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What are the different types of Achilles tendon issues?

There are number of pathological issues that can give you achilles pain. It is important to know which type that you may have as this can influence your treatment pathway. We will talk you through the most common:

Achilles Tendinopathy

Some of you may be more familiar with the term Tendinitis. This has been changed over the years as there is a level of uncertainty whether there is any inflammation in a painful achilles tendon. The term “itis” is suggestive of inflammation, so to keep everyone happy we have chosen tendinopathy. To complicate things further this can be found in a variety of forms.

  • Mid-portion: This is the most common form of Achilles pain and generally elicits pain in the middle of your achilles
  • Insertional: This is less common and pain is generally located lower down the achilles tendon, close to the back of the heel bone.
  • Para tendon: This is a general diffuse ache along the entirety of the achilles tendon.

Achilles Tear

This is a tear in the tendon. It is graded on a scale of 1-3, 1 being less severe and 3 being the most severe. It is most often seen closer to where the calf muscles attach to the achilles tendon (musculotendinous junction) so the pain is generally closer to the calf muscle than the heel bone.

Achilles Rupture

This is also less common. People generally report that they felt like someone or something hit them on the back of the leg. Sometimes there is no pain but there is a marked decrease in function that can enforce a severe limp.

So there are multiple forms of Achilles injuries that can lead to pain and dysfunction. If you would like to learn about some rehabilitation exercises then take a look here.

If you have any questions, please do get in contact. Our clinicians would be delighted to help

Otherwise, please feel free to share this information with anyone you feel they may benefit.

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