Pop Goes the Tendon

Lateral view of the human ankle, including the talus (Photo credit: Wikipedia)

The Achilles tendon is a tough fibrous cord which attaches the calf muscles of the lower leg to the heel bone. When overstretched, the tendon can become inflamed and sore. This is called Achilles tendonitis. In many instances home treatment is successful when done under a doctor’s supervision. If further damage occurs to the tendon, small tears may begin. These tears are also called ruptures, and may be partial or complete. A rupture results in sharp pain and the inability to walk normally. Sometimes there is an audible “pop” when the tendon first ruptures. Other symptoms include:

• Pain and swelling in the heel area, and pain may be severe.
• Unable to bend foot downward.
• Inability to raise up on toes.
• Popping noise when injury first occurs.

Rupture of the tendon usually occurs near the point where the tendon attaches to the heel bone. Ruptures are most frequently caused by increase in physical activity, traumatic injury like falling high up or stepping into a hole.

Men between the ages of 30 and 40 present the greatest risk for Achilles tendon rupture. Also, the likelihood is increased if you participate in recreational sports that involve running, jumping and quick starts and stops. There are also certain types of medicines that can increase the risk of tendon rupture.

Because an Achilles tendon rupture affects your ability to walk, you should seek immediate treatment. Dr. Blaakman has certain tests he can perform to determine if it is your Achilles tendon and the degree of rupture. He may order additional tests like an MRI so he can view the extent of the damage. This is a painless test that creates a computerized image of the tissues in your body.

Both non-surgical and surgical treatment methods are common. Younger more active people may choose surgical repair to try to get back to their routine quicker, while older individuals may choose non-surgical methods.  Non-surgical methods may work equally well, but probably take a bit longer to heal and run a greater risk of the injury recurring. You would be required to wear a boot or cast for a period of time while the tendon mended itself.

Surgical correction is done through an incision, whereby the tendon is sewn back together. As with any surgery, infection is a possible risk. Regardless of the treatment method, a rehabilitative time of 4-6 months is necessary during which time you will undergo muscle strengthening exercises and physical therapy.

Exercises that strengthen the calf muscles can help prevent a rupture. Also alternating activities to avoid overuse is important as well as gradual increase of duration and intensity of exercise. If you have tendonitis or an Achilles rupture, contact Dr. Blaakman at (877) 941-3338. Don’t wait for things to get worse. A little help from Dr. Blaakman and you’ll be right back up and running in no time.

References:

http://www.mayoclinic.com/health/achilles-tendon-rupture/DS00160/DSECTION=prevention

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The Road to Shin Splints

(Photo credit: Wikipedia)

Shin splints is an injury that results from cumulative stress brought on by physical activity without benefit of proper conditioning or warm up. It is characterized by pain usually felt in the outer front of the lower leg. Because of the pain location next to the tibia, shin splints are also referred to as medial tibial stress syndrome. Shin splints are a common complaint of athletes whose rigorous physical activity includes a lot of sudden starts, stops and running like football, basketball or soccer. The pain may tend to cease when you stop exercising and ease up with rest, but eventually it will probably return if not treated. Thankfully, shin splints respond well to:

• Rest
• Ice
• Over-the-counter pain medication

If you have tried conservative treatment methods and your pain has intensified and does not improve with rest, you should see Dr. Blaakman. By questioning you, Dr. Blaakman may find that your shin splints can be traced back to:

• Running downhill or on a slanted or uneven surface
• Running in footwear that lacks the proper cushioning, or is worn beyond usefulness
• Rigorous sports activity
• Running too hard, fast and long to avoid stress overload

Sometimes shin splints can be caused by biomechanical weakness or abnormalities. In these instances, after a complete evaluation, Dr. Blaakman may be able to prescribe custom orthotics that would correct faulty movement, bring your body back into correct alignment and allow you to move pain free. Other treatment options include taping, bracing, stretching and medication.

Shin splints can be avoided or prevented from returning by paying close attention to the surfaces you walk or run on, the condition of your shoes and adequate warm up activity. If running is the cause of your shin splints, there is no need to completely give up the activity. Limit the time spent and intensity of running. Change to a more mild form of aerobic exercise such as swimming or bicycling until you are healed enough to resume regular activity. Return to normal routine slowly and with proper conditioning and take a couple of days off running and do some strength training, including a workout for your toes. Slowly rise up on your toes, and slowly lower to the floor. Repeating this ten times can gradually build up strength.

Call Dr. Blaakman at (877) 941-3338 if your pain persists. He has great treatment options just right for getting you off the round-a-bout of pain and on the road to recovery.

References:

http://www.upstatefootcare.com/new-patients/video-library/
http://www.mayoclinic.com/health/shin-splints/DS00271

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