A rupture of the Achilles tendon is a very dramatic trauma when it happens and there are lots of video clips happening to many sports people and also to the weekend warrior sportsperson. The Achilles tendon is among the most powerful tendon within the body and is at the mercy of lots of strain mainly because it traverses two joints, the ankle joint and also the knee joints. In the event that each of those joints will be moving in the contrary direction and the calf muscle fires it’s not at all difficult to observe how that stress on the tendon may bring about a tear. It is more prevalent once you hit 40 and in sports including basketball and also tennis. Interesting for such a dramatic injury, you can find frequently no or little pain involved.

Detecting a tear is relatively simple. It’s often easy based on the mechanism of the injury and just how it took place. There may be frequently an audible noise and sudden reduction in power in the calf muscles. In the worst cases there exists a space which can be felt within the achilles tendon. An evaluation called the Thompson test is frequently done. This involves the person laying facedown with the foot over the end of the examination table and the examiner compresses the calves. When the tendon is undamaged the foot will flex. In the event the achilles tendon can be ruptured, then the foot would not flex once the calf muscle is compressed. An additional examination, known as the O’Brien Needle Test entails putting a small needle in to the top section of the achilles tendon and then moving the foot. When the achilles tendon is ruptured the needle isn’t going to move. This particular evaluation is not utilized much today as most cases of a supposed rupture are evaluated and definitively diagnosed with an ultrasound assessment.

When the diagnosis is established there are 2 main alternatives for the treatment of an Achilles tendon tear. One is surgical and the other is non-surgical. Irrespective of that call, the primary treatment must commence immediately with the use of ice to maintain the swelling under control and perhaps using a walking brace to ease the load on the tendon. Selecting the next treatment method will depend on the preferences of the managing health care professional as well as the choices of the patient. All of the scientific data does indicate there being no disparities in results relating to the operative versus the non-operative approach. The surgical approach can get the athlete back to play faster but carries the higher risk associated with any surgery. The non-surgery strategy requires the use of a walking splint to limit the movements with the foot and ankle joint. Whichever technique is used, the rehab is extremely important. An early return to weightbearing is critical to boost the forces on the achilles tendon. Soon after walking has started, progressive overload workouts are necessary to increase the strength of the tendon and also the calf muscle. The final period of the rehabilitation is to have a strategy for a slow resumption of sport. When the process is not performed correcly, there exists a higher likelihood that this injury can happen yet again.


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