This article reviews the pathogenetic role of metabolic disorders, which are of paramount relevance to the progression of tendon damage. Tendons are strong fibers that connect your muscles to your bones. Tendonitis most frequently results from overuse of a joint. It noticable if the skin over the knuckle was rubbed. Most cases of tendonitis are relieved with rest and anti-inflammatory medications. As chronic insult and overuse to the Achilles tendon continues, researchers have noted a loss of healthy type 1 collagen and an increase in inflammatory type 3 collagen that leads to further tendinopathy.8,9 Because of the mechanical recruitment of the hindfoot in the push-off phase of ambulation, insertional tendinopathy is more common than noninsertional pathology. Tendons are strong fibers that connect your muscles to your bones.
Type 2 Diabetes is the most common type of diabetes, and usually develops in adulthood. The ATL resulted in no measurable change in functional limitations