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		<title>Achilles Tendon Stretches Running - Historial de revisiones</title>
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		<title>Theo018967 en 03:01 12 jun 2017</title>
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				<updated>2017-06-12T03:01:13Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
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				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;← Revisión anterior&lt;/td&gt;
				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;Revisión de 03:01 12 jun 2017&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class='diff-marker'&gt;−&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;Achilles tendinitis is an &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammation (swelling) of the tendon, which usually occurs as a result of &lt;/del&gt;overuse injury. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Basketball players are &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;most susceptible to Achilles tendinitis because of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;frequent jumping&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Any activity requiring &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;constant pushing off &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;such as running or dancing&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may result in swelling of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Tendinitis most often &lt;/del&gt;occurs when &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a tendon is over used. As the foot extends &lt;/del&gt;the Achilles tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;engages the calf muscles&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The calf muscle generates force, which is transferred &lt;/del&gt;to the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot via this tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;As this action repeats the tendon will endure large amounts of stress&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;An under&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;trained &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inexperienced athlete is most likely to &lt;/del&gt;be affected &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;by tendinitis since their body is not accustomed &lt;/del&gt;to the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;stress involved with athletics&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Improper foot mechanics is another common &lt;/del&gt;cause of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendinitis&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;A properly functioning foot will distribute weight evenly across &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;On &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;contrary&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;if the foot is experiencing improper mechanics, the weight &lt;/del&gt;of the body &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;will not be evenly distributed. This can result in tendinitis&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;plantar fasciitis, calluses, bunions, neuromas and much more&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Symptoms vary because you can injure various areas of the muscle-tendon complex. &lt;/del&gt;The &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain may be an acute or chronic sharp&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;stabbing&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;piercing&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shooting&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;burning &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;aching&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It is often most noticeable immediately after getting out of bed &lt;/del&gt;in the morning&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, &lt;/del&gt;or after periods of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inactivity&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;like sitting down for lunch. After a couple minutes of walking around, it will often &lt;/del&gt;then &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;settle down &lt;/del&gt;somewhat, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;before becoming symptomatic again after excessive time standing &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;walking. But regardless &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;how &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;perceived&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles &lt;/del&gt;tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain should not be left untreated due &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the danger that &lt;/del&gt;the tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can &lt;/del&gt;become &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;weak, frayed, thickened, &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;eventually it &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rupture&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;A podiatrist can usually make the diagnosis by clinical history and physical examination alone. Pain with touching or stretching the tendon is typical. There may also be a visible swelling to the tendon. The patient frequently has difficulty plantarflexing (pushing down the ball of the foot and toes, like one would press on a gas pedal), particularly against resistance. In most cases X-rays don't show much, as they tend to show bone more than soft tissues. But X-rays may show associated degeneration of the heel bone that is common with Achilles Tendon problems. For example, [http://&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;sheilahcrosbie&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;weebly&lt;/del&gt;.com/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;blog/hammer-toes-cause-and-treatment-solution &lt;/del&gt;heel spurs], calcification within the tendon, avulsion fractures, periostitis (a bruising of the outer covering of the bone) may all be seen on X-ray. In cases where we are uncertain as to the extent of the damage to the tendon, though, an MRI scan may be necessary, which images the soft tissues better than X-rays. When the tendon is simply inflamed and not severely damaged, the problem may or may not be visible on MRI. It depends upon the severity of the condition.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Nonsurgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Your podiatrist may recommend one or more of these treatments &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;manage your pain. A bandage specifically designed to restrict motion of the tendon. Over the counter&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;non-steroidal &lt;/del&gt;anti-inflammatory &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;medication (ibuprofen)&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Custom orthotic shoe inserts to relieve stress on the tendon. Rest. Switching to &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;low impact exercise such as swimming, &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;does not stress the tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Stretching&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;massage&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ultrasound and appropriate exercises to strengthen the muscles &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;support &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;achilles &lt;/del&gt;tendon. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;In extreme cases, surgery is necessary to remove the damaged tissue &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;repair any tears&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Surgery &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;considered &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;last resort&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It is only recommended if all other treatment options have failed after at least six months&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;In this situation, badly damaged portions &lt;/del&gt;of the tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;removed&lt;/del&gt;. If &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the tendon has ruptured&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surgery is necessary to re-attach &lt;/del&gt;the tendon&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Rehabilitation, including stretching and strength exercises, is started soon after the &lt;/del&gt;surgery&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. In most cases, normal activities can be resumed after about 10 weeks. Return to competitive sport for some people may be delayed for about three to six months&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Stay in good shape year-round and try &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;keep &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;muscles as strong as they can be. Strong&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;flexible muscles work more efficiently &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;put less stress on your tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Increase the intensity and length &lt;/del&gt;of your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;exercise sessions gradually. This is especially important if you've been inactive for a while or you're new to a &lt;/del&gt;sport. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Always warm up before you go for a run or play a sport&lt;/del&gt;. If your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;muscles are tight&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your Achilles tendons have &lt;/del&gt;to work &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;harder to compensate. Stretch it out. Stretch &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;legs, especially your calves, hamstrings, quadriceps, and thigh muscles - these muscles help stabilize your knee while running&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Get &lt;/del&gt;shoes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;that fit properly and are designed for &lt;/del&gt;your sport. If &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;you're a jogger, go to a running specialty store and have a trained professional help you select shoes that match your &lt;/del&gt;foot &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;type and offer plenty of support. Replace your shoes before they become worn out. Try to run on softer surfaces like grass&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;dirt trails, or synthetic tracks&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Hard surfaces like concrete or asphalt can put extra pressure &lt;/del&gt;on &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the joints&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Also avoid running up or down hills as much as possible. Vary &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;exercise routine. Work different muscle groups to keep yourself &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;good overall shape &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;keep individual muscles from getting overused. If you notice any symptoms &lt;/del&gt;of Achilles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendonitis, stop running or doing activities that put stress on your feet&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Wait until all the pain &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;gone or you have been cleared &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;start participating again by &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;doctor&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class='diff-marker'&gt;+&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;Achilles tendinitis is an overuse injury &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;common in many sports that require lots of running and jumping&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Once this condition becomes more chronic adhesions that form along &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tissues and &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;injury becomes more of a tendinosis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Treatment for &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendinosis is much different that for a tendinitis, so it is important to recognize what stage &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;injury is at in order to treat it appropriately. An acute achilles tendinitis involves inflammation and would be treated with rest&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ice&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;etc. Once &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammation has decreased, research shows that eccentric exercises are beneficial. Once there is tendinosis, it becomes imperative to break up those adhesions with ART and prescribe appropriate stretches and exercises&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Some of the causes of Achilles tendonitis / tendinosis include. Overuse injury - this &lt;/ins&gt;occurs when the Achilles tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is stressed until it develops small tears&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Runners seem &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;most susceptible&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;People who play sports that involve jumping, such as basketball, are also at increased risk&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Arthritis &lt;/ins&gt;- &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendonitis can be a part of generalised inflammatory arthritis, such as ankylosing spondylitis &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;psoriatic arthritis. In these conditions both tendons can &lt;/ins&gt;be affected&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. Foot problems - some people with over pronated feet (Flat Feet) or feet that turn inward while walking are prone &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendonitis. The flattened arch pulls on calf muscles and keeps &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon under tight strain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This constant mechanical stress on the heel and tendon can &lt;/ins&gt;cause &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammation, pain and swelling &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Being overweight can make &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;problem worse&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Footwear - wearing shoes with minimal support while walking or running can increase &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;risk&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;as can wearing high heels. Overweight and obesity - being overweight places more strain on many parts &lt;/ins&gt;of the body, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;including the Achilles tendon&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;The &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;symptoms associated with Achilles tendonitis and tendonosis include&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Pain-aching&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;stiffness&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;soreness&lt;/ins&gt;, or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tenderness-within the tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This may occur anywhere along the tendon?s path, beginning with the tendon?s attachment directly above the heel upward to the region just below the calf muscle. Often pain appears upon arising &lt;/ins&gt;in the morning or after periods of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;rest&lt;/ins&gt;, then &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;improves &lt;/ins&gt;somewhat &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;with motion but later worsens with increased activity. Tenderness&lt;/ins&gt;, or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sometimes intense pain, when the sides &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendon are squeezed. There &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;less tenderness&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;however, when pressing directly on the back of the &lt;/ins&gt;tendon&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. When the disorder progresses &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;degeneration, &lt;/ins&gt;the tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;may &lt;/ins&gt;become &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;enlarged &lt;/ins&gt;and may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;develop nodules in the area where the tissue is damaged&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;A podiatrist can usually make the diagnosis by clinical history and physical examination alone. Pain with touching or stretching the tendon is typical. There may also be a visible swelling to the tendon. The patient frequently has difficulty plantarflexing (pushing down the ball of the foot and toes, like one would press on a gas pedal), particularly against resistance. In most cases X-rays don't show much, as they tend to show bone more than soft tissues. But X-rays may show associated degeneration of the heel bone that is common with Achilles Tendon problems. For example, [http://&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Armandinaaslett&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;wordpress&lt;/ins&gt;.com/ heel spurs], calcification within the tendon, avulsion fractures, periostitis (a bruising of the outer covering of the bone) may all be seen on X-ray. In cases where we are uncertain as to the extent of the damage to the tendon, though, an MRI scan may be necessary, which images the soft tissues better than X-rays. When the tendon is simply inflamed and not severely damaged, the problem may or may not be visible on MRI. It depends upon the severity of the condition.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Nonsurgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Treatment can range from cold compress and heel pads for minor cases, &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;physical rehabilitation&lt;/ins&gt;, anti-inflammatory &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;medicine, ultrasound therapy, and manual therapy&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If you are &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Michigan resident &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;suspects they have Achilles Tendinitis, please contact Dr&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Young immediately; Achilles Tendinitis&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;if left untreated&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can eventually result in an Achilles Tendon Rupture, which is a serious condition &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is a partial or complete tear in &lt;/ins&gt;the tendon. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It can severely hinder walking &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can be extremely painful and slow to recover&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon repair surgery &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;often used to repair a ruptured or torn Achilles tendon, &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;strong fibrous cord that connects the two large muscles in the back of your calf to your heel bone&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;These muscles (the gastrocnemius and the soleus) create the power needed to push off with your foot or rise up on your toes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon ruptures are quite common. Most happen during recreational activities that require sudden bursts &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;muscle power in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;legs. Often a torn Achilles &lt;/ins&gt;tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;diagnosed with a physical examination&lt;/ins&gt;. If &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;swelling is present&lt;/ins&gt;, the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;orthopaedist may delay the Achilles &lt;/ins&gt;tendon surgery &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;until it subsides&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Suggestions &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;reduce &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;risk of Achilles tendonitis include&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;icorporate stretching into your warm-up &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cool-down routines&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Maintaining an adequate level &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;fitness for &lt;/ins&gt;your sport. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Avoid dramatic increases in sports training&lt;/ins&gt;. If &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you experience pain in &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;rest the area. Trying &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;?&lt;/ins&gt;work &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;through? the pain will only make &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;injury worse&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wear good quality supportive &lt;/ins&gt;shoes &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;appropriate to &lt;/ins&gt;your sport. If &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;there is &lt;/ins&gt;foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;deformity or flattening&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;obtain orthoses&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Avoid wearing high heels &lt;/ins&gt;on &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a regular basis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Maintaining &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a ?tiptoe? position shortens your calf muscles &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;reduces the flexibility &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your &lt;/ins&gt;Achilles &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;An inflexible Achilles tendon &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;more susceptible &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;injury. Maintain &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;normal healthy weight&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Theo018967</name></author>	</entry>

	<entry>
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		<title>LazaroAgaundo: Página creada con «Overview&lt;br&gt;Achilles tendinitis is an inflammation (swelling) of the tendon, which usually occurs as a result of overuse injury. Basketball players are the most susceptible...»</title>
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				<updated>2017-06-11T21:39:47Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;Achilles tendinitis is an inflammation (swelling) of the tendon, which usually occurs as a result of overuse injury. Basketball players are the most susceptible...»&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nueva&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;Achilles tendinitis is an inflammation (swelling) of the tendon, which usually occurs as a result of overuse injury. Basketball players are the most susceptible to Achilles tendinitis because of the frequent jumping. Any activity requiring a constant pushing off the foot, such as running or dancing, may result in swelling of the tendon.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Tendinitis most often occurs when a tendon is over used. As the foot extends the Achilles tendon engages the calf muscles. The calf muscle generates force, which is transferred to the foot via this tendon. As this action repeats the tendon will endure large amounts of stress. An under-trained or inexperienced athlete is most likely to be affected by tendinitis since their body is not accustomed to the stress involved with athletics. Improper foot mechanics is another common cause of Achilles tendinitis. A properly functioning foot will distribute weight evenly across the foot. On the contrary, if the foot is experiencing improper mechanics, the weight of the body will not be evenly distributed. This can result in tendinitis, plantar fasciitis, calluses, bunions, neuromas and much more.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;Symptoms vary because you can injure various areas of the muscle-tendon complex. The pain may be an acute or chronic sharp, stabbing, piercing, shooting, burning or aching. It is often most noticeable immediately after getting out of bed in the morning, or after periods of inactivity, like sitting down for lunch. After a couple minutes of walking around, it will often then settle down somewhat, before becoming symptomatic again after excessive time standing or walking. But regardless of how the pain is perceived, Achilles tendon pain should not be left untreated due to the danger that the tendon can become weak, frayed, thickened, and eventually it may rupture.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;A podiatrist can usually make the diagnosis by clinical history and physical examination alone. Pain with touching or stretching the tendon is typical. There may also be a visible swelling to the tendon. The patient frequently has difficulty plantarflexing (pushing down the ball of the foot and toes, like one would press on a gas pedal), particularly against resistance. In most cases X-rays don't show much, as they tend to show bone more than soft tissues. But X-rays may show associated degeneration of the heel bone that is common with Achilles Tendon problems. For example, [http://sheilahcrosbie.weebly.com/blog/hammer-toes-cause-and-treatment-solution heel spurs], calcification within the tendon, avulsion fractures, periostitis (a bruising of the outer covering of the bone) may all be seen on X-ray. In cases where we are uncertain as to the extent of the damage to the tendon, though, an MRI scan may be necessary, which images the soft tissues better than X-rays. When the tendon is simply inflamed and not severely damaged, the problem may or may not be visible on MRI. It depends upon the severity of the condition.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Nonsurgical Treatment&amp;lt;br&amp;gt;Your podiatrist may recommend one or more of these treatments to manage your pain. A bandage specifically designed to restrict motion of the tendon. Over the counter, non-steroidal anti-inflammatory medication (ibuprofen). Custom orthotic shoe inserts to relieve stress on the tendon. Rest. Switching to a low impact exercise such as swimming, that does not stress the tendon. Stretching, massage, ultrasound and appropriate exercises to strengthen the muscles that support the achilles tendon. In extreme cases, surgery is necessary to remove the damaged tissue and repair any tears.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery is considered the last resort. It is only recommended if all other treatment options have failed after at least six months. In this situation, badly damaged portions of the tendon may be removed. If the tendon has ruptured, surgery is necessary to re-attach the tendon. Rehabilitation, including stretching and strength exercises, is started soon after the surgery. In most cases, normal activities can be resumed after about 10 weeks. Return to competitive sport for some people may be delayed for about three to six months.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;Stay in good shape year-round and try to keep your muscles as strong as they can be. Strong, flexible muscles work more efficiently and put less stress on your tendon. Increase the intensity and length of your exercise sessions gradually. This is especially important if you've been inactive for a while or you're new to a sport. Always warm up before you go for a run or play a sport. If your muscles are tight, your Achilles tendons have to work harder to compensate. Stretch it out. Stretch your legs, especially your calves, hamstrings, quadriceps, and thigh muscles - these muscles help stabilize your knee while running. Get shoes that fit properly and are designed for your sport. If you're a jogger, go to a running specialty store and have a trained professional help you select shoes that match your foot type and offer plenty of support. Replace your shoes before they become worn out. Try to run on softer surfaces like grass, dirt trails, or synthetic tracks. Hard surfaces like concrete or asphalt can put extra pressure on the joints. Also avoid running up or down hills as much as possible. Vary your exercise routine. Work different muscle groups to keep yourself in good overall shape and keep individual muscles from getting overused. If you notice any symptoms of Achilles tendonitis, stop running or doing activities that put stress on your feet. Wait until all the pain is gone or you have been cleared to start participating again by a doctor.&lt;/div&gt;</summary>
		<author><name>LazaroAgaundo</name></author>	</entry>

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