http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Do_you_know_the_Primary_Treatments_And_Causes_Of_Achilles_Tendinitis&feed=atom&action=historyDo you know the Primary Treatments And Causes Of Achilles Tendinitis - Historial de revisiones2024-03-29T06:00:50ZHistorial de revisiones para esta página en el wikiMediaWiki 1.24.1http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Do_you_know_the_Primary_Treatments_And_Causes_Of_Achilles_Tendinitis&diff=12859&oldid=prevIvaHankins93 en 12:32 12 jun 20172017-06-12T12:32:12Z<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 12:32 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 iInflammation in </del>the tendon <del class="diffchange diffchange-inline">of </del>the calf <del class="diffchange diffchange-inline">muscle, where it attaches </del>to the heel bone<del class="diffchange diffchange-inline">. Achilles tendonitis causes pain </del>and <del class="diffchange diffchange-inline">stiffness at the back of the leg, near the </del>heel. Achilles tendonitis <del class="diffchange diffchange-inline">can be caused by overuse </del>of the Achilles tendon, <del class="diffchange diffchange-inline">overly tight calf muscles or Achilles tendons, excess uphill running, </del>a <del class="diffchange diffchange-inline">sudden increase in the intensity of training or the </del>type of <del class="diffchange diffchange-inline">shoes worn to run, or wearing high heels at work </del>and <del class="diffchange diffchange-inline">then switching to a lower-heeled workout shoe</del>. Achilles tendonitis <del class="diffchange diffchange-inline">causes pain</del>, <del class="diffchange diffchange-inline">tenderness, and often swelling over the Achilles tendon. There </del>is <del class="diffchange diffchange-inline">pain on rising up on the toes and pain with stretching of the tendon. The range of motion of the ankle may be limited</del>. Treatment includes <del class="diffchange diffchange-inline">applying ice packs to the Achilles tendon</del>, <del class="diffchange diffchange-inline">raising the lower leg, and taking an </del>anti-inflammatory <del class="diffchange diffchange-inline">medication. In some severe cases of Achilles tendonitis</del>, <del class="diffchange diffchange-inline">a cast may be needed for several weeks. A heel lift insert may also be used in shoes to prevent future overstretching of </del>the <del class="diffchange diffchange-inline">Achilles tendon. Exerting rapid stress on the Achilles tendon when it is inflamed can result in rupture of the tendon</del>.<br><br>Causes<br>Achilles tendonitis <del class="diffchange diffchange-inline">is an </del>overuse injury <del class="diffchange diffchange-inline">that </del>is <del class="diffchange diffchange-inline">common especially to joggers and jumpers, due </del>to the <del class="diffchange diffchange-inline">repetitive action and so may occur in other activities </del>that <del class="diffchange diffchange-inline">requires the same repetitive action</del>. <del class="diffchange diffchange-inline">Most tendon injuries are the result </del>of <del class="diffchange diffchange-inline">gradual wear and tear to the tendon from overuse </del>or <del class="diffchange diffchange-inline">ageing</del>. <del class="diffchange diffchange-inline">Anyone </del>can <del class="diffchange diffchange-inline">have a tendon injury, but </del>people <del class="diffchange diffchange-inline">who make the same motions over and over in their jobs, sports, </del>or <del class="diffchange diffchange-inline">daily activities </del>are <del class="diffchange diffchange-inline">more likely </del>to <del class="diffchange diffchange-inline">damage a </del>tendon. <del class="diffchange diffchange-inline">A </del>tendon <del class="diffchange diffchange-inline">injury </del>can <del class="diffchange diffchange-inline">happen suddenly or little by little. You are more likely to have a sudden injury if </del>the tendon <del class="diffchange diffchange-inline">has been weakened over time</del>. <del class="diffchange diffchange-inline">Common causes of Achilles tendonitis include, over</del>-<del class="diffchange diffchange-inline">training </del>or <del class="diffchange diffchange-inline">unaccustomed use</del>,<del class="diffchange diffchange-inline">?too much too soon?</del>. <del class="diffchange diffchange-inline">Sudden change in training surface e.g. grass to bitumen. Flat (over</del>-<del class="diffchange diffchange-inline">pronated) feet</del>, <del class="diffchange diffchange-inline">High foot arch with tight </del>Achilles tendon. <del class="diffchange diffchange-inline">tight hamstring (back of thigh) </del>and <del class="diffchange diffchange-inline">calf muscles</del>, <del class="diffchange diffchange-inline">toe walking </del>(<del class="diffchange diffchange-inline">or constantly wearing high heels</del>)<del class="diffchange diffchange-inline">. Poorly supportive footwear</del>, <del class="diffchange diffchange-inline">hill running. Poor eccentric strength</del>.<br><br>Symptoms<br>The most common site of Achilles Tendonitis is at the heel to 4 inches above the heel. The diagnosis of this problem is made when the following signs are present. Pain in the Achilles tendon with up and down movement of the foot at the ankle. Pain in the Achilles tendon when you squeeze the tendon from side to side. If you are unable to move the foot either up or down, or you have intense pain when trying to walk, you may have a tear of the Achilles tendon, and you should see a doctor immediately. Also if you have severe pain in the calf, with or without discolorations of the skin, you may have a blood clot, and this is a medical emergency; see a doctor immediately. If you do not fall into either of these categories then try the following suggestions.<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, [<del class="diffchange diffchange-inline">https</del>://<del class="diffchange diffchange-inline">lekishasatomba</del>.<del class="diffchange diffchange-inline">wordpress</del>.com<del class="diffchange diffchange-inline">/2015/06/24/what-are-hammertoes-deformity </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">Treatment can range from cold compress and heel pads for minor cases</del>, to <del class="diffchange diffchange-inline">physical rehabilitation, anti-inflammatory medicine, ultrasound therapy, and manual therapy</del>. <del class="diffchange diffchange-inline">If you </del>are a <del class="diffchange diffchange-inline">Michigan resident that suspects they have </del>Achilles <del class="diffchange diffchange-inline">Tendinitis, please contact Dr</del>. <del class="diffchange diffchange-inline">Young immediately; Achilles Tendinitis, if left untreated</del>, can <del class="diffchange diffchange-inline">eventually result in an </del>Achilles <del class="diffchange diffchange-inline">Tendon Rupture, which </del>is <del class="diffchange diffchange-inline">a serious condition that </del>is <del class="diffchange diffchange-inline">a partial </del>or <del class="diffchange diffchange-inline">complete tear </del>in the tendon. <del class="diffchange diffchange-inline">It can severely hinder walking and </del>can be <del class="diffchange diffchange-inline">extremely painful </del>and <del class="diffchange diffchange-inline">slow </del>to <del class="diffchange diffchange-inline">recover</del>.<br><br><br>Surgical Treatment<br>Surgery is <del class="diffchange diffchange-inline">an option of </del>last resort. <del class="diffchange diffchange-inline">However, </del>if <del class="diffchange diffchange-inline">friction between </del>the tendon <del class="diffchange diffchange-inline">and its covering sheath makes </del>the <del class="diffchange diffchange-inline">sheath thick and fibrous</del>, surgery to <del class="diffchange diffchange-inline">remove </del>the <del class="diffchange diffchange-inline">fibrous tissue </del>and <del class="diffchange diffchange-inline">repair any tears </del>may be <del class="diffchange diffchange-inline">the best treatment option</del>.<br><br>Prevention<br><del class="diffchange diffchange-inline">While it may not be possible </del>to <del class="diffchange diffchange-inline">prevent Achilles tendinitis, you </del>can <del class="diffchange diffchange-inline">take measures to reduce </del>your <del class="diffchange diffchange-inline">risk</del>. Increase your <del class="diffchange diffchange-inline">activity level </del>gradually. <del class="diffchange diffchange-inline">If </del>you're <del class="diffchange diffchange-inline">just beginning an exercise regimen</del>, <del class="diffchange diffchange-inline">start slowly and gradually increase the duration and intensity of the training</del>. <del class="diffchange diffchange-inline">Take </del>it <del class="diffchange diffchange-inline">easy</del>. <del class="diffchange diffchange-inline">Avoid activities that place excessive stress on </del>your <del class="diffchange diffchange-inline">tendons</del>, <del class="diffchange diffchange-inline">such as hill running. If you participate in a strenuous activity</del>, <del class="diffchange diffchange-inline">warm up first by exercising at a slower pace. If you notice pain during a particular exercise</del>, <del class="diffchange diffchange-inline">stop </del>and <del class="diffchange diffchange-inline">rest. Choose </del>your <del class="diffchange diffchange-inline">shoes carefully</del>. <del class="diffchange diffchange-inline">The </del>shoes <del class="diffchange diffchange-inline">you wear while exercising should provide adequate cushioning </del>for your <del class="diffchange diffchange-inline">heel </del>and <del class="diffchange diffchange-inline">should </del>have a <del class="diffchange diffchange-inline">firm arch </del>support <del class="diffchange diffchange-inline">to help reduce the tension in the Achilles tendon</del>. Replace your worn<del class="diffchange diffchange-inline">-</del>out <del class="diffchange diffchange-inline">shoes</del>. <del class="diffchange diffchange-inline">If your shoes are in good condition but don't support your feet</del>, <del class="diffchange diffchange-inline">try arch supports in both shoes</del>. <del class="diffchange diffchange-inline">Stretch daily. Take </del>the <del class="diffchange diffchange-inline">time to stretch your calf muscles and Achilles tendon in the morning, before exercise and after exercise to maintain flexibility</del>. <del class="diffchange diffchange-inline">This is especially important to </del>avoid <del class="diffchange diffchange-inline">a recurrence of Achilles tendinitis</del>. <del class="diffchange diffchange-inline">Strengthen </del>your <del class="diffchange diffchange-inline">calf muscles</del>. <del class="diffchange diffchange-inline">Strong calf muscles enable the calf and Achilles tendon </del>to <del class="diffchange diffchange-inline">better handle the stresses they encounter with activity </del>and <del class="diffchange diffchange-inline">exercise</del>. <del class="diffchange diffchange-inline">Cross-train. Alternate high-impact activities</del>, <del class="diffchange diffchange-inline">such as </del>running <del class="diffchange diffchange-inline">and jumping, with low-impact </del>activities<del class="diffchange diffchange-inline">, such as cycling and swimming</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><ins class="diffchange diffchange-inline">A tendon is a band of connective tissue that anchors muscle to bone. The </ins>Achilles <ins class="diffchange diffchange-inline">tendon </ins>is the <ins class="diffchange diffchange-inline">largest </ins>tendon <ins class="diffchange diffchange-inline">in the body. It attaches </ins>the calf <ins class="diffchange diffchange-inline">muscles </ins>to the heel bone <ins class="diffchange diffchange-inline">(calcaneus) </ins>and <ins class="diffchange diffchange-inline">is very important because it lets you lift your </ins>heel <ins class="diffchange diffchange-inline">when you start to walk. It also helps you to walk, run or stand on tiptoe</ins>. Achilles tendonitis <ins class="diffchange diffchange-inline">is inflammation </ins>of the Achilles tendon<ins class="diffchange diffchange-inline">. In most cases</ins>, <ins class="diffchange diffchange-inline">it is </ins>a type of <ins class="diffchange diffchange-inline">overuse injury </ins>and <ins class="diffchange diffchange-inline">is more common in younger people</ins>. <ins class="diffchange diffchange-inline">Professional and weekend athletes can suffer from </ins>Achilles tendonitis, <ins class="diffchange diffchange-inline">but it </ins>is <ins class="diffchange diffchange-inline">also a common overuse injury in people not involved in sport</ins>. Treatment includes <ins class="diffchange diffchange-inline">rest</ins>, <ins class="diffchange diffchange-inline">non-steroidal </ins>anti-inflammatory <ins class="diffchange diffchange-inline">drugs (NSAIDs)</ins>, <ins class="diffchange diffchange-inline">physical therapy and avoiding activities that aggravate </ins>the <ins class="diffchange diffchange-inline">condition</ins>.<br><br>Causes<br><ins class="diffchange diffchange-inline">Some of the causes of </ins>Achilles tendonitis <ins class="diffchange diffchange-inline">include, </ins>overuse injury <ins class="diffchange diffchange-inline">- this occurs when the Achilles tendon </ins>is <ins class="diffchange diffchange-inline">stressed until it develops small tears. Runners seem </ins>to <ins class="diffchange diffchange-inline">be </ins>the <ins class="diffchange diffchange-inline">most susceptible. People who play sports </ins>that <ins class="diffchange diffchange-inline">involve jumping, such as basketball, are also at increased risk</ins>. <ins class="diffchange diffchange-inline">Arthritis - Achilles tendonitis can be a part </ins>of <ins class="diffchange diffchange-inline">generalised inflammatory arthritis, such as ankylosing spondylitis </ins>or <ins class="diffchange diffchange-inline">psoriatic arthritis</ins>. <ins class="diffchange diffchange-inline">In these conditions, both tendons </ins>can <ins class="diffchange diffchange-inline">be affected. Foot problems - some </ins>people <ins class="diffchange diffchange-inline">with flat feet </ins>or <ins class="diffchange diffchange-inline">hyperpronated feet (feet that turn inward while walking) </ins>are <ins class="diffchange diffchange-inline">prone </ins>to <ins class="diffchange diffchange-inline">Achilles tendonitis. The flattened arch pulls on calf muscles and keeps the Achilles </ins>tendon <ins class="diffchange diffchange-inline">under tight strain</ins>. <ins class="diffchange diffchange-inline">This constant mechanical stress on the heel and </ins>tendon can <ins class="diffchange diffchange-inline">cause inflammation, pain and swelling of </ins>the tendon. <ins class="diffchange diffchange-inline">Being overweight can make the problem worse. Footwear </ins>- <ins class="diffchange diffchange-inline">wearing shoes with minimal support while walking </ins>or <ins class="diffchange diffchange-inline">running can increase the risk</ins>, <ins class="diffchange diffchange-inline">as can wearing high heels</ins>. <ins class="diffchange diffchange-inline">Overweight and obesity </ins>- <ins class="diffchange diffchange-inline">being overweight places more strain on many parts of the body</ins>, <ins class="diffchange diffchange-inline">including the </ins>Achilles tendon. <ins class="diffchange diffchange-inline">Quinolone antibiotics - can in some instances be associated with inflammatory tenosynovitis </ins>and, <ins class="diffchange diffchange-inline">if present, will often be bilateral </ins>(<ins class="diffchange diffchange-inline">both Achilles</ins>), <ins class="diffchange diffchange-inline">coming on soon after exposure to the drug</ins>.<br><br>Symptoms<br>The most common site of Achilles Tendonitis is at the heel to 4 inches above the heel. The diagnosis of this problem is made when the following signs are present. Pain in the Achilles tendon with up and down movement of the foot at the ankle. Pain in the Achilles tendon when you squeeze the tendon from side to side. If you are unable to move the foot either up or down, or you have intense pain when trying to walk, you may have a tear of the Achilles tendon, and you should see a doctor immediately. Also if you have severe pain in the calf, with or without discolorations of the skin, you may have a blood clot, and this is a medical emergency; see a doctor immediately. If you do not fall into either of these categories then try the following suggestions.<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, [<ins class="diffchange diffchange-inline">http</ins>://<ins class="diffchange diffchange-inline">patricia6hayden0</ins>.<ins class="diffchange diffchange-inline">hazblog</ins>.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.<br><br>Nonsurgical Treatment<br><ins class="diffchange diffchange-inline">As with all conditions</ins>, <ins class="diffchange diffchange-inline">your Doctor should be consulted. Even minor symptoms can represent significant damage </ins>to <ins class="diffchange diffchange-inline">the Achilles tendon</ins>. <ins class="diffchange diffchange-inline">It is recommended that medical advice be sought as soon as symptoms </ins>are <ins class="diffchange diffchange-inline">experienced. Applying ice to the injury on </ins>a <ins class="diffchange diffchange-inline">regular basis can reduce inflammation associated with </ins>Achilles <ins class="diffchange diffchange-inline">Tendonosis</ins>. <ins class="diffchange diffchange-inline">Following the initial injury</ins>, <ins class="diffchange diffchange-inline">ice should be applied for periods of 15 minutes every hour. Resting the injured ankle may be necessary. This </ins>can <ins class="diffchange diffchange-inline">be a problem for athletes who need to train regularly. The degree of rest required depends on the severity and type of </ins>Achilles <ins class="diffchange diffchange-inline">Tendonosis. Your Health Care Professional will advise you about what activities should be limited while the injury </ins>is <ins class="diffchange diffchange-inline">repairing. Fast uphill and downhill running </ins>is <ins class="diffchange diffchange-inline">not advised while an Achilles Tendinosis injury is healing. Anti-inflammatory, analgesic medications such as those containing aspirin may help control pain and inflammation. Self-massage with heat-inducing creams and liniments may be of assistance. Wearing heel-lifts </ins>or <ins class="diffchange diffchange-inline">pads </ins>in <ins class="diffchange diffchange-inline">shoes can reduce </ins>the <ins class="diffchange diffchange-inline">tension in the Achilles </ins>tendon. <ins class="diffchange diffchange-inline">Physiotherapy may assist in the repair of a damaged Achilles tendon. Physiotherapists may recommend exercises to strengthen the tendon to reduce the chances of future injury. Regular stretching of the hamstring muscles (at the back of the calf) </ins>can <ins class="diffchange diffchange-inline">help the repair process. This should only </ins>be <ins class="diffchange diffchange-inline">done when the injury has repaired enough not to cause pain during this stretching. Taping the ankle </ins>and <ins class="diffchange diffchange-inline">wearing appropriate running shoes may help </ins>to <ins class="diffchange diffchange-inline">control movement in the ankle and prevent further injury</ins>.<ins class="diffchange diffchange-inline"><br></ins><br><br><br>Surgical Treatment<br>Surgery is <ins class="diffchange diffchange-inline">considered the </ins>last resort. <ins class="diffchange diffchange-inline">It is only recommended </ins>if <ins class="diffchange diffchange-inline">all other treatment options have failed after at least six months. In this situation, badly damaged portions of </ins>the tendon <ins class="diffchange diffchange-inline">may be removed. If </ins>the <ins class="diffchange diffchange-inline">tendon has ruptured</ins>, surgery <ins class="diffchange diffchange-inline">is necessary </ins>to <ins class="diffchange diffchange-inline">re-attach </ins>the <ins class="diffchange diffchange-inline">tendon. Rehabilitation, including stretching </ins>and <ins class="diffchange diffchange-inline">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 </ins>may be <ins class="diffchange diffchange-inline">delayed for about three to six months</ins>.<br><br>Prevention<br><ins class="diffchange diffchange-inline">Stay in good shape year-round and try </ins>to <ins class="diffchange diffchange-inline">keep your muscles as strong as they </ins>can <ins class="diffchange diffchange-inline">be. Strong, flexible muscles work more efficiently and put less stress on </ins>your <ins class="diffchange diffchange-inline">tendon</ins>. Increase <ins class="diffchange diffchange-inline">the intensity and length of </ins>your <ins class="diffchange diffchange-inline">exercise sessions </ins>gradually. <ins class="diffchange diffchange-inline">This is especially important if you've been inactive for a while or </ins>you're <ins class="diffchange diffchange-inline">new to a sport. Always warm up before you go for a run or play a sport. If your muscles are tight</ins>, <ins class="diffchange diffchange-inline">your Achilles tendons have to work harder to compensate</ins>. <ins class="diffchange diffchange-inline">Stretch </ins>it <ins class="diffchange diffchange-inline">out</ins>. <ins class="diffchange diffchange-inline">Stretch </ins>your <ins class="diffchange diffchange-inline">legs</ins>, <ins class="diffchange diffchange-inline">especially your calves</ins>, <ins class="diffchange diffchange-inline">hamstrings, quadriceps</ins>, and <ins class="diffchange diffchange-inline">thigh muscles - these muscles help stabilize </ins>your <ins class="diffchange diffchange-inline">knee while running</ins>. <ins class="diffchange diffchange-inline">Get </ins>shoes <ins class="diffchange diffchange-inline">that fit properly and are designed </ins>for your <ins class="diffchange diffchange-inline">sport. If you're a jogger, go to a running specialty store </ins>and have a <ins class="diffchange diffchange-inline">trained professional help you select shoes that match your foot type and offer plenty of </ins>support. Replace your <ins class="diffchange diffchange-inline">shoes before they become </ins>worn out. <ins class="diffchange diffchange-inline">Try to run on softer surfaces like grass, dirt trails</ins>, <ins class="diffchange diffchange-inline">or synthetic tracks</ins>. <ins class="diffchange diffchange-inline">Hard surfaces like concrete or asphalt can put extra pressure on </ins>the <ins class="diffchange diffchange-inline">joints</ins>. <ins class="diffchange diffchange-inline">Also </ins>avoid <ins class="diffchange diffchange-inline">running up or down hills as much as possible</ins>. <ins class="diffchange diffchange-inline">Vary </ins>your <ins class="diffchange diffchange-inline">exercise routine</ins>. <ins class="diffchange diffchange-inline">Work different muscle groups </ins>to <ins class="diffchange diffchange-inline">keep yourself in good overall shape </ins>and <ins class="diffchange diffchange-inline">keep individual muscles from getting overused</ins>. <ins class="diffchange diffchange-inline">If you notice any symptoms of Achilles tendonitis</ins>, <ins class="diffchange diffchange-inline">stop </ins>running <ins class="diffchange diffchange-inline">or doing </ins>activities <ins class="diffchange diffchange-inline">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</ins>.</div></td></tr>
</table>IvaHankins93http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Do_you_know_the_Primary_Treatments_And_Causes_Of_Achilles_Tendinitis&diff=11792&oldid=prevLutherFairbridge en 22:33 11 jun 20172017-06-11T22:33:58Z<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 22:33 11 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">tendinitis can be a very crippling issue for runners - simply because </del>the pain <del class="diffchange diffchange-inline">is enough to discourage loading </del>of the <del class="diffchange diffchange-inline">foot</del>. <del class="diffchange diffchange-inline">It </del>can <del class="diffchange diffchange-inline">also </del>be <del class="diffchange diffchange-inline">a tricky condition to treat because </del>the tendon <del class="diffchange diffchange-inline">is not as heavily vascularized (i.e. more blood flow) as muscle</del>, <del class="diffchange diffchange-inline">and therefore lacks healing potential. It is highly recommended that you see a physical therapist as soon as you experience acute symptoms, so chronic tendonosis (which is longer termed and harder to treat) does not set in.<br><br>Causes<br>Tight or fatigued </del>calf muscles, <del class="diffchange diffchange-inline">which transfer </del>the <del class="diffchange diffchange-inline">burden </del>of <del class="diffchange diffchange-inline">running to </del>the <del class="diffchange diffchange-inline">Achilles. This can be due </del>to <del class="diffchange diffchange-inline">poor stretching, rapidly increasing distance</del>, or <del class="diffchange diffchange-inline">over-training excessive hill running or speed </del>work, <del class="diffchange diffchange-inline">both of which stress </del>the Achilles <del class="diffchange diffchange-inline">more than other types </del>of <del class="diffchange diffchange-inline">running</del>. <del class="diffchange diffchange-inline">Inflexible running shoes</del>, <del class="diffchange diffchange-inline">which</del>, <del class="diffchange diffchange-inline">in </del>some cases, may <del class="diffchange diffchange-inline">force </del>the Achilles <del class="diffchange diffchange-inline">to twist</del>. <del class="diffchange diffchange-inline">Runners who overpronate (feet rotate too far inward </del>on <del class="diffchange diffchange-inline">impact) are most susceptible to </del>Achilles <del class="diffchange diffchange-inline">tendinitis</del>.<br><br><del class="diffchange diffchange-inline">Symptoms</del><br><del class="diffchange diffchange-inline">Most cases of </del>Achilles tendonitis <del class="diffchange diffchange-inline">start out slowly, with very little pain</del>, and <del class="diffchange diffchange-inline">then grow worse over time</del>. <del class="diffchange diffchange-inline">Some </del>of the <del class="diffchange diffchange-inline">more common symptoms include mild pain </del>or <del class="diffchange diffchange-inline">an ache above </del>the <del class="diffchange diffchange-inline">heel </del>and in <del class="diffchange diffchange-inline">the lower leg</del>, <del class="diffchange diffchange-inline">especially after running </del>or <del class="diffchange diffchange-inline">doing other physical </del>activities<del class="diffchange diffchange-inline">, pain that gets worse when walking uphill, climbing stairs, </del>or <del class="diffchange diffchange-inline">taking part in intense or prolonged exercise, stiffness and tenderness in </del>the <del class="diffchange diffchange-inline">heel</del>, <del class="diffchange diffchange-inline">especially in the morning, that gradually goes away, swelling </del>or <del class="diffchange diffchange-inline">hard knots of tissue </del>in <del class="diffchange diffchange-inline">the </del>Achilles tendon, <del class="diffchange diffchange-inline">a creaking </del>or <del class="diffchange diffchange-inline">crackling sound when moving the ankle or pressing on the Achilles tendon</del>, <del class="diffchange diffchange-inline">weakness in the affected leg</del>.<br><br><del class="diffchange diffchange-inline">Diagnosis</del><br><del class="diffchange diffchange-inline">When diagnosing </del>Achilles <del class="diffchange diffchange-inline">tendinitis, a doctor will ask </del>the <del class="diffchange diffchange-inline">patient a few questions about their symptoms and then perform a physical examination</del>. <del class="diffchange diffchange-inline">To perform a physical exam on </del>the Achilles tendon<del class="diffchange diffchange-inline">, the doctor will lightly touch around the back </del>of the ankle <del class="diffchange diffchange-inline">and </del>tendon <del class="diffchange diffchange-inline">to locate </del>the <del class="diffchange diffchange-inline">source of the pain or inflammation</del>. <del class="diffchange diffchange-inline">They will also test </del>the foot <del class="diffchange diffchange-inline">and ankle </del>to <del class="diffchange diffchange-inline">see if their range </del>of <del class="diffchange diffchange-inline">motion </del>and <del class="diffchange diffchange-inline">flexibility has been impaired. The </del>doctor <del class="diffchange diffchange-inline">might also order an imaging test to be done on the tendon</del>. <del class="diffchange diffchange-inline">This will aid </del>in the <del class="diffchange diffchange-inline">elimination </del>of <del class="diffchange diffchange-inline">other possible causes of pain and swelling</del>, and <del class="diffchange diffchange-inline">may help the </del>doctor <del class="diffchange diffchange-inline">assess the level </del>of <del class="diffchange diffchange-inline">damage (if any) that has been done to </del>the <del class="diffchange diffchange-inline">tendon. Types of imaging tests that could be used for diagnosing Achilles tendinitis are MRI (Magnetic resonance imaging), X-ray, Ultrasound</del>.<br><br><del class="diffchange diffchange-inline">Nonsurgical Treatment</del><br><del class="diffchange diffchange-inline">Massage therapy improves blood flow to </del>the <del class="diffchange diffchange-inline">muscles </del>and <del class="diffchange diffchange-inline">tissues of </del>the <del class="diffchange diffchange-inline">affected area while increasing range of motion and can prevent recurring injury</del>. <del class="diffchange diffchange-inline">The healing process can </del>be <del class="diffchange diffchange-inline">quickened using ultrasound heat therapy to improve blood flow </del>to the <del class="diffchange diffchange-inline">affected area</del>. <del class="diffchange diffchange-inline">Wearing a night brace keeps </del>the <del class="diffchange diffchange-inline">leg flexed, preventing stiffening </del>of the <del class="diffchange diffchange-inline">tendon</del>, <del class="diffchange diffchange-inline">which </del>would <del class="diffchange diffchange-inline">impair healing</del>. <del class="diffchange diffchange-inline">Stretching exercises increase flexibility and allow the tendon </del>to <del class="diffchange diffchange-inline">heal without shortening</del>, <del class="diffchange diffchange-inline">a deformity resulting in </del>[<del class="diffchange diffchange-inline">http</del>://<del class="diffchange diffchange-inline">harbus1975</del>.<del class="diffchange diffchange-inline">blog.fc2</del>.com/<del class="diffchange diffchange-inline">blog</del>-<del class="diffchange diffchange-inline">entry</del>-<del class="diffchange diffchange-inline">53.html chronic pain</del>]<del class="diffchange diffchange-inline">. Persistent Achilles pain may warrant </del>the <del class="diffchange diffchange-inline">use of </del>a <del class="diffchange diffchange-inline">cast or walking boot to </del>be <del class="diffchange diffchange-inline">worn for 4</del>-<del class="diffchange diffchange-inline">6 weeks stabilizing the tendon so it can heal</del>. <del class="diffchange diffchange-inline">After removal </del>of the <del class="diffchange diffchange-inline">cast or boot</del>, <del class="diffchange diffchange-inline">physical therapy will </del>be <del class="diffchange diffchange-inline">ordered to increase functionality of </del>the <del class="diffchange diffchange-inline">affected limb</del>. <del class="diffchange diffchange-inline">To reduce chronic inflammation of </del>the tendon, <del class="diffchange diffchange-inline">corticosteroid injections </del>may be <del class="diffchange diffchange-inline">prescribed</del>. It<del class="diffchange diffchange-inline">?s important to note that this corticosteroid treatment increases </del>the <del class="diffchange diffchange-inline">risk </del>of <del class="diffchange diffchange-inline">tendon rupture. Ultrasound imaging may be used by </del>the <del class="diffchange diffchange-inline">physician administering the steroid injection</del>, <del class="diffchange diffchange-inline">in order </del>to <del class="diffchange diffchange-inline">help visualize the affected area</del>. <del class="diffchange diffchange-inline">When all other therapies </del>have <del class="diffchange diffchange-inline">failed to </del>or tendon <del class="diffchange diffchange-inline">rupture occurs, surgical intervention </del>and <del class="diffchange diffchange-inline">repair of the muscles </del>and <del class="diffchange diffchange-inline">tendons is the last treatment option</del>.<del class="diffchange diffchange-inline"><br></del><br><br><br>Surgical Treatment<br><del class="diffchange diffchange-inline">Around 1 in 4 people who have persisting pain due to Achilles tendinopathy has surgery to treat the condition. Most people have a good result from surgery and their pain is relieved. </del>Surgery <del class="diffchange diffchange-inline">involves either </del>of <del class="diffchange diffchange-inline">the following</del>, <del class="diffchange diffchange-inline">removing nodules or adhesions (parts of the fibres of </del>the tendon <del class="diffchange diffchange-inline">that have stuck together) that have developed within </del>the <del class="diffchange diffchange-inline">damaged tendon. Making a lengthways cut in </del>the <del class="diffchange diffchange-inline">tendon to help to stimulate </del>and <del class="diffchange diffchange-inline">encourage tendon healing. Complications from surgery are not common but, if they do occur, can include problems with wound healing</del>.<br><br>Prevention<br><del class="diffchange diffchange-inline">As with all injuries, prevention is your best defense especially with injuries that are as painful and inconvenient as Achilles tendonitis. Options for how </del>to prevent Achilles <del class="diffchange diffchange-inline">tendonitis include</del>, <del class="diffchange diffchange-inline">stretching- Stretching properly</del>, <del class="diffchange diffchange-inline">starting </del>slowly<del class="diffchange diffchange-inline">, </del>and <del class="diffchange diffchange-inline">increasing </del>gradually <del class="diffchange diffchange-inline">will be critical if you want to avoid Achilles tendonitis</del>. <del class="diffchange diffchange-inline">To help maintain flexibility </del>in <del class="diffchange diffchange-inline">the ankle joint</del>, <del class="diffchange diffchange-inline">begin each day with </del>a <del class="diffchange diffchange-inline">series of stretches and be certain to stretch prior to</del>, and <del class="diffchange diffchange-inline">after, any exercise or excessive physical activity</del>. <del class="diffchange diffchange-inline">Orthotics and Heel Support- Bio-mechanically engineered inserts and heel cups can be placed in </del>your shoes <del class="diffchange diffchange-inline">to correct misalignments or bolster the support of your foot and are available without a prescription</del>. The <del class="diffchange diffchange-inline">temporary heel padding that these </del>provide <del class="diffchange diffchange-inline">reduces </del>the <del class="diffchange diffchange-inline">length that </del>the Achilles tendon <del class="diffchange diffchange-inline">stretches each time you step, making it more comfortable to go about </del>your <del class="diffchange diffchange-inline">daily routine. Proper Footwear</del>- <del class="diffchange diffchange-inline">Low-heeled </del>shoes <del class="diffchange diffchange-inline">with </del>good <del class="diffchange diffchange-inline">arch </del>support and <del class="diffchange diffchange-inline">shock absorption are best for </del>the <del class="diffchange diffchange-inline">health </del>of your <del class="diffchange diffchange-inline">foot</del>. <del class="diffchange diffchange-inline">Look into heel wedges </del>and <del class="diffchange diffchange-inline">other shoe inserts </del>to <del class="diffchange diffchange-inline">make sure that your everyday foot mechanics are operating under ideal conditions</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">tendonitis is an iInflammation in the tendon of </ins>the <ins class="diffchange diffchange-inline">calf muscle, where it attaches to the heel bone. Achilles tendonitis causes </ins>pain <ins class="diffchange diffchange-inline">and stiffness at the back </ins>of the <ins class="diffchange diffchange-inline">leg, near the heel</ins>. <ins class="diffchange diffchange-inline">Achilles tendonitis </ins>can be <ins class="diffchange diffchange-inline">caused by overuse of </ins>the <ins class="diffchange diffchange-inline">Achilles </ins>tendon, <ins class="diffchange diffchange-inline">overly tight </ins>calf muscles <ins class="diffchange diffchange-inline">or Achilles tendons</ins>, <ins class="diffchange diffchange-inline">excess uphill running, a sudden increase in </ins>the <ins class="diffchange diffchange-inline">intensity </ins>of <ins class="diffchange diffchange-inline">training or </ins>the <ins class="diffchange diffchange-inline">type of shoes worn </ins>to <ins class="diffchange diffchange-inline">run</ins>, or <ins class="diffchange diffchange-inline">wearing high heels at </ins>work <ins class="diffchange diffchange-inline">and then switching to a lower-heeled workout shoe. Achilles tendonitis causes pain</ins>, <ins class="diffchange diffchange-inline">tenderness, and often swelling over </ins>the Achilles <ins class="diffchange diffchange-inline">tendon. There is pain on rising up on the toes and pain with stretching </ins>of <ins class="diffchange diffchange-inline">the tendon</ins>. <ins class="diffchange diffchange-inline">The range of motion of the ankle may be limited. Treatment includes applying ice packs to the Achilles tendon</ins>, <ins class="diffchange diffchange-inline">raising the lower leg</ins>, <ins class="diffchange diffchange-inline">and taking an anti-inflammatory medication. In </ins>some <ins class="diffchange diffchange-inline">severe </ins>cases <ins class="diffchange diffchange-inline">of Achilles tendonitis</ins>, <ins class="diffchange diffchange-inline">a cast </ins>may <ins class="diffchange diffchange-inline">be needed for several weeks. A heel lift insert may also be used in shoes to prevent future overstretching of </ins>the Achilles <ins class="diffchange diffchange-inline">tendon</ins>. <ins class="diffchange diffchange-inline">Exerting rapid stress </ins>on <ins class="diffchange diffchange-inline">the </ins>Achilles <ins class="diffchange diffchange-inline">tendon when it is inflamed can result in rupture of the tendon</ins>.<br><br><ins class="diffchange diffchange-inline">Causes</ins><br>Achilles tendonitis <ins class="diffchange diffchange-inline">is an overuse injury that is common especially to joggers and jumpers</ins>, <ins class="diffchange diffchange-inline">due to the repetitive action </ins>and <ins class="diffchange diffchange-inline">so may occur in other activities that requires the same repetitive action</ins>. <ins class="diffchange diffchange-inline">Most tendon injuries are the result </ins>of <ins class="diffchange diffchange-inline">gradual wear and tear to </ins>the <ins class="diffchange diffchange-inline">tendon from overuse </ins>or <ins class="diffchange diffchange-inline">ageing. Anyone can have a tendon injury, but people who make </ins>the <ins class="diffchange diffchange-inline">same motions over </ins>and <ins class="diffchange diffchange-inline">over </ins>in <ins class="diffchange diffchange-inline">their jobs, sports</ins>, or <ins class="diffchange diffchange-inline">daily </ins>activities <ins class="diffchange diffchange-inline">are more likely to damage a tendon. A tendon injury can happen suddenly </ins>or <ins class="diffchange diffchange-inline">little by little. You are more likely to have a sudden injury if </ins>the <ins class="diffchange diffchange-inline">tendon has been weakened over time. Common causes of Achilles tendonitis include</ins>, <ins class="diffchange diffchange-inline">over-training </ins>or <ins class="diffchange diffchange-inline">unaccustomed use,?too much too soon?. Sudden change </ins>in <ins class="diffchange diffchange-inline">training surface e.g. grass to bitumen. Flat (over-pronated) feet, High foot arch with tight </ins>Achilles tendon<ins class="diffchange diffchange-inline">. tight hamstring (back of thigh) and calf muscles</ins>, <ins class="diffchange diffchange-inline">toe walking (</ins>or <ins class="diffchange diffchange-inline">constantly wearing high heels). Poorly supportive footwear</ins>, <ins class="diffchange diffchange-inline">hill running. Poor eccentric strength</ins>.<br><br><ins class="diffchange diffchange-inline">Symptoms</ins><br><ins class="diffchange diffchange-inline">The most common site of </ins>Achilles <ins class="diffchange diffchange-inline">Tendonitis is at </ins>the <ins class="diffchange diffchange-inline">heel to 4 inches above the heel</ins>. <ins class="diffchange diffchange-inline">The diagnosis of this problem is made when the following signs are present. Pain in </ins>the Achilles tendon <ins class="diffchange diffchange-inline">with up and down movement </ins>of <ins class="diffchange diffchange-inline">the foot at </ins>the ankle<ins class="diffchange diffchange-inline">. Pain in the Achilles </ins>tendon <ins class="diffchange diffchange-inline">when you squeeze </ins>the <ins class="diffchange diffchange-inline">tendon from side to side</ins>. <ins class="diffchange diffchange-inline">If you are unable to move </ins>the foot <ins class="diffchange diffchange-inline">either up or down, or you have intense pain when trying </ins>to <ins class="diffchange diffchange-inline">walk, you may have a tear </ins>of <ins class="diffchange diffchange-inline">the Achilles tendon, </ins>and <ins class="diffchange diffchange-inline">you should see a </ins>doctor <ins class="diffchange diffchange-inline">immediately</ins>. <ins class="diffchange diffchange-inline">Also if you have severe pain </ins>in the <ins class="diffchange diffchange-inline">calf, with or without discolorations </ins>of <ins class="diffchange diffchange-inline">the skin, you may have a blood clot</ins>, and <ins class="diffchange diffchange-inline">this is a medical emergency; see a </ins>doctor <ins class="diffchange diffchange-inline">immediately. If you do not fall into either </ins>of <ins class="diffchange diffchange-inline">these categories then try </ins>the <ins class="diffchange diffchange-inline">following suggestions</ins>.<br><br><ins class="diffchange diffchange-inline">Diagnosis</ins><br><ins class="diffchange diffchange-inline">A podiatrist can usually make </ins>the <ins class="diffchange diffchange-inline">diagnosis by clinical history </ins>and <ins class="diffchange diffchange-inline">physical examination alone. Pain with touching or stretching </ins>the <ins class="diffchange diffchange-inline">tendon is typical</ins>. <ins class="diffchange diffchange-inline">There may also </ins>be <ins class="diffchange diffchange-inline">a visible swelling </ins>to the <ins class="diffchange diffchange-inline">tendon</ins>. <ins class="diffchange diffchange-inline">The patient frequently has difficulty plantarflexing (pushing down </ins>the <ins class="diffchange diffchange-inline">ball </ins>of the <ins class="diffchange diffchange-inline">foot and toes</ins>, <ins class="diffchange diffchange-inline">like one </ins>would <ins class="diffchange diffchange-inline">press on a gas pedal), particularly against resistance</ins>. <ins class="diffchange diffchange-inline">In most cases X-rays don't show much, as they tend </ins>to <ins class="diffchange diffchange-inline">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</ins>, [<ins class="diffchange diffchange-inline">https</ins>://<ins class="diffchange diffchange-inline">lekishasatomba</ins>.<ins class="diffchange diffchange-inline">wordpress</ins>.com/<ins class="diffchange diffchange-inline">2015/06/24/what</ins>-<ins class="diffchange diffchange-inline">are</ins>-<ins class="diffchange diffchange-inline">hammertoes-deformity heel spurs</ins>]<ins class="diffchange diffchange-inline">, calcification within </ins>the <ins class="diffchange diffchange-inline">tendon, avulsion fractures, periostitis (</ins>a <ins class="diffchange diffchange-inline">bruising of the outer covering of the bone) may all </ins>be <ins class="diffchange diffchange-inline">seen on X</ins>-<ins class="diffchange diffchange-inline">ray</ins>. <ins class="diffchange diffchange-inline">In cases where we are uncertain as to the extent </ins>of the <ins class="diffchange diffchange-inline">damage to the tendon</ins>, <ins class="diffchange diffchange-inline">though, an MRI scan may </ins>be <ins class="diffchange diffchange-inline">necessary, which images </ins>the <ins class="diffchange diffchange-inline">soft tissues better than X-rays</ins>. <ins class="diffchange diffchange-inline">When </ins>the tendon <ins class="diffchange diffchange-inline">is simply inflamed and not severely damaged</ins>, <ins class="diffchange diffchange-inline">the problem </ins>may <ins class="diffchange diffchange-inline">or may not </ins>be <ins class="diffchange diffchange-inline">visible on MRI</ins>. It <ins class="diffchange diffchange-inline">depends upon </ins>the <ins class="diffchange diffchange-inline">severity </ins>of the <ins class="diffchange diffchange-inline">condition.<br><br>Nonsurgical Treatment<br>Treatment can range from cold compress and heel pads for minor cases</ins>, to <ins class="diffchange diffchange-inline">physical rehabilitation, anti-inflammatory medicine, ultrasound therapy, and manual therapy</ins>. <ins class="diffchange diffchange-inline">If you are a Michigan resident that suspects they </ins>have <ins class="diffchange diffchange-inline">Achilles Tendinitis, please contact Dr. Young immediately; Achilles Tendinitis, if left untreated, can eventually result in an Achilles Tendon Rupture, which is a serious condition that is a partial </ins>or <ins class="diffchange diffchange-inline">complete tear in the </ins>tendon<ins class="diffchange diffchange-inline">. It can severely hinder walking </ins>and <ins class="diffchange diffchange-inline">can be extremely painful </ins>and <ins class="diffchange diffchange-inline">slow to recover</ins>.<br><br><br>Surgical Treatment<br>Surgery <ins class="diffchange diffchange-inline">is an option </ins>of <ins class="diffchange diffchange-inline">last resort. However</ins>, <ins class="diffchange diffchange-inline">if friction between </ins>the tendon <ins class="diffchange diffchange-inline">and its covering sheath makes </ins>the <ins class="diffchange diffchange-inline">sheath thick and fibrous, surgery to remove </ins>the <ins class="diffchange diffchange-inline">fibrous tissue </ins>and <ins class="diffchange diffchange-inline">repair any tears may be the best treatment option</ins>.<br><br>Prevention<br><ins class="diffchange diffchange-inline">While it may not be possible </ins>to prevent Achilles <ins class="diffchange diffchange-inline">tendinitis</ins>, <ins class="diffchange diffchange-inline">you can take measures to reduce your risk. Increase your activity level gradually. If you're just beginning an exercise regimen</ins>, <ins class="diffchange diffchange-inline">start </ins>slowly and gradually <ins class="diffchange diffchange-inline">increase the duration and intensity of the training</ins>. <ins class="diffchange diffchange-inline">Take it easy. Avoid activities that place excessive stress on your tendons, such as hill running. If you participate </ins>in <ins class="diffchange diffchange-inline">a strenuous activity</ins>, <ins class="diffchange diffchange-inline">warm up first by exercising at </ins>a <ins class="diffchange diffchange-inline">slower pace. If you notice pain during a particular exercise</ins>, <ins class="diffchange diffchange-inline">stop </ins>and <ins class="diffchange diffchange-inline">rest</ins>. <ins class="diffchange diffchange-inline">Choose </ins>your shoes <ins class="diffchange diffchange-inline">carefully</ins>. The <ins class="diffchange diffchange-inline">shoes you wear while exercising should </ins>provide <ins class="diffchange diffchange-inline">adequate cushioning for your heel and should have a firm arch support to help reduce </ins>the <ins class="diffchange diffchange-inline">tension in </ins>the Achilles tendon<ins class="diffchange diffchange-inline">. Replace </ins>your <ins class="diffchange diffchange-inline">worn</ins>-<ins class="diffchange diffchange-inline">out </ins>shoes<ins class="diffchange diffchange-inline">. If your shoes are in </ins>good <ins class="diffchange diffchange-inline">condition but don't </ins>support <ins class="diffchange diffchange-inline">your feet, try arch supports in both shoes. Stretch daily. Take the time to stretch your calf muscles </ins>and <ins class="diffchange diffchange-inline">Achilles tendon in </ins>the <ins class="diffchange diffchange-inline">morning, before exercise and after exercise to maintain flexibility. This is especially important to avoid a recurrence </ins>of <ins class="diffchange diffchange-inline">Achilles tendinitis. Strengthen </ins>your <ins class="diffchange diffchange-inline">calf muscles</ins>. <ins class="diffchange diffchange-inline">Strong calf muscles enable the calf </ins>and <ins class="diffchange diffchange-inline">Achilles tendon </ins>to <ins class="diffchange diffchange-inline">better handle the stresses they encounter with activity and exercise. Cross-train. Alternate high-impact activities, such as running and jumping, with low-impact activities, such as cycling and swimming</ins>.</div></td></tr>
</table>LutherFairbridgehttp://www.rehime.com.ar/bases/paginasdecine/index.php?title=Do_you_know_the_Primary_Treatments_And_Causes_Of_Achilles_Tendinitis&diff=7609&oldid=prevNoemiKirkwood4: Página creada con «Overview<br>Achilles tendinitis can be a very crippling issue for runners - simply because the pain is enough to discourage loading of the foot. It can also be a tricky con...»2017-06-11T03:24:11Z<p>Página creada con «Overview<br>Achilles tendinitis can be a very crippling issue for runners - simply because the pain is enough to discourage loading of the foot. It can also be a tricky con...»</p>
<p><b>Página nueva</b></p><div>Overview<br>Achilles tendinitis can be a very crippling issue for runners - simply because the pain is enough to discourage loading of the foot. It can also be a tricky condition to treat because the tendon is not as heavily vascularized (i.e. more blood flow) as muscle, and therefore lacks healing potential. It is highly recommended that you see a physical therapist as soon as you experience acute symptoms, so chronic tendonosis (which is longer termed and harder to treat) does not set in.<br><br>Causes<br>Tight or fatigued calf muscles, which transfer the burden of running to the Achilles. This can be due to poor stretching, rapidly increasing distance, or over-training excessive hill running or speed work, both of which stress the Achilles more than other types of running. Inflexible running shoes, which, in some cases, may force the Achilles to twist. Runners who overpronate (feet rotate too far inward on impact) are most susceptible to Achilles tendinitis.<br><br>Symptoms<br>Most cases of Achilles tendonitis start out slowly, with very little pain, and then grow worse over time. Some of the more common symptoms include mild pain or an ache above the heel and in the lower leg, especially after running or doing other physical activities, pain that gets worse when walking uphill, climbing stairs, or taking part in intense or prolonged exercise, stiffness and tenderness in the heel, especially in the morning, that gradually goes away, swelling or hard knots of tissue in the Achilles tendon, a creaking or crackling sound when moving the ankle or pressing on the Achilles tendon, weakness in the affected leg.<br><br>Diagnosis<br>When diagnosing Achilles tendinitis, a doctor will ask the patient a few questions about their symptoms and then perform a physical examination. To perform a physical exam on the Achilles tendon, the doctor will lightly touch around the back of the ankle and tendon to locate the source of the pain or inflammation. They will also test the foot and ankle to see if their range of motion and flexibility has been impaired. The doctor might also order an imaging test to be done on the tendon. This will aid in the elimination of other possible causes of pain and swelling, and may help the doctor assess the level of damage (if any) that has been done to the tendon. Types of imaging tests that could be used for diagnosing Achilles tendinitis are MRI (Magnetic resonance imaging), X-ray, Ultrasound.<br><br>Nonsurgical Treatment<br>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 [http://harbus1975.blog.fc2.com/blog-entry-53.html 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.<br><br><br><br>Surgical Treatment<br>Around 1 in 4 people who have persisting pain due to Achilles tendinopathy has surgery to treat the condition. Most people have a good result from surgery and their pain is relieved. Surgery involves either of the following, removing nodules or adhesions (parts of the fibres of the tendon that have stuck together) that have developed within the damaged tendon. Making a lengthways cut in the tendon to help to stimulate and encourage tendon healing. Complications from surgery are not common but, if they do occur, can include problems with wound healing.<br><br>Prevention<br>As with all injuries, prevention is your best defense especially with injuries that are as painful and inconvenient as Achilles tendonitis. Options for how to prevent Achilles tendonitis include, stretching- Stretching properly, starting slowly, and increasing gradually will be critical if you want to avoid Achilles tendonitis. To help maintain flexibility in the ankle joint, begin each day with a series of stretches and be certain to stretch prior to, and after, any exercise or excessive physical activity. Orthotics and Heel Support- Bio-mechanically engineered inserts and heel cups can be placed in your shoes to correct misalignments or bolster the support of your foot and are available without a prescription. The temporary heel padding that these provide reduces the length that the Achilles tendon stretches each time you step, making it more comfortable to go about your daily routine. Proper Footwear- Low-heeled shoes with good arch support and shock absorption are best for the health of your foot. Look into heel wedges and other shoe inserts to make sure that your everyday foot mechanics are operating under ideal conditions.</div>NoemiKirkwood4