Treatment includes strategies aimed at relieving the symptoms and conditions associated with equinus. Stiffness that generally diminishes as the tendon warms up with use.Morning tenderness about an inch and a half above the point where the Achilles tendon is attached to the heel bone.Recurring localized pain, sometimes severe, along the tendon during or a few hours after running.Improper footwear and/or a tendency toward overpronation.Īchilles tendonitis often begins with mild pain after exercise or running that gradually worsens.Trauma caused by sudden and/or hard contraction of the calf muscles when putting out extra effort, such as in a sprint.Starting up too quickly after a layoff in exercise or sports activity, without adequately stretching and warming up the foot.Rapidly increasing mileage or speed when walking, jogging, or running.Overuse, stemming from the natural lack of flexibility in the calf muscles.Cracked skin caused by autonomic neuropathy, combined with sensory neuropathy’s numbness and problems associated with motor neuropathy can lead to developing a sore.Įvents that can cause Achilles tendonitis may include:.Because of the numbness, a patient may not realize that he or she has stepped on a small object and cut the skin.The numbness caused by sensory neuropathy can make the patient unaware that this is happening. Deformities (such as bunions or hammertoes) resulting from motor neuropathy may cause shoes to rub against toes, creating a sore.There are several theories as to why this occurs, including the possibilities that high blood glucose or constricted blood vessels produce damage to the nerves.Īs diabetic peripheral neuropathy progresses, various nerves are affected- and these damaged nerves can cause problems that encourage the development of ulcers. However, even diabetic patients who have excellent blood sugar control can develop diabetic neuropathy. The nerve damage that characterizes diabetic peripheral neuropathy is more common in patients with poorly managed diabetes. The surgeon will determine when the patient can begin weightbearing.Ĭomplications such as incision healing difficulties, re-rupture of the tendon, or neve pain can arise after surgery. The surgeon will select the procedure best suited to the patient.įollowing surgery, the foot and ankle are initially immobilized in a cast or tall fracture boot. Various surgical techniques are available to repair the rupture. Besides decreasing the likelihood of re-rupturing, the Achilles tendon, surgery often increase the patient’s push-off strength and improves muscle function and movement of the ankle. Surgery offers important potential benefits. Non-Surgical treatment involves the use of a cast, walking boot and brace to restrict motion and allow the torn tendon to heal. Is generally associated with a higher rate of re-rupture is selected for minor ruptures, less active patients and those with medical conditions that prevent them from undergoing surgery. The decision of whether to proceed with surgery or non-surgical treatment is based on the severity of the rupture and the patient’s health status and activity level. Treatment options for an Achilles tendon rupture include surgical and non-surgical approaches.
0 Comments
Leave a Reply. |