Case Study: Diagnostic Ultrasound of Achilles Tendinopathy – how does Diagnostic Ultrasound fit into physiotherapy practise?

Author: Suegnet Meyer, MSc, BPHYST, PGCert MSK US (cand).

© 2020 Suegnet Meyer. All rights reserved.

Slide 1: Non-insertional or Mid-portion Achilles tendinopathy: Does Diagnostic Ultrasound fit into Physiotherapy Practise?

This presentation was constructed as part of completing a postgraduate qualification in Musculoskeletal Sonography at Brunel University, 2020. This case has been anonymised and patient consent obtained.

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Achilles Tendinopathy

Achilles Tendinopathy is commonly known as Achilles Tendinitis. It is a frequent cause of lower calf pain and heel pain. It is usually characterised by a degeneration or worn down of the Achilles tendon, which means it does not possess its normal tensile strength and may be liable to further damage and pain during sporting activity.

Signs & Symptoms

Achilles InjuryThe main symptoms are pain and stiffness of the tendon,  just above your heel bone. It usually develops gradually and may be more noticeable after a period of rest, such as first thing in the morning. The pain may improve with exercise to begin with. Over time, symptoms may worsen; you may start to experience pain after exercise and finally pain during exercise. The tendon above your heel may appear slightly swollen and feel stiff. Continue reading