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ACHILLES TENDON INJURIES. The Achilles tendon is vulnerable to a host of injuries which include associated bursitis, tendonitis, partial and complete ruptures. Achilles tendon problems are found in all age groups from about the age of 10 years old onwards and is often associated with vigorous walking and sporting activities. Mechanically, Achilles tendon problems are due to excessive pronation (the feet become misaligned and combined with poor posture roll inwards to gain ground contact, the arches become flattened). The increased range of movement in the ankle results in excessive strain and injury of the Achilles tendon. Treatment of Achilles tendon injuries depends on the severity of damage. Partial tears or ruptures should have an orthopaedic evaluation for casting or surgical repair in addition to physiotherapy. The less severe injuries will benefit from rest, ice packs, massage, elasticated supports, muscle stretching and strengthening. Orthotic insoles will help to reduce the strain on the Achilles tendon by stabilising the heel and controlling excessive pronation.
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