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Doctor insights on: Achilles Tendon Avulsion

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Pateller strain or tibia shin splints?

Pateller strain or tibia shin splints?

Depends: Depends where the pain is. Patellar tendonitis pain is higher up near the knee cap, and shin splints are lower down on the inner aspect of the tibia bone. ...Read more

Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more


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Severe tightening of flexor hallucis longus tendon in foot?

Severe tightening of flexor hallucis longus tendon in foot?

Stretch: If the flexor tendon is too tight it will also cause cramping of the arch area. You need to stretch out your great toe by hyperextending it gradually (holding your big toe toward your face) also use some icy hot, etc. Make sure that you stretch this at least 2 times daily, and before and after exercise.Good support is also needed in the shoes. ...Read more

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Patellar tendon rupture--is it serious?

Patellar tendon rupture--is it serious?

Yes: It is a significant knee injury it will need to be surgically repaired and then immoblized for 6-8 weeks to allow healing. If it is not repaired, it will be difficult to walk especially on stairs. ...Read more

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Knee injury seems related to patellar tendon rupture. Xray?

Knee injury seems related to patellar tendon rupture. Xray?

Physical exam: An xray will not directly show a patellar tendon rupture, however, typically your knee cap will be further up your leg than normal. The xray will also show if a piece of bone was pulled off of the patella or tibia. The diagnosis is made clinically - you cannot raise your leg straight up while keeping your knee straight. You may also feel a defect in the tendon. ...Read more

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Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

That is a very com--: Plex problem that you have. Is it in the same arm or elbow area? Is this from an injury? Without being seen ; examined/investigated, its difficult to address all your issues in a meaningful way. You need to see an orthopod or a elbow/shoulder surgeon to get the best advice, as otherwise you'll get a pot pouri of suggestions, which may or may not help. Good luck. ...Read more

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Whats patellar tendonitis?

Whats patellar tendonitis?

Injury pat. tendon: Patellar tendonitis is an inflammation of patellar tendon , an injury that affects the tendon connecting the kneecap to your shinbone. ...Read more

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How is Achilles paratenonitis distinguished from Achilles tendonitis?

How is Achilles paratenonitis distinguished from Achilles tendonitis?

Irritat'n of cover'g: Initially, irritation of the outer covering of the tendon called the paratendon causes a paratendonitis. The word paratendonitis simply indicates that there is inflammation around the tendon. Inflammation of the tendocalcaneal bursa may also be present with the paratendonitis.Either of these conditions may be due to repeated overuse, or ill-fitting shoes that rub on the tendon. ...Read more

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Peroneal retinaculum repaired twice, peroneus brevis to longus tenodesis. New MRI shows hypertrophic tear of peroneus longus. What are my options?

Peroneal retinaculum repaired twice, peroneus brevis to longus tenodesis.  New MRI shows hypertrophic tear of peroneus longus.  What are my options?

I would try: And figure out what stresses are being placed on the tendon.....For whatever the reason it seems the peroneals have alot of pressure on them.....I would think of how to destrees or remove load from them or whatever is causing them to fail. ...Read more

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Avulsion fracture of cuboid left foot. Sprain of calcaneofibular ligament in tibial walker boot, triathlete. Time to return to training??

Avulsion fracture of cuboid left foot. Sprain of calcaneofibular ligament
in tibial walker boot, triathlete. Time to return to training??

It takes about 6-8: weeks for bone to heal. If your a triathlete then I would not recommend you returning until this time elapses to ensure complete healing. Obviously you need to work closely to the doc you are seeing who will evaluate you clinically and radiographically. ...Read more

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Ruptured tendon rehab possible?

Ruptured tendon rehab possible?

Yes and no: Rehab is possible for a small rotator cuff tear. Surgery is necessary for a bicep, achilles or patellar tendon rupture. ...Read more

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Can Achilles tendonitis heal itself?

Can Achilles tendonitis heal itself?

Yes: Rest, ice and stop physical activity which lead to you having the flare up. See a podiatrist, because improper gait can cause excess stress on the achilles. Excess stress over time may lead toa complete rupture. ...Read more

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Ruptured tendon shoveling?

Ruptured tendon shoveling?

Yes: The proximal or distal biceps or the rotator cuff are the most common tendons injured when shoveling. ...Read more

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MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

Tenosynovitis: Tenosynovitis means inflammation of the internal lining/membrane of a tendon. The Flexor Hallucis Longus or Flexor Digitorum longus tendons run along the medial ankle to the bottom of the foot to each respective toe. The FHL and FDL tendons, along with the Posterior Tibial Tendon and a Neurovascular bundle run in the tarsal canal, so, yes, inflammation of any of these tendons can affect Tarsal T ...Read more

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Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema

Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella,  subcutaneous edema

When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more

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What is Achilles tendinitis?

What is Achilles tendinitis?

Tendon Inflammation: Irritation, swelling, inflammation of the achilles tendon. Can be caused by strain injury, direct contusion injury, degeneration from age, frictional direct irritation from ill-fitting shoewear. Identify the cause and eliminate it. Analyze shoewear carefully. Therapy is best treatment. Nsaids medicines are helpful, like ibuprofen, naproxen, etc. Usually spontaneously resolves with treatment. ...Read more

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What happens if you tear your Achilles tendon?

Several things: You will have trouble pointing your toes to the floor. The back of your foot will be swollen and painful. ...Read more

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What should I do if i reruptured my Achilles tendon?

Surgery: You may need to see a surgeon or a second surgeon if this is after a previous repair. Good luck. ...Read more

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What are the types of Achilles tendon rehab?

What are the types of Achilles tendon rehab?

Physical therapy: Unfortunately(or fortunately depending on your point of view) most of the treatments for achilles tendon injuries revolve around a good physical therapist. Inquire about a referral to one; or get with your primary care doctor to discuss this further. ...Read more

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What are signs that you have an Achilles tendon tear?

What are signs that you have an Achilles tendon tear?

If Achilles is torn: It is very difficult, or impossible to lift your body up on the affected side while standing on that foot only. To clarify: while holding on to the arm of a chair pick your good leg off the ground. Try to do a toe raise on the bad leg. This is usually not possible with a torn achilles. ...Read more

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Why my Achilles tendon burn?

Why my Achilles tendon burn?

A few things: It could be achilles tendinitis, a bursitis, a never irritation or something else. Seeing a podiatrist or orthopedist should help provide a more specific diagnosis. ...Read more

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What is Achilles tendon rupture like?

Awful: A full blown true rupture leaving a depression in the tendon called a dell may require surgery. An MRI will help make that decision. A partial rupture or tear may not. The latter will need immobilization, non weight bearing, rest, elevation, ice, and meds... ...Read more

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How do you get Achilles tendon injury?

How do you get Achilles tendon injury?

Over stretching: Most achilles tendon injuries are either from direct trauma or from overstretching of the foot in a dorsi flexion position, (toes going upward toward the shin. ...Read more

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What causes an Achilles tendon rupture?

What causes  an Achilles tendon rupture?

Direct trauma: Achilles tendon injuries are very catastrophic. Usually occurs when the foot is in a fixed plantargrade position and the tibia (shinbone) externally rotates rapidly, and the foot does not release from its flexed state. Injuries for achilles tendon ruptures also take the longest to resolve, which can be from 8-20 weeks, depending on the amount and time of damage to the tendon. ...Read more

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How big of a cast for Achilles tendon torn?

How big of a cast for Achilles tendon torn?

Short leg cast: Casting for a torn achilles, if indicated, is a short leg (below knee) cast. This is initially in a gravity equinus (toes downward) position and the angle is gradually increased until the foot is at 90 degrees to the leg. ...Read more

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How do I treat a ruptured achilles' tendon?

How do I treat a ruptured achilles' tendon?

Ruptured Achilles: You need to see an orthopedic specialist right away who will do surgery. ...Read more

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How should I treat my Achilles tendon injury?

How should I treat my Achilles tendon injury?

Stretch!: Make sure you do your warm-up and cool down stretches consistently. Check your shoes and make sure they are not wore out. Adding an arch support or heel pad may be beneficial. Temporarily hold back on your exercise intensity or duration. If these things do not work, see a podiatrist or orthopedist. ...Read more

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Achilles tendon repair --how long to recover?

Variable.: Depending on the techniqe used to repair 6-12 months. ...Read more

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How should I treat an Achilles tendon injury?

How should I treat an Achilles tendon injury?

Depends: If you have completely torn your achilles, then it is not something to ignore. It needs to be evaluated and treated, either by surgery or at least casting. If it is an overuse injury causing tendonitis, then rest, ice and antiinflammatories may help. ...Read more

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How to tell if i ruptured my Achilles tendon?

See below: You would have swelling, pain, be able to feel a gap in the tendon, you would have foot slap on trying to walk and you would have difficulty pointing your toes downward. ...Read more

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Can sciatica cause Achilles Tendon pain? Thx!

Can sciatica cause Achilles Tendon pain? Thx!

Yes: Sciatica can cause pain in the area of the Achilles, but does not constitute true tendon pain. ...Read more

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How can I treat my own Achilles tendon injury?

Several items: As long as you are sure that it is not torn, you can rest it, use ice, compression and elevation. You may want to put a pad in the heel of your shoe to take pressure off the achilles tendon when standing & walking. ...Read more

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How do I know if i ruptured my Achilles tendon?

Gap and weakness: A gap that you can feel where your achilles should be in the back of your leg/ankle (compare with normal side), and weakness during foot pushoff are signs of a possible rupture. Normally people describe being shot in the back of the leg with an achilles rupture. Further clinical evaluation by an orthopedic surgeon will confirm your suspicion. An MRI is not usually required. ...Read more

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What are the causes of a tight Achilles tendon?

What are the causes of a tight Achilles tendon?

Calf muscles: The gastrocnemius and soleal muscles become the achilles' tendon at the myotendinous junction. If these muscles are tight you will feel it in the achilles' tendon. Stretching exercises are necessary to stretch both muscle groups consult either a podiatrist, physical therapist or your family doc for the appropriate stretches to do. ...Read more

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What are the signs of an Achilles tendon injury?

Achilles problems: Sometimes an in jury to this area feels like a popping and it immediately causes sharp pain and a limp. Pain at the back of the heel, worsened by walking barefoot or trying to toe-raise are also signs. See your local podiatrist for further evaluation. ...Read more

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Avulsions (Definition)

An avulsion is the result of a spraining type of injury where either a ligamentous or tendinous attachment pulls off a piece of the bone at its insertion site. Some avulsions will heal with rest and immobilization, ...Read more


Achilles Tendon (Definition)

Your achilles tendon attaches from your calf muscle to the ...Read more