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Saturday, June 27, 2009

About The Achilles Tendon

By Dr. Stefan Tarlow

Treating Achilles Tendon Injuries

The Achilles tendon is the largest tendon, and it takes the most stress. Located at the back of the lower leg, the Achilles tendon connects the calf muscles to the calcaneous, or heel bone. This location makes the Achilles tendon especially susceptible to injury during sporting activities due to pivoting and other pressures exerted on it.

The Achilles tendon is especially prone to two types of injury:

First is overuse inflammation, known as Achilles tendonitis.

#2 The Achilles tendon can be torn during strenuous activity.

Achilles Tendonitis Information

Achilles tendonitis is caused by a sudden increase in the intensity of activity to which the Achilles tendon is subjected. So, for example, if you suddenly change the type of training you are doing or greatly increase the intensity of your existing training, you are likely to experience Achilles tendonitis. This is why you must take great care when adding very strenuous exercise to your routine or when returning to exercise after an extended break.

You may experience Achilles tendonitis as mild pain after exercise that worsens as time passes. Several hours after completing your exercise routine, the pain may become severe. After rest, you may feel stiffness, tenderness, and swelling. Movement may improve these symptoms.

If you tear your Achilles tendon, you will probably need surgery. With surgery, torn, fibrous and toughened tissues can be removed. After your surgery, you will be sent to rehabilitation to quicken your recovery and prevent ankle weakness in the future.

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Torn Achilles

During strenuous activity, it is quite possible to tear the Achilles tendon. This is especially likely to happen while participating in sports. When the Achilles tendon tears, you may actually hear an audible snapping or cracking sound. You may have a partial or complete tear. This injury usually occurs just above the heel bone.

You may be unable to walk normally or bend your foot downward if you have ruptured the Achilles tendon. You are sure to feel a great deal of pain and experience swelling around your heel.

If you have a complete rupture, you will probably need surgery. Following surgery, you will need to use a cast or walking boot to keep your ankle stable. This will last about 3 months.

Torn ligaments can be treated non-surgically by using a below-knee cast; however, this is not as effective as surgical treatment. It takes longer, and the healing is not as complete. You are more likely to have problems in the future when you allow the tendon to heal naturally.

With surgery, there is a much better chance of recovering fully. This is why athletes prefer to have the surgery. It allows them to return to their former level of activity with confidence after an Achilles tendon injury.

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