Orthopedics

Orthopedics 217: Achilles Tendinitis — The Good, The Bad, and The Ugly | Chiropractic CE | CCEDseminars

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Clinician in black gloves palpating patient's lower leg and Achilles tendon area during clinical examination
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Instructor:  Michael Hall, DC, FIACN
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

Clinician performing a diagnostic ultrasound examination of a patient's Achilles tendon with an anatomical overlay of the tendon and an ultrasound monitor in the background — Orthopedics 217: Achilles Tendinitis, a 2-hour chiropractic CE course

Orthopedics 217 At a Glance

CourseAchilles Tendinitis — The Good, The Bad, and The Ugly · 2 CE Hours
FacultyMichael Hall, DC, FIACN
FormatOnline, on-demand — start immediately
Pricing$40 ($20/hr) · automatic bundle discounts
ApprovalPACE Provider #34015544 · TCC co-sponsored

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Texas Chiropractic College co-sponsor logo FCLB PACE Provider 34015544 approval logo CE Broker auto-reporting integration logo Board-approved · PACE Provider #34015544 · CE Broker auto-reporting · Instant certificate

Achilles tendinitis is a common and often underestimated lower extremity condition that can significantly affect a patient's ability to perform daily activities, participate in sport, and maintain overall quality of life. While many cases resolve with appropriate early intervention, others progress to degenerative tendinopathy, partial rupture, or chronic pain — making accurate clinical assessment and timely, targeted management essential skills for every chiropractic practitioner. The title says it plainly: the good (straightforward cases that respond quickly to conservative care), the bad (stubborn chronic tendinopathy), and the ugly (degenerative and complicated presentations that test every tool in your toolkit).

In Orthopedics 217, Michael Hall, DC, FIACN walks you through the complete clinical pathway — from first patient contact to discharge planning: history taking that differentiates insertional from non-insertional tendinopathy and screens for systemic contributors such as fluoroquinolone use, inflammatory arthropathies, and metabolic conditions; a comprehensive examination sequence; imaging indications and interpretation; and the full conservative toolkit from chiropractic treatment and progressive tendon loading to nutrition, documentation, and collaborative care.

Where This Course Fits — Three Lanes, One Curriculum

The CCED Orthopedics series — 26 courses, 52 CE hours — organizes into three working lanes. Trace the nerve, evaluate the joint, and catch the presentations that change management:

1 · Nerve Entrapment Syndromes

201: Upper Extremity Entrapments · 202: Trunk & Upper Extremity · 203: Pelvis & Lower Extremities · 221: Burner Syndrome

2 · Joint by Joint — Shoulder to Foot

204: Rotator Cuff Syndrome · 206: Frozen Shoulder · 212: The Neck & Shoulder · 215: Foot & Ankle Conditions · 216: Plica Syndrome · You are here » 217: Achilles Tendinitis · 218: The Floppy Ankle · 219: The Hip · 225: Stress Fracture

3 · Spine, Stability & Red Flags

205: Cervical Spine Instability · 207: Finger to Floor & Sit-n-Reach · 208: Managing Chronic Pain · 209: The Romberg Sign · 210: Inflammatory Disc Disease · 211: Cervical Position Sense · 213: Coronal Plane Movement & Neuroplasticity · 214: Cauda Equina & Lumbar Radiculopathy · 220: Cervicovagopathy · 222: Dropped Head Syndrome · 223: Inflammation & Relationships · 224: Breathe & Mouth Breathing · 226: Gait & the Lumbar Spine

All courses in Orthopedics 201–224 count toward the 48-hour Clinical Chiropractic Orthopedics Certification (CCO). Browse the full Orthopedics category.

What You'll Learn

  • Integrate clinical evaluation techniques for Achilles tendinitis, including history-taking strategies and physical examination findings that differentiate presentations and guide management decisions.
  • Develop new conservative treatment strategies incorporating chiropractic techniques, progressive tendon loading protocols, and activity modification principles.
  • Apply documentation and coding best practices in clinical settings when managing Achilles tendinitis and related lower extremity tendinopathies.
  • Determine appropriate patient selection for collaborative treatment, including criteria for co-management with physical therapists, sports medicine physicians, and orthopedic specialists.

Course Outline

  • Patient History — chief complaint, onset, and progression; insertional vs. non-insertional differentiation; aggravating and relieving factors; screening for systemic contributors (fluoroquinolone use, inflammatory arthropathies, metabolic conditions); prior treatment response.
  • Physical Examination — observation and gait analysis; palpation of the tendon, insertional region, and retrocalcaneal bursa; range of motion; provocative tests (Royal London Hospital test, arc sign, Thompson test); functional screening; differential diagnosis including retrocalcaneal bursitis, partial rupture, Haglund deformity, and posterior impingement.
  • Imaging & Diagnostic Testing — radiographic evaluation for calcaneal spurs and Haglund deformity; diagnostic ultrasound; MRI indications for ruling out partial or full rupture; interpreting findings in clinical context.
  • Chiropractic Treatment Methods — soft tissue therapy (myofascial release, IASTM, cross-friction massage); joint mobilization of the ankle, subtalar, and midfoot; taping and orthotic considerations; activity modification and load management.
  • Physical Therapy Approaches — the Alfredson eccentric heel-drop protocol; heavy slow resistance training; gastrocnemius, soleus, and plantar fascia stretching; progressive return-to-activity programming.
  • Nutritional Management — anti-inflammatory nutrition strategies; collagen synthesis support (vitamin C, gelatin/collagen supplementation); omega-3 fatty acids and tendon tissue health.
  • Documentation, Coding & Collaborative Care — ICD-10 coding for Achilles tendinitis and tendinopathy; SOAP note documentation pearls; outcomes-based documentation for medical necessity; co-management criteria and referral communication.
Your Instructor — Michael Hall, DC, FIACN
Michael Hall DC FIACN, chiropractic neurology and orthopedics CE instructor

Michael Hall, DC, FIACN is a Fellow of the International Academy of Chiropractic Neurology with over 30 years of clinical and academic expertise. A 1990 honors graduate of Parker College of Chiropractic and Diplomate of the American Board of Chiropractic Neurology (1993), Dr. Hall is the founder of BrainDC.org and a leading voice in functional neurology, concussion management, and global chiropractic education.

Meet the full CCED faculty »

Will This Course Count in My State?

CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB). Orthopedics coursework is clinical subject matter — examination, diagnosis, and case management — and Orthopedics 217 is accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. The complete approval list for this course appears at the bottom of this page, and completions auto-report to CE Broker for participating states.

Not sure what your board requires? Check your state's rules on the CE guidelines hub.

Stack Your Hours & Save Automatically

Online courses are $20 per credit hour. Buy 6–9 hours and 10% comes off automatically at checkout; 10+ hours takes 20% off. No promo codes — the discount calculates itself.

Pair Orthopedics 217 with 215: Foot & Ankle Conditions, 216: Plica Syndrome, and 218: The Floppy Ankle for a complete lower-extremity block — or take the whole track: the CCO Certification Bundle delivers all 24 courses (Orthopedics 201–224, 48 hours) in one $960 purchase toward the Clinical Chiropractic Orthopedics certification.

References

  1. Alfredson H, Pietilä T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. American Journal of Sports Medicine. 1998;26(3):360–366. doi:10.1177/03635465980260030301. PubMed
  2. Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy. American Journal of Sports Medicine. 2015;43(7):1704–1711. doi:10.1177/0363546515584760. PubMed
  3. Maffulli N, Wong J, Almekinders LC. Types and epidemiology of tendinopathy. Clinics in Sports Medicine. 2003;22(4):675–692. doi:10.1016/s0278-5919(03)00004-8. PubMed
  4. Shaw G, Lee-Barthel A, Ross ML, Wang B, Baar K. Vitamin C–enriched gelatin supplementation before intermittent activity augments collagen synthesis. American Journal of Clinical Nutrition. 2017;105(1):136–143. doi:10.3945/ajcn.116.138594. PubMed

Frequently Asked Questions

What does Orthopedics 217: Achilles Tendinitis — The Good, The Bad, and The Ugly cover?

Orthopedics 217 is a 2-hour online chiropractic CE course covering the full clinical spectrum of Achilles tendinitis — straightforward cases that respond to conservative care, stubborn chronic tendinopathy, and complicated degenerative presentations. It includes history taking, physical examination with provocative tests, imaging and diagnostics, chiropractic treatment, progressive tendon-loading rehabilitation, nutritional management, documentation and coding, and collaborative care. Chiropractors may search for it as an Achilles tendinopathy course, Achilles tendonitis CE, or a heel pain course.

Is Orthopedics 217 PACE-approved and accepted in my state?

Yes. CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB), with courses accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. Completions auto-report to CE Broker for states served. The full approval list for this course appears at the bottom of the page.

How can you tell if an Achilles tendon is torn or just inflamed?

Differentiating tendinitis from a partial or complete rupture takes systematic evaluation: mechanism and onset history, palpation, provocative testing such as the Thompson test, and MRI when rupture must be ruled out. Orthopedics 217 teaches the examination sequence, imaging decision-making, and differential diagnosis — including retrocalcaneal bursitis and Haglund deformity — that let a chiropractor make that call confidently and refer when indicated.

How many CE hours does Orthopedics 217 award, and how is the certificate issued?

Orthopedics 217 awards 2 chiropractic CE hours. Your certificate is issued electronically the moment you complete the course and quiz, and is available in your CCEDseminars account. Completions auto-report to CE Broker for participating states.

Which CCED orthopedics courses pair well with Orthopedics 217?

Doctors who take Orthopedics 217 often add Orthopedics 215: Foot & Ankle Conditions, 216: Plica Syndrome, and 218: The Floppy Ankle — a complete lower-extremity block. All Orthopedics 201–224 courses also count toward the 48-hour CCO certification.

Good to know: the course title in your account is your access link — no software installation, any modern browser, desktop or mobile. Pause and restart anytime from your account, and print your certificate the moment you finish.

Ready to Earn Your 2 CE Hours?

Online. On demand. PACE-approved. $40 — master Achilles tendinitis from history to discharge, for every case on the spectrum.

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CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 24, 2026 (CT)

This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chile, Colombia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Namibia, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,