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Friday, June 26, 2009

Achilles Tendon Facts

By Dr. Stefan Tarlow

Injuries to the Achilles Tendon

Of all of the tendons in the human body, the Achilles tendon is the largest. The muscles at the posterior of the lower leg are attached to the calcaneous (heel bone) by the Achilles tendon. Because if it's location, the Achilles tendon must withstand a great deal of pressure during strenuous exercise - especially sporting activities that involve a lot of pivoting.

Two types of injury are quite common for the Achilles tendon:

#1 Achilles tendonitis is inflammation caused by overuse.

2. The Achilles tendon is sometimes torn.

Achilles Tendonitis Information

If you suddenly increase the level or intensity of your workout, or if you come back full-force after a long break, you are likely to experience Achilles tendonitis. For this reason, it is very important to add strenuous activities slowly and carefully and to work back up to your top performance gradually after a long break in training.

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.

If this happens, you may find that you are not able to bend your foot into a downward position or even to walk normally. This type of injury is very painful and causes a lot of swelling around the heel.

A complete rupture is usually treated with surgery. After surgery, your doctor will have you wear a walking boot or a cast to stabilize your ankle. You will need to do this for about three 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.

Click here to learn more about orthopaedic and knee surgery. - 17274

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