Kinesiology 2236A/B Lecture Notes - Lecture 16: Tibialis Posterior Muscle, Tibialis Anterior Muscle, Synovial Sheath
4 Apr 2018
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Lecture 16 lower leg & chronic knee pain. Posterior heel pain what could it be: achilles tendonitis, achilles bursitis or retrocalcaneal bursitis, need to decide exactly where the pain is, true tendon pain is usually confined to the tendon itself. Retrocalcaneal bursitis vs. achilles bursitis: retrocalcaneal bursitis. Tendinitis and paratenonitis continued: acute irritation, external factors such as, too much, too soon , rub from bone or shoe/equipment, running down hill tib anterior, rub from laces tib anterior, hyper dorsiflexion achilles. Internal factors such as foot malalignment: rub over bone, cavus or flat/pronating feet. Start strength and proprioception ex. as healing: they think they are healed but they really aren"t able. Achilles tendinosis: what is a tendinosis/tendinopathy, chronic pathological changes brought about by repetitive micro-trauma. And tenderness over large portion of tendon: no swelling, just thickens, faulty biomechanics, on sttt, both plantar and dorsiflexion cause pain and crepitus (if paratenon involved), particularly with loading, nodules/bumps may be palpable.
