Achilles Tendinopathy !
Achilles tendinopathy is an overuse problem of the Achilles tendon above the heel; it causes pain, stiffness and thickening of the tendon.
Updated 2026-10-23
Structures involved
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In the clinical exam
Why it happens
- Connective tissue proper: cells and fibres
- Extracellular matrix: collagen types, elastin, ground substance
What it is
Overuse condition of the Achilles tendon causing pain and thickening, usually in the midportion or at the insertion.
Symptoms and signs
- Pain and stiffness in the back of the heel, worse with activity or in the morning
- Thickened tendon
Diagnosis
- Clinical
- Exam and history of load
- Imaging
- Ultrasound or MRI if the diagnosis is unclear
Treatment
- Rehabilitation
- Progressive tendon loading (eccentric or heavy slow resistance) is the main approach.
- Conservative
- Load management and activity changes.
Related conditions
Educational information, not medical advice. For any symptom, see a health professional.
Sources: Achilles Tendinopathy (StatPearls (NCBI Bookshelf), 2024).
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Representative model, for educational purposes only.
