Achilles Ultrasound – All clear to referee (carefully!)

allclear1 I had the follow-up with my consultant this evening, now that the ultrasound on my achilles had been performed. I had been feeling pretty nervous about this as I’ve been looking forward to getting cracking on with the start of the season, and did not want any upsets!

This was the report:

No plantaris tendon was identified separate to the Achilles tendon. There is unremarkable retro-Achilles bursa measuring maximum 1mm depth. There is a strand of low and less linear reflectivity within the Achilles insertion onto the calcaneum centrally and medially, each measuring approximately 1mm deep and up to 2cm length. No increased perfusion is detected. The mid and proximal Achilles tendon and musculotendinous junction look normal. No retrocalcaneal bursitis is detected. No paratenonitis is detected. No erosion of the calcaneum at the Achilles insertion is detected. No calcification in the Achilles tendon is detected.”

CONCLUSION:

Subtle features suggestive of a couple of fine strands of tendinopathy insertional within the medial and central insertion of Achilles tendon.

Essentially, there is a tiny little tear in there which looks like it has been healing well. ‘Healing well’ is indicated by the fact that no evil calcification or other knock-on effects such as aggravation to the bursa have been happening.

I went through my recent improvements with the consultant (including the new footwear). This included the findings on my severe overpronation and the Superfeet orthotic. The good news is that he approved of all this, and in particular that the orthotic was the appropriate type. In his own words, “You seem to be fixing yourself!”.

He is happy for me to carefully resume refereeing. I have also been referred to a recommended physio (my consultant used them for his ACL tear) to work on continued strength and flexibility training.

Achilles injuries are SLOW to heal (poor blood supply), so I feel there is still a bit of a journey ahead of me with this. It will be good to get back to running and other physical training, as getting the weight down will help with all this too!

Bring it on!

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