Achilles Tendon Contracture: Impact on Mobility and Military Service - Orthopedics

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Achilles tendon contracture syndrome


I would like to ask the doctor, I have a problem with squatting down, and a certain hospital diagnosed me with Achilles tendon contracture, which has functional impairment.
Is this considered a type of muscle atrophy? Will this contracture affect my military service?

Niming, 20~29 year old female. Ask Date: 2018/12/10

Dr. You Dianqi reply Orthopedics


Hello: There are many reasons for difficulty in squatting.
If you are certain that your diagnosis is Achilles tendon contracture, it is generally different from muscle atrophy.
Regarding military service issues, I would need to see your condition in person to provide a response.
Thank you.

Reply Date: 2018/12/10

More Info


Achilles tendon contracture, often referred to as Achilles tendon tightness or shortening, is a condition where the Achilles tendon, which connects the calf muscles to the heel bone, becomes shortened or stiff. This can lead to a range of mobility issues, particularly affecting activities that require ankle dorsiflexion, such as squatting, walking, and running.
In your case, experiencing difficulty squatting could indeed be a symptom of Achilles tendon contracture. This condition is not classified as muscle atrophy, which refers to the wasting or loss of muscle tissue. Instead, it is more related to the tendon and the associated muscle's ability to function properly. When the Achilles tendon is contracted, it can limit the range of motion in the ankle joint, leading to compensatory movements in other parts of the body, which may result in discomfort or pain.

The impact of Achilles tendon contracture on mobility can be significant. Individuals may find it challenging to perform daily activities that require bending the knees and ankles, such as squatting, climbing stairs, or even walking for extended periods. In a military context, where physical fitness and mobility are crucial, this condition could indeed pose challenges. Military service often requires individuals to meet specific physical standards, including the ability to perform various exercises and maneuvers that involve lower limb mobility.
If the contracture is severe, it may hinder your ability to meet these physical requirements, potentially affecting your eligibility for military service. However, the extent of the impact largely depends on the severity of the contracture and how well you can adapt or compensate for the limitations it imposes.
Treatment options for Achilles tendon contracture typically include physical therapy, stretching exercises, and in some cases, orthotic devices to help improve ankle mobility. Physical therapy can focus on stretching the calf muscles and the Achilles tendon, strengthening the surrounding muscles, and improving overall flexibility. In more severe cases, surgical intervention may be considered to lengthen the tendon and restore normal function.

It is essential to consult with a healthcare professional, such as an orthopedic specialist or a physical therapist, to assess the severity of your condition and develop an appropriate treatment plan. They can provide guidance on exercises that may help improve your mobility and discuss any potential implications for military service.

In summary, while Achilles tendon contracture can significantly impact mobility and may pose challenges for military service, it is not classified as muscle atrophy. With appropriate treatment and rehabilitation, many individuals can improve their condition and maintain a level of physical fitness suitable for military requirements. Always seek professional medical advice tailored to your specific situation for the best outcomes.

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