Achilles Tendinopathy - BOFAS Lectures of Distinction

This talk recorded from a live webinar and delivered as part of the British Orthopaedic Foot & Ankle Society series aimed at trainees revising for the UK FRCS Orth exam. This topic was delivered by Rupinderbir Deol on 21 February 2022.
To view the entire series of lectures click here:
• BOFAS Lectures of Dist...

[@doctorna2828]

Thank you so much. That's really helpful and interesting.

[@jonathanbarber5392]

This was a really interesting and well delivered talk. Thank you.
There is one comment I would like to make: With an insertional achilles tendinopathy it is imperative to avoid moving the foot/ankle into a dorsiflexed position when performing the calf raises. This is because compression of achilles against the calcaneus with an irritated tendon will only make it more painful. As we know, tendons respond very well to tensile loading but poorly to compression. I would therefore avoid calf stretches and only perform calf raises from a flat surface (rather than a step).
From my clinical experience, insertional achilles tendinopathies respond very well to eccentric calf raises from a flat surface and ESWT. With only a small proportion requiring surgical intervention.