Based on the findings of this research, the authors strongly recommend adding shockwave to the treatment plan for patients with non-insertional Achilles Tendinopathy. Call us now. Thank you.
This condition is sometimes referred to as Achilles tendinitis, enthesopathy, or insertional calcific tendinopathy. While there are slight differences between these disorders, the terms are often used interchangeably
Insertional Achilles tendinopathy is a prevalent cause of posterior heel pain, affecting both sedentary and active individuals. A study involving 3,379 recreational runners found that 27.7% of Achilles tendinopathy cases were insertional, with a 4.2% incidence rate over a 20-week period. Notably, men had a significantly higher incidence (5%) compared to women (2.8%) .PMC+1PubMed
This condition is characterized by pain, swelling, morning stiffness, and tenderness at the attachment point of the Achilles tendon to the calcaneus (heel bone). It often leads to chronic discomfort, particularly in adults aged 30 to 60 who engage in regular physical activities like running.
In contrast, mid-portion Achilles tendinopathy occurs above the heel, closer to the muscle belly. Both types can be debilitating and challenging to treat effectively.
Insertional Achilles tendinopathy (IAT) often arises from repetitive stress and overuse, though the exact cause can vary. Certain risk factors increase the likelihood of developing this condition, particularly among individuals engaged in high-impact activities such as running, tennis, volleyball, and football.
Key Risk Factors Include:
Rapid Changes in Training Load: Sudden increases in running distance, frequency, or intensity can overload the tendon.
Improper Footwear: Worn-out or inappropriate shoes may fail to provide adequate support, increasing strain on the tendon.
Biomechanical Abnormalities: Factors such as flat feet (hyperpronation), leg length discrepancies, or altered gait patterns can predispose individuals to tendinopathy.
Previous Tendon Injuries: A history of Achilles tendinopathy or other lower limb injuries increases the risk of recurrence.
Systemic Conditions: Diabetes, obesity, and high cholesterol are associated with an increased risk of tendon degeneration.
Age and Gender: Younger age is significantly associated with the onset of insertional Achilles tendinopathy.
Genetic Predisposition: Individuals with certain genetic markers, particularly those related to collagen production, may be more susceptible to tendon injuries.
Understanding these risk factors is crucial for the prevention and management of insertional Achilles tendinopathy. Implementing appropriate training modifications, footwear choices, and addressing biomechanical issues can significantly reduce the risk of developing this condition.
Based on the findings of this research, the authors strongly recommend adding shockwave to the treatment plan for patients with non-insertional Achilles Tendinopathy. Call us now. Thank you.
Have any questions or concerns? Our team at Restore Podiatry is here to help! Reach out to us anytime, and we’ll be happy to assist you with expert advice and personalized care.
