Info! 👍🏻My pain began going up stairs, going up small paths, and walking a lot! Never had problems with my heels, but I did experience plantar fasciitis before this heel situation started. I also have really bad throbbing pain on the side of my lower leg, it’s like a squeeze and a pulsation, exactly where the achilles tendon hurts! My achilles pain gets especially painful when taking my first step in the morning. But, the throbbing on side, of bottom of leg, gets worse when sitting or resting in bed!! Is all this related? It hurts like heck!🥵 I can’t walk long distances anymore, and going up steps isn’t good either, nor going up a small path. I have also been experiencing a throbbing, sharp pain on the same side of my neck, how messed up all this is!!
  • @thesuyash
    I am expressing pain for more than a year in both legs. Initially i fell pain in my Achilles and then it goes towards the outer parts of my legs and sometimes to outer side of my thigh also and one time i have experienced back pain associated with this as well. But from the past few weeks i am experiencing pain in the ankle bone, this pain is throughout 24hrs, what can be done , i have consulted multiple doctor but all they suggest is rest or most of them says you don't have anything just go and do whatever you want😢😢😢😢
  • What to do with the calf and tendon pain in the joint between tendon and calf muscles?...
  • @Abhiabs
    Hello, I play a few sports in a week (Cricket,Football and Badminton) at least once a week. I had a good 2 hour badminton session on a Sunday. Didn’t feel anything snapping while playing. Next day morning my Achilles were in a horrible position. Two weeks from that, I am able to walk without any discomfort, but then any plantar flexion movement is causing me a very sharp pain. I am fine with dorsiflexion movements though. Been icing it properly, met the physio here, she asked me to start with exercises like seated calf raises, but it hurts a lot while doing any plantar flexion movement. A very sharp pain. Please advise what I should be doing. Thank you
  • @azor3293
    Question: shoud I avoid swimming(not a sport swimming) if I have Achilles tendonitis. Please, advise. Thank you.
  • @HD-xk3km
    Question about a symptom: in addition to the typical tendonitis signs, I often have sharp pain (and internal 'click' sensation) with mild plantar flexion... which mostly worries me because it mainly happens when I'm going down steps, and the sharp stabbing pain around my ankle makes my whole body flinch and puts me off balance. Wondering if this is sometimes part of the picture for Achilles tendonitis/tendonopathy? Thanks for your expert and very helpful videos, Maryke! 🏆
  • @elysiumcore
    Used a leg press machine and went too deep - def stretched the achiles tendon - had MRI no tear lots of enflation above insertion - been 1.5 week , can barely walk - taking ibuprofen but Wondering if i should stop as that can delay healing 😢
  • @akashaseekers
    I have both Lipedema and several herniated disks with positive foot drop for about a year. My question is can the Lipedemous fat complicate the tendonopathy? I have pain on the medial side of my left Achilles and it's getting worse. I've had an ultrasound and the tendon is ok, but lots of fluid. And I also have that weird bulbous ball on my Achilles. I do have calcification at the insertion point. I'm waiting for the MRI to be approved. None of the docs that I've seen even knows what Lipedema is. (Not uncommon, tbh) I wear tight knee high compression and I'm not sure if that's making it worse?! Whatever you can offer would be helpful.
  • I have it since 2018 :( it does not fully go away :( it got better with static tendon holds, tibialis curls and fascia smashing but once I do some bouncing it comes back, cant even imagine running :( the tendons feel sooo weak :(
  • I started experiencing Achilles pain last July. I was brand new and pushed myself too hard. I stopped running completely because of the uncomfortableness even when just walking or at work. It’s now March and I’m still experiencing pain I’m just wondering when it will go away since I went months and months without running. I want to run again but not when I feel like this. This sucks :/
  • @mexdrago3009
    I used to run a lot and then my last years my jon these 2 new butthole supervisors kept putting my on the same job where I was stuck in a ship telling signaling to the crain operator where to drop the load for 2 years. I was balancing on my forefoot on angle iron. Basically, doing calf raises 10 hours a day, 60 hours a week.
  • @Nadia-km5sv
    I thought I had insertion tendint but with the description of the symptoms I don't think I have that..I went to the doctor this week and he told me to stretch that it would go away with stretching !..I said no, stretching makes me feel worse..in short..with your description tendinitis is not painful at rest. It constantly burns me all around this area (heel, tendon). I can't stand any shoe friction. I don't know who to see to get a real diagnosis. I would like to have your services but I don't speak English..at the moment I use Google translate 😆.Do you have therapists who speak French?..I live in Canada!!
  • @ginnytilby
    Can Tarsal tunnel syndrome mimic Achilles tendonitis?