Doctor insights on:
Prednisone Use And Tendon Rupture
Was prescribed levofloxacin and prednisone. I walk and bus everywhere I am concerned about tendon rupture. Am I worrying to much?
Perhaps but be aware: Tendonitis and rupture have been reported with levofloxacin and other anitbiotics of the same class (highest for ciprofloxacin). Risk factors for tendon disorders include age greater than 60 years, corticosteroid therapy, renal failure, diabetes mellitus, and a history of musculoskeletal disorders. Seek medical attention immediately if symptoms (redness, stiffness, swelling) develop. ...Read more
Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more
It's not a common injury statistically
however it is a serious injury that will usually require surgical correction. ...Read more
Seek treatment: Tendons allow your muscles to move bones and joints. If a tendon ruptures, it may require surgery. Seek attention immediately if you believe you may have a tendon rupture. A delay in treatment may make it more difficult or impossible to treat, especially if surgery may be required. ...Read more
Weakness: Acutely pain and swelling with some bruising. Patient will have significant weakness of supination of the forearm and some loss of elbow flexion strength. You may see the biceps retract proximally and bunch up in the upper arm, especially with attempted use. This is a surgical problem see a hand surgeon as soon as possible. ...Read more
Protection: There are two tendons if one ruptures then you will have a weakness in that arm from now on. Surgical replacement of the ruptured tendon is sometimes possible and you should see an orthopedic surgeon for this. Gradually and slowly strengthing the remaining tendon with low weight exercises may help prevent its rupture in the future. Always avoid lifting very heavy objects to prevent rupture. ...Read more
Depends: If biceps torn proximal in shoulder, would leave alone. Shouldn't anticipate significant functional loss, but may have popeye deformity. If distal, repair not likely. Reconstruction with some sort of interposition graft required. Many patients report improved pain with function, but does not correct deformity, and strength improvements less predictable. Tough problem to have. Good luck! ...Read more
Yes but....: Achilles tendon ruptures take time to recover from. How much and what you can do depends on the result after surgery (if you have it) &/or how you've healed over time. Pt is absolutely necessary. Check with your ortho md for guidance and timing of activities. Slow and steady wins this race. ...Read more
Achilles rupture: This is a difficult question to answer without knowing more about the history and why you are looking for a third option. In the healthy patient, I wouldn't recommend to a patient not have their achilles tendon repaired surgically or conservatively treated with casting. Patients who are not surgical candidates and do not or can not heal via casting require a brace to assist in gait. ...Read more
Usually: I can tell you from personal experience that 4-12 weeks. 12 weeks for full all out recovery. ...Read more
Yes I believe it is possible
but rehab would take between 6-12 months
to achieve a full recovery.
Unless one is playing at a competitive
level, I wouldn't recommend a weekend
warrior to return to playing football
after such an injury.
Playing basketball would probably
even be more difficult. ...Read more
Couple of things: When there is chronic pain or instability. ...Read more
I have a partial Achilles tendon rupture and will get my cast off in two weeks. What will happen next?
What do I do if I need surgery on my ankle for a tendon rupture and have no insurance and am unemployed?
Community hospital: Your local community hospital (in your case probably sf general hosp.) should have orthopaedists who treat those who are uninsured. You don't necessarily need an operation. See an orthopedist. ...Read more
What do I do after being diagnosed with an Achilles tendon rupture to my rt leg following a sporting injury?
Get treat. Options:
Achilles ruptures can be treated either operatively or non-operatively. The important points cannot be covered entirely here. See an orthopaedic foot and ankle surgeon in your area:
www. Orthodoc. Aaos. Org/footankle. ...Read more