Achilles

Injury to the achilles

Achilles tendonitis, most commonly seen in runners and middle-aged weekend warriors, is an injury to the Achilles tendon which stretches from the bones of the heel to the calf muscle. It usually occurs following a period of increased, prolonged activity. Wearing high heels is another frequent stresser of this tendon.

Most cases of Achilles tendonitis can be treated at home under a doctor’s supervision. More serious cases can lead to torn or ruptured tendons sometimes requiring surgery.

Symptoms of achilles tendonitis

The first symptom is often pain in the back of the leg often following running or some other strenuous exercise. Pain may become increasingly severe after intense physical activity. If pain persists or becomes disabling, medical help should be sought as the Achilles Tendon may be torn.

For most, simply limiting activity that causes pain will improve symptoms. It’s also essential to maintain the strength and flexibility of the tendon. Failure to adhere to these simple steps will cause a relapse of symptoms.

Other considerations

Achilles tendinitis makes an individual more susceptible to an Achilles rupture for which surgical repair is necessary. Intense, sharp pain in the back of the leg is indicative of a torn tendon. You must contact your doctor if you have pain in the heel that worsens with activity, you cannot flex your foot, or you’re unable to walk without extreme pain or weakness.

During surgery, the tendon is explored and any tears within it are repaired. Motion begins immediately to prevent recurring scarring of the tendon, and weight-bearing follows as soon as pain and swelling permit. This is  usually less than one to two weeks. Return to regular activity can take three to six months.