CEU
Understanding
Achilles Tendinopathy
for Improved Results
in Orthotic Therapy
By James McGuire DPM, PT, LPed, FAPWHc;
Milad Manoucheh BA; Walter Payne BS
I. TENDON PATHOLOGY
Like everything else in the human body, tendons are prone
to decline in function as we get older. It has been shown by
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Kannus and colleagues that tendon degeneration begins as
early as age 30 (1). There are many factors that play a role
in tendon degeneration. As we age structural and metabolic
changes, decreased water content, decreased blood flow,
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articles are available in the magazine archive
at www.pedorthics.org.
lower oxygen delivery, and biomechanical changes such
as decreased tensile strength all contribute to tendon
degeneration. However; the rate at which we age and the
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bodily changes and function declination is unique to the
individual (2). The rate of change is highly dependent on
genetics, life style, hormonal changes, medications, and
Current Pedorthics | July/August 2018
53