Home
Conditions
C.V
Publications
Courses
Links

 

 

 

Achilles Tendon Disorders

                                                                                                                         Mr Tim Clough

Consultant Orthopaedic Surgeon

Other common names

  • Tendon Achilles tendinitis

  • Tendon Achilles rupture

Who does it affect? 

Anyone 

Why does it occur? 

The cause of this condition is unclear and controversial. It can either occur at the insertion onto the heel bone or more commonly about 3-5cm above the insertion.

Symptoms

Well localised pain either at the insertion of the Tendon Achilles onto the heel bone or just above. It is made worse by resisting ankle movements. 

Investigations

Ultrasound or MRI scan will confirm the thickened tendon with any areas of degeneration within the tendon and can exclude a tear.

X-ray can exclude an underlying bony prominence of the heel bone if pain is at the insertion.

Non-operative treatment

Rest, anti-inflammatory analgesics, avoidance of aggravating activities, temporary use of heel inserts, stretching exercises and physiotherapy, with the use of ultrasound or laser.

Operative treatment

If conservative treatment fails, surgical intervention may be necessary. This would require tendon release, tendon debridement +/- repair +/- excision of bony prominence from the heel bone.