Tendinopathy

Achilles tendiopathyTendinopathy, tendonosis and tendonitis are the clinical terms used to describe injury of a tendon.
The most accurate of the three terms has changed over the years with researches now recommending ‘tendinopathy’ as the most appropriate term.

The injury may be either tendon inflammation or connective tissue microtears.

Tendonopathies may result in pain or discomfort both during exercise or walking, after exercise, or both during and after exercise.

Tendinopathies can occur in any tendon in the body and affect anybody.

Common Lower Limb Tendinopathies include:

  • Tibialis Posterior Tendinopathy – pain over the inside (medial) aspect of the ankle and lower calf.
  • Peroneal Muscle Tendinopathy – pain over the outside (lateral) aspect of the lower calf and ankle.
  • Achilles Tendinopathy – pain on The Achilles tendon at the back of the ankle and lower calf.
  • Flexor Hallucis Tendinopathy – pain on the inside (medial) aspect of the lower calf, ankle, and arch of foot.

Calf painTendinopathies of the foot and ankle are most often a direct result of changes in foot posture, for example excess foot pronation (pes planus or flat feet) or foot supiantion (pes cavus or high arched foot). The pronated foot or supinated foot may result in changes in the function of the muscles and joints of the ankle complex and this will place additional stress on one tendon adn ultimately, the accumulation of this additional tendon stress during repeatitive loading (walking, running, sport) will result in injury of the tendon.

The Orthotist or Podiatrist will restore foot posture to reduce the tendon stresses and therefore aid healing, either by foot orthotic therapy (insoles, arch supports) or with a foot mobilisation and muscle strengthening programme.

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