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Showing posts from January, 2013

Diagnosis of Posterior heel pain & role of eccentric exercise in mid-portion Achilles tendinopathy

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Introduction: Degenerative disorders of tendons present an enormous clinical challenge. They are extremely common, prone to recur and existing medical and surgical treatments are generally unsatisfactory. Posterior heel pain is a common complaint in both athlete and non-athlete. Posterior heel pain is multifactorial and includes paratenonitis, tendinosis, tendinosis with partial rupture, insertional tendinitis, retrocalcaneal bursitis, and subcutaneous tendo-Achilles bursitis. Each of these entities is distinct, but they often occur in combination. To avoid stereotyped treatment programs and there by failure of treatment, we need to know & classify homogenous appearing clinical entities into it’s own due place. With respect to posterior heel pain we encounter similar appearing entities in the Achilles tendon itself. Hence Van dijk et al in 2011 has sought clear terminology to delineate each of pain syndromes arising out of posterior heel. Following is an outline of new termi