Doctor insights on:
Ruptured Tendons And Prednisone
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
Yes it can: Historically, chronic steroid use including the use of Prednisone is implicated in tendon weakness and rupturesthis is seen more commonly w/injections of cortisone meds. In or around tendons. Check w/ a rheumatologist concerning the risks and side effects of chronic steroid use. Best of luck! ...Read more
Rupture: If injected directly upon. Orally little if any effect, but not so on bones. ...Read more
I was on prednisone 30 days to disrupt headache cycle. Soon after the tendons in my body inflamed for months. Dr.wants me to repeat. Is this rt pred?
I was diagnosed with overuse injuries in several tendon. After my 10 day dose of prednisone, will my injuries heal, or is this just masking the pain?
It should: You do however need to rest it as well as prescibed by your doctor. If you do not it will likely recur. ...Read more
Prednisone was prescribed for ruptured eardrum caused by infection. What are possible side effects from taking prednisone?
Talk to your doc: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more
Not well: If you have a ruptured achilles tendon it will not heal without treatment. If you are referring to the plantar fascia it could heal by itself, but treatment sure is faster. ...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: It depends on whether this is treated nonsurgical vs. Surgical and the degree of the tear. ...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
3 weeks: In particular if you have ruptured a flexor tendon (one that bends the finger) you need to have it fixed within 3 weeks or you need a reconstruction. Extensor tendons you have up to 6 weeks. ...Read more
Couple of things: When there is chronic pain or instability. ...Read more
This is something: That you really must discuss with your surgeon as he knows the extent of your injury etc...If tendons ruptured one needs to know if they are in close proximity to be repaired or if tendons need to be extended or flapped etc etc... ...Read more