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PATHOLOGIES
tendon and soft tissue conditions
Tendons and soft tissue structures are essential for smooth, pain-free movement of the foot and ankle. Overuse, degeneration, or sudden injury can cause inflammation, ruptures, and chronic discomfort. Our team treats conditions affecting the Achilles tendon, peroneal tendons, and other soft tissues with evidence-based therapies, focusing on restoring strength, mobility, and long-term tendon health.
Insertional Achilles tendonitis refers to inflammation or degeneration of the Achilles tendon at its attachment to the heel bone (calcaneus). Unlike mid-portion Achilles tendonitis, which occurs along the body of the tendon, insertional tendonitis specifically affects the tendon where it inserts into the bone, often causing pain and stiffness in the lower heel area.
Non-insertional Achilles tendonitis refers to inflammation, degeneration, or microscopic tears in the middle portion of the Achilles tendon, the large tendon at the back of the lower leg. This condition typically affects athletes or active individuals who perform repetitive activities involving the Achilles tendon, such as running, jumping, or hiking. Unlike insertional tendonitis, which affects the tendon where it attaches to the heel bone, non-insertional tendonitis involves the body of the tendon itself.
Peroneal tendon pathology refers to issues affecting the peroneal tendons, which are two tendons (the peroneus longus and peroneus brevis) that run along the outside of the lower leg and foot. These tendons are responsible for stabilizing the foot and ankle, aiding in movements like eversion (turning the foot outward) and plantarflexion (pointing the toes downward). When these tendons become damaged or inflamed, it can lead to pain, instability, and difficulty with movement.
An Achilles tendon rupture occurs when the Achilles tendon, the strong, fibrous tissue that connects the calf muscles (gastrocnemius and soleus) to the heel bone, is partially or completely torn. The rupture can result from sudden movements or repetitive strain, often during activities such as running, jumping, or pivoting.
Tibialis posterior tendonitis (or dysfunction) is an inflammation or degeneration of the tendon that runs along the inside of the ankle and supports the arch of the foot. It’s one of the most important tendons for maintaining stability when walking and standing. Overuse or injury can lead to pain, swelling, and sometimes progressive flattening of the arch.
