Achilles (uh-KILL-eez) tendon rupture is an injury that impacts the back of your lower leg. It primarily happens in people playing sports. However, it can transpire in anyone.
The Achilles tendon is a firm fibrous cord that links the muscles in the back of your calf to your heel bone. If you overstretch your Achilles tendon, it can tear (rupture) entirely or just partially.
If your Achilles tendon ruptures, you may hear a pop, accompanied with an immediate sharp pain in the back of your ankle and lower leg that is potientially to affect your ability to walk correctly. Surgery is often conducted to repair the rupture. For various people, however, nonsurgical treatment works extremely well.
The feeling of having been kicked in the calf
Inflammation and pain, possibly severe, near the heel.
Unable to stand on the toes on the injured leg
An impediment to bend the foot downward or “push off” the injured leg when walking
A snapping and popping sound when the injury occurs
When to see your physician
Seek medical advice soon if you hear a pop in your heel, especially if you can’t walk properly afterward.
Your Achilles tendon assists you to be able to point your foot downward, rise on your toes and push off your foot as you walk. You depend on it essentially every time you walk and move your foot.
Rupture normally occurs in the section of the tendon sectioned within 2 1/2 inches (about 6 centimeters) of the point where it attachesto the heel bone. This section might be inclined to rupture because blood flow is poor, which also can impair its ability to heal.
Ruptures often are triggered by a unexpected increase in the stress on your Achilles tendon. Common examples include:
Increasing the intensity of sports cooperation, especially in sports that involve jumping
Stepping into a hole
Falling from a height
Factors that may heighten your risk of Achilles tendon rupture include:
Age. The highest age for Achilles tendon rupture is 30 to 40.
Sex. Achilles tendon rupture can be up to five times more apt to occur in men than in women.
Recreational sports. Achilles tendon injuries happen more often during sports that involve running, jumping, and sudden starts and stops — such as basketball, soccer, and tennis.
Steroid injections. Physicians occidentally inject steroids into an ankle joint to reduce pain and inflammation. However, this drug can weaken nearby tendons and has been associated with Achilles tendon ruptures.
Certain antibiotics. Fluoroquinolone antibiotics, such as levofloxacin (Levaquin) or ciprofloxacin (Cipro), increase the risk of Achilles tendon rupture.
Obesity. Excess weight adds more strain on the tendon.Prevention
Illustration showing calf stretch exercise
Calf stretch exercise
To reduce your chances of developing Achilles tendon problems, follow these tips:
Strengthen and stretch calf muscles. Extend your calf until you feel a noticeable pull but not pain. Don’t bolt during a stretch. Calf-strengthening exercises can also assist the tendon and muscle absorb more force and prevent injury.
Vary your exercises. Alternate high-impact sports, such as soccer, football, or running, with low-impact sports, such as walking, biking or swimming. Avoid activities that place unreasonable stress on your Achilles tendons, such as hill running and jumping activities.
Choose the surfaces you run on carefully. Bypass or limit running on hard or slippery surfaces. Dress suitably for cold-weather training, and wear well-fitting athletic footwear with proper cushioning in the heels
Increase training intensity slowly. Achilles tendon injuries ordinarily occur after an unexpected increase in training intensity. Increase the distance, duration and repetition of your training by no more than 10 percent weekly.
Achilles tendon cracks (ruptures) resulting mostly from dorsiflexion of the ankle joint, especially when the tendon is strained. Diagnosis is made by examination and sometimes ultrasound or, if not available, MRI. The treatment consists in splinting and immediate transfer to an orthopedic surgeon; Sometimes surgery is required.
Achilles tendon ruptures are commonly They occur usually during running or jumping and are most common among men and athletes in middle age. Very rarely are spontaneous Achilles tendon ruptures in patients take fluoroquinolone antibiotics occurred.
Achilles tendon cracks (ruptures) resulting mostly from a dorsiflexion of the ankle joint, especially when the tendon is strained. Diagnosis is made by examination and sometimes ultrasound or, if not available, MRI. The treatment consists in splinting and immediate transfer to an orthopedic surgeon; Sometimes surgery is required. Achilles tendon ruptures are commonly They occur usually during running or jumping and are most common among men and athletes in middle age. Very rarely are spontaneous Achilles tendon ruptures in patients take fluoroquinolone antibiotics occurred. Pain in the distal Wade can cause walking to be difficult, v. When the fracture is entirely broken The lower leg may be swollen and bruised. Full cracks can lead to a palpable defect and usually appear 2 to 6 cm proximal to the insertion of the tendon on.
Diagnosis Clinical Investigation Sometimes ultrasound or, if available, MRI is diagnosed clinically. The patient’s ability to bend the ankle, does not rule out a crack. When Thompson test (Wade pressure test) is compressed, the calf to provoke a plantar flexion, while the patient is in the prone position; Results may be For complete tears: Missing or decreased Plantarflexion case of partial cracks: Sometimes normal results, so that these cracks are often overlooked when the Thompson test is normal, but a partial Achilles tendon injury is suspected, ultrasonography of the test of choice. However, if ultrasound is not available, an MRI can be performed. Therapy splinting Immediate transfer to an orthopedic surgical correction Sometimes initial treatment consists of splinting with the ankle in plantar flexion and immediate transfer to an orthopedic surgeon. Whether torn ligaments should be treated surgically, is controversial. Treatment may include a rail for the rear ankle to the ankle in plantar flexion for four weeks and the avoidance of weight bearing. Some complete tears require immediate surgical correction.