What Causes. How Is Achilles Tendinitis Treated?

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What is Achilles Tendinitis?

The Achilles tendon in the back of your foot is the tendon that assists with a variety of activities. When you run, stand, jump or walk, this tendon is making all of that possible.

When this tendon becomes sore or swollen from an injury or overuse, it's called Achilles Tendinitis. There are two kinds of Achilles Tendinitis. One kind of tendinitis impacts the bottom portion of the tendon, and this kind of pain and swelling can occur in people who have had an injury or overused the tendon. It's called Insertional Achilles Tendinitis.

The second type is called Noninsertional Achilles Tendinitis, and it impacts the middle of the tendon. This tends to happen with young, active athletes.

What are the Causes of
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A doctor will have the person stand on the balls of the feet while watching range of motion. The doctor will also press on the tendon to narrow in on where the pain is most severe. Scans of the foot might be taken if there's a chronic problem with this type of injury. It'll help to see the extent of the damage.

How is Achilles Tendinitis Treated?

The first few times it happens, you can treat Achilles Tendinitis in the home. The RICE method is effective, which is rest, ice, compression and elevation. If the pain and swelling return often and impair your ability to walk, your doctor might recommend surgery.

Surgery might be required if the tendon isn't healing, it's left untreated or a rupture is suspected. A ruptured tendon requires surgical repair. An orthopedic surgeon would be recommended.

The surgeon has two options for repair. The first is called open repair where the surgeon opens the leg above the heel and sews the sides of the tendons together. The other option is to cut the leg open where the rupture happened and sew the tendon and the skin together.

What are the Complications of Achilles
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The surgeon will advise the patient on the right way to stretch before exercise as well as the right shoes to wear.

If Left Untreated Achilles Tendinitis

When not treated, Achilles Tendinitis can lead to permanent injury and the inability to walk or exercise. The person's favorite activities can be severely limited with long-term pain and swelling. It could eventually lead to a ruptured tendon, which would definitely need surgery.

Re-Occurence Stats Achilles Tendinitis

Once a person has surgery, about 20% of them will reacquire the injury and have to have another operation for the same overuse injury. This was shown in athletes who stress their tendon with overuse injuries. https://www.ncbi.nlm.nih.gov/pubmed/7809555

Key Points About Achilles Tendinitis

To prevent Achilles Tendinitis, each new exercise should be started gradually. Athletes should be purchasing new shoes as needed. If there's been an injury, it's important to rest and ice the tendon before trying to get back into the exercise routine that caused the pain. Those who stand for a living or wear high heels that cause pain should be taking proper care of the heel and tendon with ice and rest as often as

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