Achilles Tendon Tear

Categories: Health | First Aid
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  • Achilles Tendon Tear

    The Achilles Tendon connects the calf muscle to the heel bone. When the tendon tears, the person feels a pop or snap at the back of the ankle. It often sounds similar to a gunshot.

    Achilles Tendon Ruptures can be caused by previous injuries, poor stretching, or sudden movements. Often, ruptures occur during high-impact sports such as, football or basketball. Surgery is the common treatment.

  • How does an Achilles Tendon Rupture Feel?

    First, the person will feel a pop. Next, an immediate sharp pain in the back of the ankle. It feels like being kicked or shot. While the person may be able to walk on the injured foot, it will feel very strange. The person should not place weight on the foot.
  • How does a doctor test for Achilles Tendon Ruptures?

    First, the doctor will ask how the injury occurred. If it is a complete rupture, surgery is usually required.

    When questionable, the doctor will order an (MRI). The doctor may also ask the person to lay on your back and squeeze your calf. If the tendon is torn, the foot will not reflex when the calf is squeezed. The rupture can also be seen with an ultra sound.

  • Does an Achilles Rupture always require surgery?

    [Surgery] is the common treatment for a complete rupture of the Achilles tendon. The procedure involves making an incision in the back of the lower leg, shaving off the torn tendon and stitching the two stronger pieces of the tendon together.

    Video of Surgery (Also see this video at top of page and leave comments). http://www.youtube.com/watch?v=7YK_qLk1alw

    [Nonsurgical treatment] involves wearing a cast or boot, which allows torn tendons to reattach. This method avoids risks, such as infection. For a highly active person, the likelihood of re-rupture is higher with a nonsurgical approach. If re-rupture occurs, surgery may be more difficult.

  • What happens after surgery?

    After surgery, there are 6 to 8 weeks walking boot and cast. The foot is pointed slightly downward to avoid stretching the surgical repair. Often, the foot is placed in a walking boot with wedged that the doctor gradually removes until the foot is flat.
  • What is rehabilitation like?

    After surgical or nonsurgical treatment, there will be a rehabilitation program involving physical therapy exercises to strengthen leg and tendon. In 4 to 6 months, the person may return to normal activities. Recovery depends on the quality of the rehab program and commitment of the person.

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