Achilles tendon is the largest connecting tissue in the human body. It is located behind the ankle joint and attaches the calf muscles to the heel bone. The Achilles tissue/tendon is used while we walk, run, jump or do push up on the toes. The excessive use of this or any strain injury here leads to the inflammation of the tendon known as Achilles tendinitis.
Achilles tendon have a higher incidence of injury due to Aging and sports activities that involve a lot of calf muscle like basketball and tennis. A sudden increase of intensity or frequency of an exercise can also be the cause of this injury.
1. Pain during activity a mild ache
2. Any kind of Tenderness, particularly in the morning time, above the heel bone
3. Stiffness that increases as the connecting tissue warms up
4. Mild swelling
A rupture of the tendon can be an indication arising from a sudden pain or swelling above the heel and difficulty walking or moving the foot up and down. It is important to be seen by an orthopedist as with any other injury to the Achilles tendon, to determine if it is due to tendinitis or more grave conditions such as a partial tendon tear, heel bursitis or a rupture.
Achilles tendinitis is usually resolved quickly when treated properly. It may lead to a more serious condition or tear when left untreated. To treat the condition depending on its severity some or all of the following may be used:
2. Nonsteroidal anti-inflammatory medication
3. Shoe inserts or orthotics that help backing the muscle and relieve tension on the tissue
4. Bandaging to restrict motion
5. Physical therapy that includes stretching, massage, ultrasound and strengthening exercises
Surgery may be an option and conservative treatments are not effective if friction between the tendon and its covering sheath causes the sheath to become thick and fibrous. Your surgeon may remove the fibrous tissue and restore any tears. A rehabilitation program is usually recommended and mainly a temporary cast may be worn during recovery.
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