Assessment of the Thyroid: Achilles Tendon Reflex (Woltman’s Sign)

6. "Delayed relaxation of the muscle stretch reflex (Woltman’s Sign) occurs in hypothyroidism. The achilles tendon reflex is a scientific way to assess thyroid function. The foot should plantar flex quickly and then return immediately to its starting position or beyond with no hesitation if the metabolism is healthy. No response or a very slow return back to original position are indicative of low metabolism."