Professor Ferns (December 2004, JRSM1) recommends looking at the eyes as well as the legs in Achilles tendinopathy, to detect the corneal arcus of familial hypercholesterolaemia. In my opinion, the serum lipids should be checked in all cases of Achilles tendinitis, whether unilateral or bilateral. I have seen several patients whose hypercholesterolaemia presented with Achilles tendinitis, and not all had eye signs.
References
- 1.Ferns G. Achilles tendinopathy. J R Soc Med 2004; 97: 608. [DOI] [PMC free article] [PubMed] [Google Scholar]