ACHILLES PARITENONITIS (TENDON SHEATH INFLAMMATION)

The Achilles tendon is the tendinous extension of three muscles in the lower leg: gastrocnemius, soleus, and plantaris, inserting into the calcaneus (heel bone). The tendon passes behind the ankle and is the thickest and strongest tendon in the body. It is about 15cm long, and begins near the middle of the leg. The tendon is surrounded by a sheath called the paratenon, which protects the tendon and helps to reduce friction.

SYMPTOMS

-On using the Achilles tendon pain is felt.

-Around the tendon diffuse swelling occurs.

-There is intense, diffuse tenderness and impaired function.

-In cases of severe inflammation, skin redness appears over the tendon.

-When the fingers are pressed on the tendon during ankle joint movement a creaking sensation can be felt.

-Symptoms are similar to that of Achilles tendinopathy however this condition tends to be more acute and has a bigger inflammatory component.

TREATMENT

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