Achilles Tendon - Conditions

Strong fibrous cord connecting the calf muscles to the heel bone, essential for foot movement and function.

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ACHILLES TENDON

What are Achilles tendon problems?

Achilles tendon problems refer to various conditions or injuries that affect the Achilles tendon, which is the largest tendon in the human body. The Achilles tendon connects the calf muscles to the heel bone, allowing you to perform activities such as walking, running, and jumping. There are two primary types of Achilles tendon problems: Achilles tendinitis and Achilles tendon rupture.

  • Achilles Tendinitis:This condition occurs when the Achilles tendon becomes inflamed. It is commonly caused by overuse, repetitive stress, or excessive strain on the tendon. Achilles tendinitis is often associated with athletes and individuals who engage in activities that involve repetitive jumping or running. Symptoms include pain and stiffness in the back of the ankle, especially during physical activity. The area may also become swollen and tender.
  • Achilles Tendon Rupture:A rupture occurs when the Achilles tendon tears partially or completely. It is typically the result of a sudden, forceful movement or a significant amount of stress on the tendon. This injury can happen during activities such as running, pivoting, or jumping. Achilles tendon ruptures are often associated with a sudden, sharp pain in the back of the ankle or calf, accompanied by a popping or snapping sensation. Walking and other movements may become difficult or impossible.

Both Achilles tendinitis and Achilles tendon ruptures require medical attention. Treatment for tendinitis usually involves rest, ice, physical therapy, anti-inflammatory medications, and possibly orthotic devices or shoe modifications. Severe cases may require immobilization with a cast or walking boot. In the case of a tendon rupture, surgery is often necessary to repair the torn tendon, followed by a period of immobilization and rehabilitation.

What causes Achilles tendon pain?

Achilles tendon pain can be caused by various factors. Here are some common causes:

  • Overuse

    Repetitive stress and overuse of the Achilles tendon, such as excessive running, jumping, or intense physical activity, can lead to inflammation and pain. This is often referred to as Achilles tendinitis.

  • Tight or weak calf muscles

    Tight calf muscles and weak lower leg muscles can put additional stress on the Achilles tendon, leading to pain and discomfort.

  • Sudden increase in physical activity

    A rapid increase in the intensity, duration, or frequency of physical activity, especially without proper conditioning or warm-up, can strain the Achilles tendon and result in pain.

  • Improper footwear

    Wearing shoes that do not provide adequate support or cushioning for the feet and ankles can contribute to Achilles tendon pain.

  • Poor biomechanics

    Abnormal foot mechanics or structural issues, such as flat feet or high arches, can place increased stress on the Achilles tendon and lead to pain.

  • Age-related degeneration

    As people age, the Achilles tendon may naturally weaken and become more prone to injury and pain.

  • Previous injuries

    If you have previously experienced an Achilles tendon injury or rupture, there is an increased risk of developing pain or complications in the future.

What are the symptoms of Achilles Tendon Pain?

Here are some common symptoms associated with Achilles tendon pain:

  • Pain in the back of the ankle or above the heel
  • Stiffness and tenderness
  • Swelling
  • Limited range of motion
  • Thickening or enlargement of the tendon
  • Audible popping or snapping sound in a rupture

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