http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Causes_And_Treatment_Of_Achilles_Tendon_Pain&feed=atom&action=historyCauses And Treatment Of Achilles Tendon Pain - Historial de revisiones2024-03-28T15:08:53ZHistorial de revisiones para esta página en el wikiMediaWiki 1.24.1http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Causes_And_Treatment_Of_Achilles_Tendon_Pain&diff=12260&oldid=prevHectorHoneycutt en 00:35 12 jun 20172017-06-12T00:35:37Z<p></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Revisión anterior</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revisión de 00:35 12 jun 2017</td>
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<tr><td class='diff-marker'>−</td><td style="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;"><div>Overview<br>Achilles <del class="diffchange diffchange-inline">Tendonitis </del>is <del class="diffchange diffchange-inline">an </del>inflammation of the <del class="diffchange diffchange-inline">Achilles Tendon</del>. This tendon <del class="diffchange diffchange-inline">attaches </del>the <del class="diffchange diffchange-inline">muscles in </del>the <del class="diffchange diffchange-inline">calf </del>of the leg to the <del class="diffchange diffchange-inline">back of our heels</del>. <del class="diffchange diffchange-inline">The Achilles Tendon </del>is <del class="diffchange diffchange-inline">a long and thick tendon, which moves our foot down, so that the </del>toes <del class="diffchange diffchange-inline">point to </del>the <del class="diffchange diffchange-inline">ground (plantar flexion). This tendon can become inflamed due to the following causes. Over utilizing it</del>, <del class="diffchange diffchange-inline">such as too much </del>running, <del class="diffchange diffchange-inline">especially up </del>or <del class="diffchange diffchange-inline">down hill</del>. <del class="diffchange diffchange-inline">Trauma, such as </del>a <del class="diffchange diffchange-inline">kick to </del>the tendon. <del class="diffchange diffchange-inline">Shoe or boot pressure, especially at its attachment to the heel, or just above it</del>. There <del class="diffchange diffchange-inline">are over 250,000 injuries to the Achilles Tendon annually. In fact, more Than 10% </del>of <del class="diffchange diffchange-inline">all running injuries are to </del>the <del class="diffchange diffchange-inline">Achilles </del>tendon. <del class="diffchange diffchange-inline">Tendonitis may be classified as either acute or chronic</del>. <del class="diffchange diffchange-inline">Acute Achilles Tendonitis comes on quickly</del>, <del class="diffchange diffchange-inline">usually after </del>a <del class="diffchange diffchange-inline">specific activity or event</del>. <del class="diffchange diffchange-inline">It </del>is <del class="diffchange diffchange-inline">characterized by an overstretching or </del>tearing of <del class="diffchange diffchange-inline">some of </del>the <del class="diffchange diffchange-inline">small fibers </del>of the tendon<del class="diffchange diffchange-inline">, and causes pain </del>or <del class="diffchange diffchange-inline">tenderness when walking or running. It can occur at </del>the <del class="diffchange diffchange-inline">insertion (near the attachment </del>to <del class="diffchange diffchange-inline">the heel </del>bone<del class="diffchange diffchange-inline">, or further up the leg, about 4 or 5 inches above the heel</del>. <del class="diffchange diffchange-inline">Acute tendonitis can also follow a specific injury, such as a kick to the tendon while playing soccer. Chronic Achilles Tendonitis develops gradually over time. Many times, you can feel an obvious thickening </del>of the tendon <del class="diffchange diffchange-inline">that may be tender when squeezed</del>, <del class="diffchange diffchange-inline">due to long standing scarring </del>of the tendon<del class="diffchange diffchange-inline">. Pain is also present when walking or during other forms of activity, and feels better at rest</del>.<br><br>Causes<br>Achilles <del class="diffchange diffchange-inline">tendinitis can be caused by any activity </del>that <del class="diffchange diffchange-inline">puts </del>stress on <del class="diffchange diffchange-inline">your </del>Achilles tendon. <del class="diffchange diffchange-inline">Tendinitis can develop if you run or jump more than usual or exercise on a hard surface. Tendinitis can be caused by shoes </del>that <del class="diffchange diffchange-inline">do not fit or support your foot and ankle. Tight tendons and muscles, You may have tight hamstring and </del>calf <del class="diffchange diffchange-inline">muscles in your upper and lower leg. Your tendons also become stiffer and easier </del>to <del class="diffchange diffchange-inline">injure as </del>you <del class="diffchange diffchange-inline">get older</del>. <del class="diffchange diffchange-inline">Arthritis, Bony growths caused by arthritis can irritate </del>the Achilles tendon, <del class="diffchange diffchange-inline">especially around your heel</del>.<br><br>Symptoms<br><del class="diffchange diffchange-inline">People with </del>Achilles tendinitis <del class="diffchange diffchange-inline">may experience </del>pain <del class="diffchange diffchange-inline">during </del>and <del class="diffchange diffchange-inline">after exercising. Running and jumping activities become painful and difficult. Symptoms include </del>stiffness <del class="diffchange diffchange-inline">and pain </del>in the back of the <del class="diffchange diffchange-inline">ankle when pushing off </del>the <del class="diffchange diffchange-inline">ball </del>of the <del class="diffchange diffchange-inline">foot. For patients with chronic tendinitis (longer than six weeks)</del>, <del class="diffchange diffchange-inline">x-rays may reveal calcification </del>(<del class="diffchange diffchange-inline">hardening of the tissue</del>) <del class="diffchange diffchange-inline">in </del>the <del class="diffchange diffchange-inline">tendon. Chronic tendinitis can result in a breakdown of </del>the <del class="diffchange diffchange-inline">tendon</del>, or <del class="diffchange diffchange-inline">tendinosis</del>, <del class="diffchange diffchange-inline">which weakens the </del>tendon <del class="diffchange diffchange-inline">and </del>may <del class="diffchange diffchange-inline">cause a rupture</del>.<br><br>Diagnosis<br>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://<del class="diffchange diffchange-inline">Teresiabraune</del>.<del class="diffchange diffchange-inline">Wordpress</del>.<del class="diffchange diffchange-inline">com</del>/<del class="diffchange diffchange-inline">2014</del>/<del class="diffchange diffchange-inline">12</del>/<del class="diffchange diffchange-inline">31/physical-exercises-for-peripheral-arterial-disease </del>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.<br><br>Nonsurgical Treatment<br><del class="diffchange diffchange-inline">If you have ongoing pain around your </del>Achilles <del class="diffchange diffchange-inline">tendon, </del>or the <del class="diffchange diffchange-inline">pain </del>is <del class="diffchange diffchange-inline">severe</del>, <del class="diffchange diffchange-inline">book an appointment with your family physician and ask for </del>a <del class="diffchange diffchange-inline">referral </del>to <del class="diffchange diffchange-inline">a Canadian Certified Pedorthist</del>. <del class="diffchange diffchange-inline">Your Pedorthist will conduct </del>a <del class="diffchange diffchange-inline">full assessment </del>of <del class="diffchange diffchange-inline">your feet and lower limbs and will evaluate how you run and walk</del>. <del class="diffchange diffchange-inline">Based on this assessment</del>, <del class="diffchange diffchange-inline">your Pedorthist </del>may <del class="diffchange diffchange-inline">recommend a foot </del>orthotic to <del class="diffchange diffchange-inline">ease </del>the <del class="diffchange diffchange-inline">pressure on your </del>Achilles tendon. <del class="diffchange diffchange-inline">As Achilles tendinitis can also be caused by wearing old or inappropriate athletic shoes for your sport</del>, <del class="diffchange diffchange-inline">your Pedorthist will also look at your shoes </del>and <del class="diffchange diffchange-inline">advise you on whether they have appropriate support </del>and <del class="diffchange diffchange-inline">cushioning. New shoes that don?t fit properly or provide adequate support can be as damaging as worn out shoes</del>.<br><br><br>Surgical Treatment<br><del class="diffchange diffchange-inline">It is important to understand that surgery may not give you 100% functionality of your leg, but you </del>should be <del class="diffchange diffchange-inline">able </del>to <del class="diffchange diffchange-inline">return to most </del>if not <del class="diffchange diffchange-inline">all </del>of <del class="diffchange diffchange-inline">your pre-injury activities</del>. <del class="diffchange diffchange-inline">These surgical procedures are often performed with very successful results</del>. <del class="diffchange diffchange-inline">What truly makes </del>a <del class="diffchange diffchange-inline">difference </del>is <del class="diffchange diffchange-inline">your commitment </del>to a <del class="diffchange diffchange-inline">doctor recommended rehabilitation program after surgery as there is always </del>a <del class="diffchange diffchange-inline">possibility of re</del>-<del class="diffchange diffchange-inline">injuring your tendon even after </del>a <del class="diffchange diffchange-inline">surgical </del>procedure. <del class="diffchange diffchange-inline">One complication </del>of <del class="diffchange diffchange-inline">surgical </del>repair <del class="diffchange diffchange-inline">for Achilles </del>tendon <del class="diffchange diffchange-inline">tear </del>is <del class="diffchange diffchange-inline">that skin can become thin at site </del>of <del class="diffchange diffchange-inline">incision</del>, <del class="diffchange diffchange-inline">and </del>may <del class="diffchange diffchange-inline">have limited blood flow</del>.<del class="diffchange diffchange-inline"><br><br>Prevention<br>Wear shoes that fit correctly </del>and <del class="diffchange diffchange-inline">support your feet: Replace your running </del>or <del class="diffchange diffchange-inline">exercise shoes before </del>the <del class="diffchange diffchange-inline">padding or shock absorption wears out</del>. <del class="diffchange diffchange-inline">Shock absorption greatly decreases as </del>the <del class="diffchange diffchange-inline">treads on </del>the <del class="diffchange diffchange-inline">bottoms or sides </del>of <del class="diffchange diffchange-inline">your shoes begin </del>to <del class="diffchange diffchange-inline">wear down</del>. <del class="diffchange diffchange-inline">You may need running shoes </del>that <del class="diffchange diffchange-inline">give your foot more </del>heel or <del class="diffchange diffchange-inline">arch support</del>. <del class="diffchange diffchange-inline">You </del>may <del class="diffchange diffchange-inline">need shoe inserts </del>to <del class="diffchange diffchange-inline">keep your foot </del>from <del class="diffchange diffchange-inline">rolling inward</del>. <del class="diffchange diffchange-inline">Stretch </del>before <del class="diffchange diffchange-inline">you exercise: Always </del>warm up <del class="diffchange diffchange-inline">your muscles </del>and stretch <del class="diffchange diffchange-inline">gently </del>before <del class="diffchange diffchange-inline">you exercise</del>. <del class="diffchange diffchange-inline">Do cool down exercises when you are finished. This will loosen your muscles </del>and <del class="diffchange diffchange-inline">decrease stress on your Achilles tendon</del>. <del class="diffchange diffchange-inline">Exercise the right way: If your tendinitis is caused by the way that you exercise</del>, <del class="diffchange diffchange-inline">ask a trainer</del>, <del class="diffchange diffchange-inline">coach</del>, <del class="diffchange diffchange-inline">or your caregiver for help</del>. <del class="diffchange diffchange-inline">They can teach you ways to train or exercise to </del>help prevent <del class="diffchange diffchange-inline">Achilles tendinitis. Do not run or exercise on uneven or hard surfaces. Instead</del>, <del class="diffchange diffchange-inline">run on softer surfaces such as treadmills</del>, <del class="diffchange diffchange-inline">rubber tracks, grass</del>, or <del class="diffchange diffchange-inline">evenly packed dirt tracks</del>.</div></td><td class='diff-marker'>+</td><td style="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;"><div>Overview<br>Achilles<ins class="diffchange diffchange-inline">-tendinitis </ins>is <ins class="diffchange diffchange-inline">characterized by </ins>inflammation <ins class="diffchange diffchange-inline">and pain at the Achilles tendon (back </ins>of the <ins class="diffchange diffchange-inline">ankle)</ins>. This tendon<ins class="diffchange diffchange-inline">, sometimes called </ins>the <ins class="diffchange diffchange-inline">heel cord, is </ins>the <ins class="diffchange diffchange-inline">tendon attachment </ins>of <ins class="diffchange diffchange-inline">the calf muscles from </ins>the leg <ins class="diffchange diffchange-inline">and knee </ins>to the <ins class="diffchange diffchange-inline">heel</ins>. <ins class="diffchange diffchange-inline">This structure </ins>is <ins class="diffchange diffchange-inline">important in standing on your </ins>toes <ins class="diffchange diffchange-inline">or in </ins>the <ins class="diffchange diffchange-inline">pushing-off phase of walking</ins>, running, or <ins class="diffchange diffchange-inline">jumping</ins>.<ins class="diffchange diffchange-inline">Achilles-tendinitis is usually </ins>a <ins class="diffchange diffchange-inline">grade 1 or 2 strain of </ins>the tendon. <ins class="diffchange diffchange-inline">A grade 1 strain is a mild strain</ins>. There <ins class="diffchange diffchange-inline">is a slight pull </ins>of the tendon <ins class="diffchange diffchange-inline">without obvious tendon tearing</ins>. <ins class="diffchange diffchange-inline">(There is microscopic tendon tearing</ins>.<ins class="diffchange diffchange-inline">) There is no loss of strength</ins>, <ins class="diffchange diffchange-inline">and the tendon is the correct length. A grade 2 strain is </ins>a <ins class="diffchange diffchange-inline">moderate strain</ins>. <ins class="diffchange diffchange-inline">There </ins>is tearing of <ins class="diffchange diffchange-inline">tendon fibers within </ins>the <ins class="diffchange diffchange-inline">substance </ins>of the tendon or <ins class="diffchange diffchange-inline">where </ins>the <ins class="diffchange diffchange-inline">tendon attaches </ins>to <ins class="diffchange diffchange-inline">muscle or </ins>bone. <ins class="diffchange diffchange-inline">The length </ins>of the tendon <ins class="diffchange diffchange-inline">or whole muscle-tendon-bone unit is increased</ins>, <ins class="diffchange diffchange-inline">and there is usually decreased strength. A grade 3 strain is a complete rupture </ins>of the tendon.<br><br>Causes<br><ins class="diffchange diffchange-inline">Short of a trauma, the primary cause of </ins>Achilles <ins class="diffchange diffchange-inline">tendonitis is when the calf muscle is so tight </ins>that <ins class="diffchange diffchange-inline">the heel is unable to come down to the ground placing extreme </ins>stress on <ins class="diffchange diffchange-inline">the </ins>Achilles tendon <ins class="diffchange diffchange-inline">at the insertion</ins>. <ins class="diffchange diffchange-inline">Keep in mind </ins>that <ins class="diffchange diffchange-inline">the </ins>calf <ins class="diffchange diffchange-inline">muscle is designed </ins>to <ins class="diffchange diffchange-inline">contract up, lifting the heel bone off the ground, propelling </ins>you <ins class="diffchange diffchange-inline">forwards to the front of the foot for push off</ins>. <ins class="diffchange diffchange-inline">When the calf is so tight that the heel is prevented from coming down on the ground there will be stress on the tendon and the foot will over pronate causing </ins>the Achilles tendon <ins class="diffchange diffchange-inline">to twist</ins>, <ins class="diffchange diffchange-inline">adding to the stress on the insertion. Improper treatment may lead to a more severe injury, such as a rupture or chronic weakening, which may require surgery</ins>.<br><br>Symptoms<br><ins class="diffchange diffchange-inline">Common symptoms of </ins>Achilles tendinitis <ins class="diffchange diffchange-inline">include, </ins>pain and stiffness <ins class="diffchange diffchange-inline">along the Achilles tendon </ins>in the <ins class="diffchange diffchange-inline">morning, pain along the tendon or </ins>back of the <ins class="diffchange diffchange-inline">heel that worsens with activity, Severe pain </ins>the <ins class="diffchange diffchange-inline">day after exercising, thickening </ins>of the <ins class="diffchange diffchange-inline">tendon</ins>, <ins class="diffchange diffchange-inline">bone spur </ins>(<ins class="diffchange diffchange-inline">insertional tendinitis</ins>) <ins class="diffchange diffchange-inline">swelling that is present all </ins>the <ins class="diffchange diffchange-inline">time and gets worse throughout </ins>the <ins class="diffchange diffchange-inline">day with activity</ins>, <ins class="diffchange diffchange-inline">If you have experienced a sudden "pop" in the back of your calf </ins>or <ins class="diffchange diffchange-inline">heel</ins>, <ins class="diffchange diffchange-inline">you may have ruptured (torn) your Achilles </ins>tendon<ins class="diffchange diffchange-inline">. See your doctor immediately if you think you </ins>may <ins class="diffchange diffchange-inline">have torn your tendon</ins>.<br><br>Diagnosis<br>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://<ins class="diffchange diffchange-inline">eleonorbaillie</ins>.<ins class="diffchange diffchange-inline">soup</ins>.<ins class="diffchange diffchange-inline">io</ins>/<ins class="diffchange diffchange-inline">post</ins>/<ins class="diffchange diffchange-inline">517953264</ins>/<ins class="diffchange diffchange-inline">none </ins>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.<br><br>Nonsurgical Treatment<br><ins class="diffchange diffchange-inline">Treatment approaches for </ins>Achilles <ins class="diffchange diffchange-inline">tendonitis </ins>or <ins class="diffchange diffchange-inline">tendonosis are selected on </ins>the <ins class="diffchange diffchange-inline">basis of how long the injury has been present and the degree of damage to the tendon. In the early stage, when there </ins>is <ins class="diffchange diffchange-inline">sudden (acute) inflammation</ins>, <ins class="diffchange diffchange-inline">one or more of the following options may be recommended. Immobilization. Immobilization may involve the use of </ins>a <ins class="diffchange diffchange-inline">cast or removable walking boot </ins>to <ins class="diffchange diffchange-inline">reduce forces through the Achilles tendon and promote healing</ins>. <ins class="diffchange diffchange-inline">Ice. To reduce swelling due to inflammation, apply </ins>a <ins class="diffchange diffchange-inline">bag </ins>of <ins class="diffchange diffchange-inline">ice over a thin towel to the affected area for 20 minutes of each waking hour</ins>. <ins class="diffchange diffchange-inline">Do not put ice directly against the skin. Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen</ins>, may <ins class="diffchange diffchange-inline">be helpful in reducing the pain and inflammation in the early stage of the condition. Orthotics. For those with over-pronation or gait abnormalities, custom </ins>orthotic <ins class="diffchange diffchange-inline">devices may be prescribed. Night splints. Night splints help </ins>to <ins class="diffchange diffchange-inline">maintain a stretch in </ins>the Achilles tendon <ins class="diffchange diffchange-inline">during sleep</ins>. <ins class="diffchange diffchange-inline">Physical therapy. Physical therapy may include strengthening exercises</ins>, <ins class="diffchange diffchange-inline">soft-tissue massage/mobilization, gait </ins>and <ins class="diffchange diffchange-inline">running re-education, stretching, </ins>and <ins class="diffchange diffchange-inline">ultrasound therapy</ins>.<ins class="diffchange diffchange-inline"><br></ins><br><br><br>Surgical Treatment<br><ins class="diffchange diffchange-inline">Surgery </ins>should be <ins class="diffchange diffchange-inline">considered </ins>to <ins class="diffchange diffchange-inline">relieve Achilles tendinitis only </ins>if <ins class="diffchange diffchange-inline">the pain does </ins>not <ins class="diffchange diffchange-inline">improve after 6 months </ins>of <ins class="diffchange diffchange-inline">nonsurgical treatment</ins>. <ins class="diffchange diffchange-inline">The specific type of surgery depends on the location of the tendinitis and the amount of damage to the tendon</ins>. <ins class="diffchange diffchange-inline">Gastrocnemius recession. This is </ins>a <ins class="diffchange diffchange-inline">surgical lengthening of the calf (gastrocnemius) muscles. Because tight calf muscles place increased stress on the Achilles tendon, this procedure </ins>is <ins class="diffchange diffchange-inline">useful for patients who still have difficulty flexing their feet, despite consistent stretching. In gastrocnemius recession, one of the two muscles that make up the calf is lengthened </ins>to <ins class="diffchange diffchange-inline">increase the motion of the ankle. The procedure can be performed with </ins>a <ins class="diffchange diffchange-inline">traditional, open incision or with </ins>a <ins class="diffchange diffchange-inline">smaller incision and an endoscope</ins>-<ins class="diffchange diffchange-inline">an instrument that contains </ins>a <ins class="diffchange diffchange-inline">small camera. Your doctor will discuss the </ins>procedure <ins class="diffchange diffchange-inline">that best meets your needs</ins>. <ins class="diffchange diffchange-inline">Complication rates for gastrocnemius recession are low, but can include nerve damage. Gastrocnemius recession can be performed with or without d?bridement, which is removal </ins>of <ins class="diffchange diffchange-inline">damaged tissue. D?bridement and </ins>repair <ins class="diffchange diffchange-inline">(</ins>tendon <ins class="diffchange diffchange-inline">has less than 50% damage). The goal of this operation </ins>is <ins class="diffchange diffchange-inline">to remove the damaged part </ins>of <ins class="diffchange diffchange-inline">the Achilles tendon. Once the unhealthy portion of the tendon has been removed</ins>, <ins class="diffchange diffchange-inline">the remaining tendon is repaired with sutures, or stitches to complete the repair. In insertional tendinitis, the bone spur is also removed. Repair of the tendon in these instances </ins>may <ins class="diffchange diffchange-inline">require the use of metal or plastic anchors to help hold the Achilles tendon to the heel bone, where it attaches</ins>. <ins class="diffchange diffchange-inline">After d?bridement </ins>and <ins class="diffchange diffchange-inline">repair, most patients are allowed to walk in a removable boot </ins>or <ins class="diffchange diffchange-inline">cast within 2 weeks, although this period depends upon </ins>the <ins class="diffchange diffchange-inline">amount of damage to the tendon</ins>. <ins class="diffchange diffchange-inline">D?bridement with tendon transfer (tendon has greater than 50% damage). In cases where more than 50% of </ins>the <ins class="diffchange diffchange-inline">Achilles tendon is not healthy and requires removal, </ins>the <ins class="diffchange diffchange-inline">remaining portion </ins>of <ins class="diffchange diffchange-inline">the tendon is not strong enough </ins>to <ins class="diffchange diffchange-inline">function alone</ins>. <ins class="diffchange diffchange-inline">To prevent the remaining tendon from rupturing with activity, an Achilles tendon transfer is performed. The tendon </ins>that <ins class="diffchange diffchange-inline">helps the big toe point down is moved to the </ins>heel <ins class="diffchange diffchange-inline">bone to add strength to the damaged tendon. Although this sounds severe, the big toe will still be able to move, and most patients will not notice a change in the way they walk </ins>or <ins class="diffchange diffchange-inline">run</ins>. <ins class="diffchange diffchange-inline">Depending on the extent of damage to the tendon, some patients </ins>may <ins class="diffchange diffchange-inline">not be able </ins>to <ins class="diffchange diffchange-inline">return to competitive sports or running. Recovery. Most patients have good results </ins>from <ins class="diffchange diffchange-inline">surgery</ins>. <ins class="diffchange diffchange-inline">The main factor in surgical recovery is the amount of damage to the tendon. The greater the amount of tendon involved, the longer the recovery period, and the less likely a patient will be able to return to sports activity. Physical therapy is an important part of recovery. Many patients require 12 months of rehabilitation </ins>before <ins class="diffchange diffchange-inline">they are pain-free.<br><br>Prevention<br>Appropriately </ins>warm up and stretch before <ins class="diffchange diffchange-inline">practice or competition</ins>. <ins class="diffchange diffchange-inline">Allow time for adequate rest </ins>and <ins class="diffchange diffchange-inline">recovery between practices and competition</ins>. <ins class="diffchange diffchange-inline">Maintain appropriate conditioning</ins>, <ins class="diffchange diffchange-inline">Ankle and leg flexibility</ins>, <ins class="diffchange diffchange-inline">Muscle strength and endurance</ins>, <ins class="diffchange diffchange-inline">Cardiovascular fitness</ins>. <ins class="diffchange diffchange-inline">Use proper technique. To </ins>help prevent <ins class="diffchange diffchange-inline">recurrence</ins>, <ins class="diffchange diffchange-inline">taping</ins>, <ins class="diffchange diffchange-inline">protective strapping</ins>, or <ins class="diffchange diffchange-inline">an adhesive bandage may be recommended for several weeks after healing is complete</ins>.</div></td></tr>
</table>HectorHoneycutthttp://www.rehime.com.ar/bases/paginasdecine/index.php?title=Causes_And_Treatment_Of_Achilles_Tendon_Pain&diff=11035&oldid=prevMelvaFerrier06: Página creada con «Overview<br>Achilles Tendonitis is an inflammation of the Achilles Tendon. This tendon attaches the muscles in the calf of the leg to the back of our heels. The Achilles Te...»2017-06-11T19:27:34Z<p>Página creada con «Overview<br>Achilles Tendonitis is an inflammation of the Achilles Tendon. This tendon attaches the muscles in the calf of the leg to the back of our heels. The Achilles Te...»</p>
<p><b>Página nueva</b></p><div>Overview<br>Achilles Tendonitis is an inflammation of the Achilles Tendon. This tendon attaches the muscles in the calf of the leg to the back of our heels. The Achilles Tendon is a long and thick tendon, which moves our foot down, so that the toes point to the ground (plantar flexion). This tendon can become inflamed due to the following causes. Over utilizing it, such as too much running, especially up or down hill. Trauma, such as a kick to the tendon. Shoe or boot pressure, especially at its attachment to the heel, or just above it. There are over 250,000 injuries to the Achilles Tendon annually. In fact, more Than 10% of all running injuries are to the Achilles tendon. Tendonitis may be classified as either acute or chronic. Acute Achilles Tendonitis comes on quickly, usually after a specific activity or event. It is characterized by an overstretching or tearing of some of the small fibers of the tendon, and causes pain or tenderness when walking or running. It can occur at the insertion (near the attachment to the heel bone, or further up the leg, about 4 or 5 inches above the heel. Acute tendonitis can also follow a specific injury, such as a kick to the tendon while playing soccer. Chronic Achilles Tendonitis develops gradually over time. Many times, you can feel an obvious thickening of the tendon that may be tender when squeezed, due to long standing scarring of the tendon. Pain is also present when walking or during other forms of activity, and feels better at rest.<br><br>Causes<br>Achilles tendinitis can be caused by any activity that puts stress on your Achilles tendon. Tendinitis can develop if you run or jump more than usual or exercise on a hard surface. Tendinitis can be caused by shoes that do not fit or support your foot and ankle. Tight tendons and muscles, You may have tight hamstring and calf muscles in your upper and lower leg. Your tendons also become stiffer and easier to injure as you get older. Arthritis, Bony growths caused by arthritis can irritate the Achilles tendon, especially around your heel.<br><br>Symptoms<br>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.<br><br>Diagnosis<br>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://Teresiabraune.Wordpress.com/2014/12/31/physical-exercises-for-peripheral-arterial-disease 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.<br><br>Nonsurgical Treatment<br>If you have ongoing pain around your Achilles tendon, or the pain is severe, book an appointment with your family physician and ask for a referral to a Canadian Certified Pedorthist. Your Pedorthist will conduct a full assessment of your feet and lower limbs and will evaluate how you run and walk. Based on this assessment, your Pedorthist may recommend a foot orthotic to ease the pressure on your Achilles tendon. As Achilles tendinitis can also be caused by wearing old or inappropriate athletic shoes for your sport, your Pedorthist will also look at your shoes and advise you on whether they have appropriate support and cushioning. New shoes that don?t fit properly or provide adequate support can be as damaging as worn out shoes.<br><br><br>Surgical Treatment<br>It is important to understand that surgery may not give you 100% functionality of your leg, but you should be able to return to most if not all of your pre-injury activities. These surgical procedures are often performed with very successful results. What truly makes a difference is your commitment to a doctor recommended rehabilitation program after surgery as there is always a possibility of re-injuring your tendon even after a surgical procedure. One complication of surgical repair for Achilles tendon tear is that skin can become thin at site of incision, and may have limited blood flow.<br><br>Prevention<br>Wear shoes that fit correctly and support your feet: Replace your running or exercise shoes before the padding or shock absorption wears out. Shock absorption greatly decreases as the treads on the bottoms or sides of your shoes begin to wear down. You may need running shoes that give your foot more heel or arch support. You may need shoe inserts to keep your foot from rolling inward. Stretch before you exercise: Always warm up your muscles and stretch gently before you exercise. Do cool down exercises when you are finished. This will loosen your muscles and decrease stress on your Achilles tendon. Exercise the right way: If your tendinitis is caused by the way that you exercise, ask a trainer, coach, or your caregiver for help. They can teach you ways to train or exercise to help prevent Achilles tendinitis. Do not run or exercise on uneven or hard surfaces. Instead, run on softer surfaces such as treadmills, rubber tracks, grass, or evenly packed dirt tracks.</div>MelvaFerrier06