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		<title>Sore Achilles Tendon Basketball - Historial de revisiones</title>
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		<title>NolanHirsch562 en 12:36 12 jun 2017</title>
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				<updated>2017-06-12T12:36:16Z</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 12:36 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;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;A tendon is a band of connective tissue that anchors muscle to bone. The &lt;/del&gt;Achilles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the largest tendon in the body. It attaches the calf muscles to the heel bone &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;calcaneus&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and is very important because it lets you lift your heel when you start to walk. It also helps you to walk, run or stand on tiptoe. Achilles tendonitis is inflammation &lt;/del&gt;of 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 most cases&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;it is &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;type &lt;/del&gt;of overuse injury &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and is more common in younger people&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Professional and weekend athletes &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;suffer from &lt;/del&gt;Achilles tendonitis, but &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;it is also a common overuse injury in people &lt;/del&gt;not &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;involved in sport&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Treatment includes rest&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;non-steroidal anti-inflammatory drugs (NSAIDs)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;physical therapy and avoiding activities that aggravate &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;condition&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Achilles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendonitis most commonly occurs &lt;/del&gt;due to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;repetitive or prolonged activities placing strain on the Achilles tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This typically occurs due &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;excessive walking&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;running or jumping activities. Occasionally&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;it may occur suddenly due to &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;high force going through the &lt;/del&gt;Achilles tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;beyond what it can withstand. This may be due &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a sudden acceleration or forceful jump. The condition may also occur following a calf or Achilles tear&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;following a poorly rehabilitated sprained ankle or in patients with poor foot biomechanics or inappropriate footwear&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;In athletes, this condition &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;commonly seen &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;running sports such as marathon&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;triathlon&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;football and athletics&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;People with &lt;/del&gt;Achilles tendinitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may experience pain during and after exercising. Running and jumping activities become painful and difficult. Symptoms &lt;/del&gt;include &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;stiffness and &lt;/del&gt;pain in the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;back &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle when pushing off &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ball of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot. For patients with chronic tendinitis (longer than six weeks)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;x-rays may reveal calcification (hardening of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tissue) &lt;/del&gt;in the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon. Chronic tendinitis can result in a breakdown &lt;/del&gt;of the tendon, or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendinosis, which weakens &lt;/del&gt;the tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and may cause a 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;salasnarpn968&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Livejournal&lt;/del&gt;.com/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;2015/07/04 &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;Massage therapy improves blood flow to the muscles and tissues &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the affected area while increasing &lt;/del&gt;range &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;of motion &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can prevent recurring injury. The healing process can be quickened using ultrasound heat therapy &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;improve blood flow to the affected area&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Wearing a night brace keeps the leg flexed&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;preventing stiffening of the tendon&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;which would impair healing. Stretching exercises increase flexibility &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;allow &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon to heal without shortening&lt;/del&gt;, a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;deformity resulting &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;chronic pain. Persistent Achilles &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may warrant the use of &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cast &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;walking boot &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;be worn for 4&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;6 weeks stabilizing the tendon so it can heal&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;After removal of the cast &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;boot&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;physical therapy will &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ordered &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;increase functionality of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;affected limb&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;To reduce chronic inflammation of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;corticosteroid injections may be prescribed. It&lt;/del&gt;?s &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;important to note that this corticosteroid treatment increases the &lt;/del&gt;risk of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon &lt;/del&gt;rupture. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Ultrasound imaging may be used by the physician administering the steroid injection, &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;order to help visualize &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;affected &lt;/del&gt;area&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. When all other therapies have failed to or tendon rupture occurs, surgical intervention and repair of the muscles and tendons is the last treatment option&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 usually isn't needed &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;treat Achilles tendinopathy. But in rare cases&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;someone might consider surgery when rubbing between the tendon and the tissue covering the tendon (tendon sheath) causes the sheath &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;become thick and fibrous&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Surgery can be done &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;remove the fibrous tissue and repair any small &lt;/del&gt;tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tears&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This may also help prevent an &lt;/del&gt;Achilles tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rupture&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;Suggestions to reduce your risk &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendonitis include, incorporate stretching into your warm-up &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cool-down routines, maintain an adequate level of fitness &lt;/del&gt;for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your sport&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;avoid dramatic increases in sports training, if you experience pain in your Achilles tendon, rest the area&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Trying &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;?work through? the pain will only make your injury worse&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;wear good quality supportive &lt;/del&gt;shoes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;appropriate &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your sport&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;If there is foot deformity or flattening, obtain orthoses, avoid wearing high heels on a regular basis. Maintaining your foot in a ?tiptoe? position shortens your calf muscles and reduces the flexibility &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your Achilles tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;An inflexible Achilles tendon is more susceptible to injury, maintain a normal healthy weight&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 &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendinitis &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an inflammation &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;swelling&lt;/ins&gt;) of the tendon, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;which usually occurs as &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;result &lt;/ins&gt;of overuse injury. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Anyone &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;have &lt;/ins&gt;Achilles tendonitis&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. Athletics involving frequent jumping is the classic cause&lt;/ins&gt;, but &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;certainly &lt;/ins&gt;not &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the only one&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Any activity requiring a constant pushing off the foot&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;such as running or dancing&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;may result in swelling of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendon&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;The majority of &lt;/ins&gt;Achilles &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendon injuries are &lt;/ins&gt;due to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;overuse injuries&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Other factors that lead &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendonitis are improper shoe selection&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inadequate stretching prior to engaging in athletics&lt;/ins&gt;, a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;short &lt;/ins&gt;Achilles tendon&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, direct trauma (injury) &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the tendon&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;training errors and heel bone deformity&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;There &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;significant evidence that people with feet that role &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;excessively (over-pronate) are at greater risk for developing Achilles tendinitis. The increased pronation puts additional stress on the tendon&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;therefore&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;placing it at greater risk for injury&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Common symptoms of &lt;/ins&gt;Achilles tendinitis include &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;weakness in the leg, slight &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;above the heel &lt;/ins&gt;in the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;lower leg after activity, feeling &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;stiffness in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;leg that usually appears in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;morning and lessens throughout &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;day&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bad pain &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;day after exercising, pain as you climb stairs or go uphill, swelling &lt;/ins&gt;in the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;area &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles &lt;/ins&gt;tendon, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;creaking &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cracking noise when you press on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles &lt;/ins&gt;tendon.&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;vonfeldt110&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;blog.fc2&lt;/ins&gt;.com/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;blog-entry-7.html &lt;/ins&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;ins class=&quot;diffchange diffchange-inline&quot;&gt;There are a variety &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;treatments for Achilles tendonitis. These &lt;/ins&gt;range &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;from rest &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;aspirin &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;steroid injections and surgery&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Your doctor might suggest&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;reducing your physical activity&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;stretching &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;strengthening &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;calf muscles&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;switching to &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;different, less strenuous sport, icing the area after exercise or when &lt;/ins&gt;in pain&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, raising your foot to decrease swelling, wearing &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;brace &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;compressive elastic bandage &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;prevent heel movement, undergoing physical therapy, taking anti&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammatory medication (e&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;g., aspirin &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ibuprofen) for a limited time&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;getting steroid injections, Sometimes more conservative treatments are not effective. In these cases, surgery may &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;necessary &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;repair &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;condition intensifies and is left untreated&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;there&lt;/ins&gt;?s &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a greater &lt;/ins&gt;risk of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an Achilles &lt;/ins&gt;rupture. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This can cause sharp pain &lt;/ins&gt;in the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel &lt;/ins&gt;area.&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;It is important &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;understand that surgery may not give you 100% functionality of your leg&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;but you should be able &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;return to most if not all of your pre-injury activities&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;These surgical procedures are often performed with very successful results. What truly makes a difference is your commitment &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a doctor recommended rehabilitation program after surgery as there is always a possibility of re-injuring your &lt;/ins&gt;tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;even after a surgical procedure&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;One complication of surgical repair for &lt;/ins&gt;Achilles tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tear is that skin can become thin at site of incision, and may have limited blood flow&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;Stretching &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the gastrocnemius (keep knee straight) &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;soleus (keep knee bent) muscles. Hold each stretch &lt;/ins&gt;for &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;30 seconds&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;relax slowly&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Repeat stretches 2 - 3 times per day. Remember &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;stretch well before running strengthening of foot and calf muscles (eg&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel raises) correct &lt;/ins&gt;shoes&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, specifically motion-control shoes and orthotics &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;correct overpronation&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Gradual progression &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;training programme&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Avoid excessive hill training. Incorporate rest into training programme&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>NolanHirsch562</name></author>	</entry>

	<entry>
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		<title>ElbertLamble440: Página creada con «Overview&lt;br&gt;A tendon is a band of connective tissue that anchors muscle to bone. The Achilles tendon is the largest tendon in the body. It attaches the calf muscles to the...»</title>
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				<updated>2017-06-11T23:13:21Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;A tendon is a band of connective tissue that anchors muscle to bone. The Achilles tendon is the largest tendon in the body. It attaches the calf muscles to the...»&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;A tendon is a band of connective tissue that anchors muscle to bone. The Achilles tendon is the largest tendon in the body. It attaches the calf muscles to the heel bone (calcaneus) and is very important because it lets you lift your heel when you start to walk. It also helps you to walk, run or stand on tiptoe. Achilles tendonitis is inflammation of the Achilles tendon. In most cases, it is a type of overuse injury and is more common in younger people. Professional and weekend athletes can suffer from Achilles tendonitis, but it is also a common overuse injury in people not involved in sport. Treatment includes rest, non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy and avoiding activities that aggravate the condition.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Achilles tendonitis most commonly occurs due to repetitive or prolonged activities placing strain on the Achilles tendon. This typically occurs due to excessive walking, running or jumping activities. Occasionally, it may occur suddenly due to a high force going through the Achilles tendon beyond what it can withstand. This may be due to a sudden acceleration or forceful jump. The condition may also occur following a calf or Achilles tear, following a poorly rehabilitated sprained ankle or in patients with poor foot biomechanics or inappropriate footwear. In athletes, this condition is commonly seen in running sports such as marathon, triathlon, football and athletics.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;People with Achilles tendinitis may experience pain during and after exercising. Running and jumping activities become painful and difficult. Symptoms include stiffness and pain in the back of the ankle when pushing off the ball of the foot. For patients with chronic tendinitis (longer than six weeks), x-rays may reveal calcification (hardening of the tissue) in the tendon. Chronic tendinitis can result in a breakdown of the tendon, or tendinosis, which weakens the tendon and may cause a 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://salasnarpn968.Livejournal.com/2015/07/04 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;Massage therapy improves blood flow to the muscles and tissues of the affected area while increasing range of motion and can prevent recurring injury. The healing process can be quickened using ultrasound heat therapy to improve blood flow to the affected area. Wearing a night brace keeps the leg flexed, preventing stiffening of the tendon, which would impair healing. Stretching exercises increase flexibility and allow the tendon to heal without shortening, a deformity resulting in chronic pain. Persistent Achilles pain may warrant the use of a cast or walking boot to be worn for 4-6 weeks stabilizing the tendon so it can heal. After removal of the cast or boot, physical therapy will be ordered to increase functionality of the affected limb. To reduce chronic inflammation of the tendon, corticosteroid injections may be prescribed. It?s important to note that this corticosteroid treatment increases the risk of tendon rupture. Ultrasound imaging may be used by the physician administering the steroid injection, in order to help visualize the affected area. When all other therapies have failed to or tendon rupture occurs, surgical intervention and repair of the muscles and tendons is the last treatment option.&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 usually isn't needed to treat Achilles tendinopathy. But in rare cases, someone might consider surgery when rubbing between the tendon and the tissue covering the tendon (tendon sheath) causes the sheath to become thick and fibrous. Surgery can be done to remove the fibrous tissue and repair any small tendon tears. This may also help prevent an Achilles tendon rupture.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;Suggestions to reduce your risk of Achilles tendonitis include, incorporate stretching into your warm-up and cool-down routines, maintain an adequate level of fitness for your sport, avoid dramatic increases in sports training, if you experience pain in your Achilles tendon, rest the area. Trying to ?work through? the pain will only make your injury worse, wear good quality supportive shoes appropriate to your sport. If there is foot deformity or flattening, obtain orthoses, avoid wearing high heels on a regular basis. Maintaining your foot in a ?tiptoe? position shortens your calf muscles and reduces the flexibility of your Achilles tendon. An inflexible Achilles tendon is more susceptible to injury, maintain a normal healthy weight.&lt;/div&gt;</summary>
		<author><name>ElbertLamble440</name></author>	</entry>

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