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When Achilles tendon injuries do not heal with nonsurgical methods such as rest, immobilization, and physical therapy, surgical repair is often necessary to restore tendon function. In this procedure, the torn or ruptured sections of the Achilles tendon are sutured back together or reinforced, allowing the patient to regain strength, stability, and mobility in the ankle.
When Achilles tendon injuries do not heal with nonsurgical methods such as rest, immobilization, and physical therapy, surgical repair is often necessary to restore ... Read More
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The Achilles tendon is a critical part of our lower limbs that connects the calf muscles to the heel bone. This structure plays a significant role in activities like walking, running, and jumping by enabling us to lift our heels off the ground. Achilles tendon injury refers to any harm or damage caused to this tendon, which can occur in several forms: tendonitis (inflammation), tendinosis (degeneration), and rupture (tearing). These conditions are quite common, causing Achilles tendon pain and reduced mobility, often requiring medical attention for accurate diagnosis and proper treatment.
In India, tendon injuries are a significant concern due to the popularity of various sports and physical activities that put a strain on the tendon. They also often occur in individuals with a sedentary lifestyle due to ageing or certain medications. However, these injuries can affect anyone regardless of age or gender, stressing the importance of awareness and preventive measures.
Achilles tendon injuries stem from various factors contributing to stress on the tendon or weakening its structure. Here are some common causes:
The Achilles tendon, the strongest and largest tendon in the body, is prone to injury due to its high stress levels and limited blood supply. Let’s understand the different types of injuries related to the Achilles tendon:
Understanding and identifying the symptoms of an Achilles tendon injury is crucial for timely treatment:
When it comes to diagnosing an Achilles tendon injury, doctors rely on a combination of a clinical examination, a patient’s medical history, and imaging tests.
Treatment methods for Achilles tendon injuries can be both non-surgical and surgical. Non-surgical measures include
In severe cases where non-surgical treatments fail to bring relief, surgical treatments are considered. These include
With prompt diagnosis and appropriate treatment, many people successfully recover from Achilles tendon injuries and return to normal activities.
An Achilles tendon injury is deemed serious when:
By employing several strategies, one can help prevent Achilles tendon injuries:
Let’s debunk some myths and facts about Achilles tendon injuries:
Myth: Stretching will help the tendon.
Fact: Aggressive stretching can worsen the problem as injured tendons don’t respond well to stretching alone.
Myth: Total rest will make the pain “go away.”
Fact: While rest may reduce pain temporarily, it doesn’t fix the underlying issue. A strengthening program is necessary to restore normal tendon function.
Myth: Cortisone injections will fix the problem.
Fact: Cortisone only provides temporary relief and doesn’t strengthen the tendon.
Myth: Pain in my Achilles tendon means it might snap.
Fact: Pain is often due to overload and tissue response rather than an indication that the tendon is about to rupture.
Consulting a doctor for an Achilles tendon injury becomes necessary when:
Here are some relevant questions you should consider asking your doctor about Achilles tendon injuries:
Achilles tendon pain is often the aftermath of an Achilles tendon injury. The cause can be as simple as overuse or as severe as a tear or rupture in the tendon. Overuse can result from constant strain on the tendon or a sudden increase in the intensity of physical activity. When overly stressed, the tissue in the tendon can develop tiny tears, leading to inflammation and pain.
Yes, an Achilles tendon tear can occur suddenly during activities that require quick acceleration or sudden changes in direction. It can also happen due to overstretching or overloading the tendon.
An Achilles tendon rupture often feels like a sharp pain or a “snap” in the back of your ankle or calf—almost as if someone had kicked you from behind. You might find it difficult to flex your foot or stand on your toes. If you suspect an Achilles tendon rupture, you should seek immediate medical attention.
A doctor may perform a physical examination to diagnose an Achilles tendon rupture. This might include tests such as the Thompson test, where pressure is applied to the calf muscle while you lay face down. If your foot doesn’t automatically flex downwards, there’s a high likelihood of an Achilles tendon rupture.
Healing times can vary greatly depending on the severity of the injury and the treatment method chosen. It might take several weeks to months for a minor Achilles injury to heal completely, while severe injuries requiring surgery can take up to 6-12 months to recover.
Achilles tendon repair is often done through a surgical procedure. The surgeon makes an incision in the skin above the torn tendon and then stitches the torn ends of the tendon together. The aim is to restore the normal function of the foot and ankle.
Yes, most individuals can return to their regular sporting activities following a successful Achilles tendon repair. However, it is important to follow your doctor’s advice and complete any prescribed physical therapy to ensure optimal recovery and prevent re-injury.
Complications of an untreated Achilles tendon injury can include chronic pain, decreased mobility, and an increased risk of re-injury or tendon rupture.
While minor tears may heal on their own with rest, ice, compression, and elevation (RICE), larger tears or complete ruptures usually require medical treatment. This could include immobilisation in a cast, physical therapy, or, in severe cases, surgery.
Rehabilitation typically includes stretching and strengthening exercises, particularly eccentric strengthening exercises, which are effective for recovery.
