differential diagnosis

Last reviewed 07/2021

The following conditions which may cause pain in and around the Achilles tendon should be differentiated from true tendon pain (which is almost always restricted to the tendon itself)

  • posterior ankle impingement
  • os trigonum syndrome
  • tenosynovitis or dislocation of the peroneal or other plantar flexor tendons
  • an accessory soleus muscle
  • irritation or neuroma of the sural nerve
  • systemic inflammatory disease (1)

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