RT Book, Section A1 Ritter, Kathryn A1 Fitch, Robert Warne A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181043655 T1 Achilles Tendonitis T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181043655 RD 2024/04/24 AB Achilles tendonitis refers to a spectrum of disease ranging from nonpainful nodules to painful swelling of the tendon and paratendon sheath. It most typically develops from overuse, usually after sudden changes in activity or training level. It often occurs in older recreational athletes, who are generally more sedentary and deconditioned. Multiple factors contribute to the condition, including inappropriate footwear, training on poor surfaces, or prolonged running or jumping. High-risk factors include anatomic abnormalities, such as cavus feet, tibia vara, and heel or forefoot varus deformities. A tight Achilles tendon may develop in patients who frequently wear high-heeled shoes.