Calf stretch exercise Open pop-up dialog box Close. Calf stretch exercise Your Achilles tendon connects the muscles in the back of your leg to your heel bone. Share on: Facebook Twitter. Show references Maughan KL. Achilles tendinopathy and tendon rupture. Accessed June 26, Achilles tendon rupture. American Academy of Orthopaedic Surgeons. Li Q, et al. Minimally invasive versus open surgery for acute Achilles tendon rupture: A systematic review of overlapping meta-analyses.
Journal of Orthopaedic Surgery and Research. Zhang H, et al. Functional rehabilitation. We are one with the community. Not only do our healthcare staff get involved in promoting awareness at numerous schools and sporting events, but they also provide exceptional orthopedic services at 5 convenient locations.
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As the safety of our patients and staff is our top priority, we are requiring that everyone wear face masks when they enter our buildings. For more information, click here. Symptoms of Achilles Tendon Injury There are cases when an Achilles tendon injury shows no signs or symptoms at all.
However, most people usually experience the following physical indications: A popping sound, indicating a rupture or damage Swelling around the heel Severe pain in the heel Difficulty in bending the foot downward plantarflexion Difficulty in standing, especially on the injured leg If you've been actively playing sports, you're prone to an Achilles tendon injury if you don't perform warm-up exercises.
Risk Factors for Achilles Tendon Damage Achilles tendon injuries are common among men between the ages of 30 to 40 and they are five times more common in male sports enthusiasts than female athletes.
Diagnosis A thorough review of your history with heel pain is useful to guide diagnosis and therefor treatment. Consult Pinnacle Orthopaedics specialists At Pinnacle Orthopaedics, we use the most up-to-date technologies and surgical techniques to provide our patients with the highest quality of care.
It may include: Rest Ice Nonsteroidal anti-inflammatory drugs NSAIDs for pain relief, such as ibuprofen or naproxen Specific exercises to strengthen your calf muscles Physical therapy Eccentric strength training.
This type of exercise helps strengthen your calf muscles to take pressure off your tendon Low-impact activities, such as swimming Heel lifts in shoes, orthotic shoes, cast, splint, or a walking boot Extracorporeal shockwave therapy. This treatment uses high-energy shockwave impulses to help stimulate the healing process in damaged tendon tissue. However, your healthcare provider may recommend it to see whether you can improve without surgery If these treatments don't work or if the injury is severe or complete, surgery may be considered.
Some of the surgical procedures used include: Surgery to lengthen your calf muscles gastrocnemius recession Surgery to remove damaged tendon tissue or bone spurs and repair the tendon debridement Surgery to remove your damaged tendon tissue, fix the remaining tendon, and give it extra strength by moving another tendon to the heel bone.
What are possible complications of Achilles tendon injuries? Complications of an Achilles tendon injury may include: Pain, which can be severe Difficulty walking or being active Warping of your tendon area or heel bone Tendon rupture from reinjury Other complications can happen because of the treatments used to care for an Achilles tendon injury.
For instance: Sometimes cortisone injections can cause the tendon to tear Surgery can lead to pain and infection. How can I prevent Achilles tendon injuries? These steps can help prevent injury to your Achilles tendon: Warm up before exercising, playing sports, or other repetitive movements. Increase activity slowly, rather than all at once. Wear the correct shoes for your activities. Don't exercise on uneven surfaces. Stop activities that cause pain. Choose other ways to be active. Try low-impact activities that don't place a lot of stress on your tendon, such as swimming or bicycling, rather than a high-impact exercise like running.
When should I call my healthcare provider? Key points about Achilles tendon injuries Your Achilles tendon can develop tendonitis. This is when it becomes inflamed, swollen, and irritated. The Achilles tendon can also tear or rupture, which might sound like a pop that seems to come from the back of your heel or calf.
This needs immediate medical attention. Achilles tendon injuries often cause pain, stiffness, and swelling in the back of your leg near your heel. Achilles tendon injuries can be treated with rest and medicines to help with the inflammation. Exercises often help too. If needed, surgery can be done to repair the tendon. You can help prevent these injuries by doing things like increasing activity slowly, wearing the correct shoes for your activities, and not exercising on uneven surfaces.
Meanwhile, if a torn ruptured Achilles tendon is suspected, you should not put any weight on that foot, so do not walk on it at all. There are two options for treatment.
One option is an operation to repair the tendon. The surgeon sews together the torn ends of the Achilles tendon, and perhaps may also use another tendon or a tendon graft to help with the repair. A plaster cast or brace orthosis is needed after the operation. The other option is to allow time for the tendon to heal naturally, resting it in a brace or plaster cast. This is called conservative treatment. If the tendon does not heal on its own, a surgical repair can then be done later.
Both options will involve having a plaster cast or a brace for about eight weeks, to protect the tendon while it heals. The plaster cast or the brace is positioned so that the foot is pointing slightly downwards, which takes the strain off the tendon.
Traditionally, crutches were used to keep weight off the leg during the first few weeks of treatment. Now there is a trend towards using the leg normally early on early mobilisation. This involves fitting a plaster cast or a brace which you can walk on. It is more convenient because you do not need to use crutches. There is debate as to which treatment is best: surgery or conservative treatment. This section summarises the research into treatment of Achilles tendon rupture. Most of the research so far found that surgery has one advantage: it reduces the risk that the Achilles tendon will rupture again later a problem known as re-rupture.
The disadvantages of surgery are the risk of complications such as wound infection see below , and the need for an operation. For this reason, surgery may be recommended for younger people or those doing sports. Conservative treatment may be suggested for older or less active people and for people wishing to avoid surgery. The choice of treatment depends on individual preference and circumstances. Surgery may also be recommended if there has been a delay in starting treatment.
However, a new piece of research found that surgery and conservative treatment actually gave equally good results, when patients were also given early mobilisation treatment using a brace. If an operation is needed, there is a type of surgery called percutaneous, which uses smaller cuts than the traditional operation. This seems to reduce the risk of developing a wound infection.
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