Achilles Tendonitis/Ruptures

Understanding Achilles Tendonitis and Ruptures

The Achilles tendon, the largest tendon in the body, plays a crucial role in our ability to walk, run, and jump. It connects the calf muscles to the heel bone. However, this tendon is also prone to injury, including Achilles tendonitis and ruptures.

What is Achilles Tendonitis?

Achilles tendonitis is an overuse injury of the Achilles tendon. It’s commonly seen in runners who have suddenly increased the intensity or duration of their runs. It’s also common in middle-aged people who play sports, such as tennis or basketball, only on the weekends.

Symptoms and Causes of Achilles Tendonitis

Symptoms of Achilles tendonitis include pain and stiffness along the Achilles tendon in the morning, pain along the tendon or back of the heel that worsens with activity, severe pain the day after exercising, and thickening of the tendon.

The main cause of Achilles tendonitis is repetitive or intense strain on the Achilles tendon. Being overweight, wearing improper footwear, or having tight calf muscles can also contribute to this condition.

What is an Achilles Tendon Rupture?

An Achilles tendon rupture is a complete or partial tear of the Achilles tendon. It most commonly occurs in people playing recreational sports, but it can happen to anyone.

Symptoms and Causes of Achilles Tendon Ruptures

Symptoms of an Achilles tendon rupture include a sudden sharp pain in the back of the ankle and lower leg, swelling near the heel, inability to bend the foot downward or “push off” the injured leg when walking, and difficulty walking.

Achilles tendon ruptures are often the result of a sudden increase in the amount of stress on your Achilles tendon. This can occur during sports that involve running, jumping, and sudden starts and stops, such as soccer, basketball, and tennis.

Diagnosis and Treatment

Diagnosis of Achilles tendonitis or rupture typically involves a physical exam and imaging tests. Treatment depends on the severity of the injury. For Achilles tendonitis, rest, physical therapy, and pain relievers are often recommended. For Achilles tendon ruptures, surgery is often necessary.

Prevention and Recovery

Prevention strategies include regular stretching, gradual increase in activity, and wearing appropriate footwear. Recovery from both conditions requires time, patience, and adherence to a rehabilitation program that includes exercises to improve flexibility and strength.

Conclusion

Achilles tendonitis and ruptures are serious conditions that require immediate medical attention. With proper treatment and rehabilitation, patients can return to their normal activities. Always consult with a healthcare professional if you suspect you have an Achilles tendon injury.