Achilles Tendonopathy / Rupture

The Achilles tendon connects the calf muscles (Soleus and Gastrocnemius) to the heel and is essential for push off during gait. Inflammation of the tendon (tendonitis) may occur as a result of a sudden increase in activity (e.g. increased running distance) or as a result of a combination of moderate activity and age related degeneration (classically in middle aged squash or tennis players) .

It presents with pain around the heel and lower part of the calf related to activity. Rupture may occur as a result of underlying tendonitis or following trauma. Patients typically describe a sensation “like being kicked in the back of the heel”.