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Achilles tendon rupture, Causes, Signs and Symptoms, Diagnosis and Treatment

today's topic is achilles tendon rupture

Achilles tendon rupture is a condition

marked by a complete or partial tear of

the Achilles tendon at the back of the

ankle the Achilles tendon is the largest

strongest and thickest tendon in the

body stretching from the bones of the

heel to the calf muscle the Achilles

tendon is about 5.9 inches long and

begins near the middle portion of the

calf this tendon enables activities such

as jumping running walking and standing

on the balls of the feet it can

withstand great stresses from these

activities a tear usually occurs in the

section of the tendon located within 2.5

inches of the point where it attaches to

the heel bone this is due to the poor

blood flow to this section which could

also impair its ability to heal although

the condition mainly occurs in people

playing recreational sports they can as

well happen to anyone

males are more commonly affected than

females the rupture is commonly observed

in individuals in their 30s to 50s

causes rupture usually occurs as a

result of sudden or forced flexion of

the ankle outside its range of motion

this may be from sudden or direct trauma

to the tendon such as falling from a

height or stepping into a hole increased

intensity or overuse while participating

in sports especially in sports that

involve jumping twisting or jerking

motion factors that might increase your

chance of getting the condition our age

recreational sports such as running

jumping soccer basketball or tennis

obesity previous history of the

condition participating in new

activities direct steroid injection into

the tendon certain antibiotics such as

fluoroquinolone antibiotics being older

than 60 and taking corticosteroids or

have kidney disease frequent use of high

heels symptoms a sudden pain and

swelling at the heels a snapping

or sensation difficulty walking

especially up stairs or uphill

difficulty standing on the toes or the

injured leg diagnosis and treatment to

make a diagnosis the doctor will perform

a physical examination during the

physical examination the doctor will

check the lower leg for swelling and

tenderness the doctor will examine the

feet and ankle feeling for a gap in the

tendon to check for rupture the doctor

might do a calf squeeze test where you

kneel on a chair or bench or you lay on

your stomach on the exam table and your

calf muscle is squeezed to see if your

foot will automatically flex if your

Achilles tendon is torn your foot won't

move because the calf muscle won't be

connected to your foot

an MRI scan or an ultrasound may help to

see the extent of the injury whether it

is partially or completely ruptured

treatment treatment options may be

surgical non-surgical or physical

therapy non-surgical treatment includes

resting the tendon by using crutches

applying ice to the ruptured area

keeping the legs elevated to reduce

swelling compressing the leg with an

elastic bandage to reduce swelling using

a cast walking boot or brace to restrict

motion and allow healing a surgical

treatment involves making an incision in

the back of the lower leg and stitching

the torn tendon together

physical therapy will help to strengthen

leg muscles and the Achilles tendon

while non-surgical treatments are

recommended for older patients people

who are less active and have a higher

risk for surgery surgical treatment is

recommended for the young healthy and

active individuals with surgery there

was a decreased risk of rear Upshur and

a great risk of complications including

infection and nerve damage

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