Where is the Achilles tendon located?

The Achilles tendon is located above and back side of your heel. It connects the heel
bone with the calf muscle. It is the largest and strongest tendon in the body.

Where is calf muscle located?

The calf muscle is located back side of the shin in the lower leg region. It connected
the femur bone, and tibia bone with the heel bone.

What is the function of the Achilles tendon?

It helps to walk, jump and run. It lifts the weight of the body by raising the heel during
every step.

What is Achilles tendinitis?

Pain and inflammation of the Achilles tendon is known as Achilles tendinitis.

What are the risk factors for Achilles tendinitis?

● Sports involving intermittent sprinting
● Overweight
● Running and dancing
● Intermittent sport participants

What are the symptoms of Achilles tendinitis?

● Pain over Achilles tendon area
● Pain can be dull or sharp, increasing after activity
● There can be stiffness and tenderness over the affected area
● Heel pain and ankle pain can also be experienced at the same time

How Achilles tendinitis is diagnosed?

● Generally, symptoms can be enough to diagnose
● USG (sonography) and MRI help demonstrate the tissue damage

What is the impact of Achilles tendinitis on daily activities?

Mild cases with minimal symptoms with rapid recovery over a few weeks may not
show any impact on daily activities. However severe cases with resting pain, inability
to take the load and slow recovery might affect a person’s daily movements, sports
and sleep.

What happens during consultation at BILD Exercise Clinic?

● The doctor will examine the patient.
● A detailed history regarding the onset and progression of the disease will be
noted.
● A record of previous treatments tried will be noted.

● Strength differences of different muscles around the knee joint will be
analysed.
● Previous reports (if any) such as MRI and USG will also be seen and
discussed.

What questions to expect from your doctor

The doctor may ask some of the following questions:
● Where exactly does it hurt?
● Since when do you have this problem?
● What was the trigger or nature of injury (if applicable) for the beginning of pain
● How would you describe the pain — dull, sharp, burning?
● What are the previous treatment modalities tried by you?
● What makes the pain worse? What makes the pain better?
● How does the pain affect your sleep and life?

Is it necessary to have any investigations done before or after the consultation?

● It is NOT compulsory to have any investigations done before consultation.
● Blood tests and MRIs are NOT asked for.

How to prepare for your consultation with the doctor?

● Wear comfortable clothes. Preferably wear pants or shorts that can be pulled
slightly above the knees to help examination of knee joints.
● Don’t consume painkillers (at least 12 hours before) while coming for
consultation. Painkillers mask the symptoms and interfere with understanding
of symptoms.
● Bring all the previous reports, investigations, and medication prescriptions. It
is NOT necessary to have investigations or tests to be done before.
● Write down all your questions on paper or on a mobile phone that you want to
ask the doctor.
● It is always useful to bring a companion with you during consultation.

What treatment can be offered at BILD Exercise Clinic?
● Based on examination, reports, and medical history doctor will prescribe
home-based exercises. Home-based exercise prescription contains diagrams,
figures and detailed instructions.
● If needed few sessions of specific exercises can be conducted at the BILD
Exercise Clinic.

What types of exercises are covered at BILD Exercise Clinic?

As needed one or more of the following exercises are prescribed and administered.
● Exercises for strength
● Mobilization exercises
● Exercises for balancing
● Exercises for Impact and load-bearing

What are the goals of the exercise treatment at BILD Exercise Clinic?

● Decrease pain and stiffness.
● Improve muscle strength.
● Delay or reverse the further progression of symptoms.
● Improve quality of life.
As with any medical or exercise intervention the outcome varies from patient to
patient.

Which technology might be used (as per the need) at BILD Exercise Clinic?

● Strength training equipment (MATRIX, USA and others)
● Anti-gravity treadmill (NASA, USA)
● Robotic Isokinetic Strength Training machine (KINEO, ITALY)
● CODLTUB- water immersion
● Balance stimulating equipment
● Resistance bands
● Weight sled
● Cardio equipment such as cycle, elliptical, versa climber, Jacobs ladder etc.
The selection of technology and exercise protocol is determined by the doctor.

What kind of treatment is NOT offered at BILD Exercise Clinic?

● Painkillers or Anti-inflammatory medications
● Vitamin supplements
● Ointments and creams of any kind
● Any other pharmacological/drug treatment
● Hormonal Therapy or injectables of any kind
● Intra-joint injections of any kind
● Surgery of any kind

How to reach BILD Exercise Clinic OPD at Deenanath Mangeshkar Hospital?

• Reach the Super Speciality Building (SS building/new building) lobby/main entrance before time. Wheelchairs are available in the lobby and parking for needy patients. Click here for the Google map location of BILD Exercise Clinic.
• Parking is available based on availability. You can prefer public transport such as bus, auto-rickshaw, cab or taxi.
• If you are not registered as a patient and appearing for the first time as a patient at Deenanath Mangeshkar Hospital then try to come at least 15 minutes before the appointment time to complete the simple registration process at the ground floor reception of the super specialty building.
• Get an OPD entry pass (for patients) and an attendant pass at the ground-floor reception.
• Choose appropriate lifts (life no.1,2,3 ) at the ground floor to reach BILD Exercise Clinic OPD on the 11th floor.
• Depending upon patient numbers some waiting period is expected. Comfortable sitting, clean drinking water, a book reading section, clean toilets, changing rooms, and a cafeteria (on the ground floor and seventh floor) are available at your service.