What is Achilles tendon? , What is the breaking of Achilles tendon?
According to the Greek mythology, Achilles could only be hurt at his ankle. Because of the specificity of Achilles to pass everybody when running fast, the tendon which connects the ankle to the calf was called Achilles tendon. The Achilles tendon is the biggest tendon in the human body and can resist to 1000 pounds or quite more. But at the same time, the Achilles tendon can be torn very frequently and because of the frequent use of the tendon, the professional athletes and the people running in weekends are faced to tendon inflammation and to Achilles tendinitis resulting from the injury.

Any one of the events mentioned below can set off the attack of Achilles Tendinitis:

  • Sudden increase in your running speed or in the distance you passed,
  • The addition of hill running or stair climbing to your routine work,
  • To energize very quickly after having a rest,
  • As it is the case in a running race final, the trauma causing the sudden or brutal contraction of the muscle of the calf by weighing an extra effort to the foot,
  • Situations resulting from an extra use of the muscle related to the absence of natural flexibility of the muscle of the calf.

  • Symptoms the most seen of the Achilles tendinitis:

  • Pain of moderate intensity which is getting worse after having run and practiced,
  • A significant loss of sense in your leg,
  • Presence of pain episodes sometimes sharp, diffuse or localized along the tendon, some hours after having run,
  • Fragility in the morning on the point of one and a half inch from the point of connexion of the Achilles tendon with the ankle bone,
  • The decrease of stiffness in general with the use of the muscle during the tendon warming up,
  • Some distensions.
Axilles tendinitinin ən çox rast gəlinən simptomları:
  • Məşq və qaçışdan sonra, orta dərəcədə, getdikcə artan ağrı,
  • Ayağınızda hiss edilə biləcək dərəcədə hissiyat itkisi,
  • Qaçışdan bir neçə saat sonra, bağın uzunluğu boyunca bəzən şiddətli, diffüz və ya lokal ağrı epizodları,
  • Achilles tendonnın topuq sümüyünə bağlandığı yerdən 3-4 sm yuxarıdaki nöqtədə, səhər oyandıqda həssaslıq,
  • Əzələ yığılması ilə bağın hərəkətə gəlməsi, ümumi olaraq sərtliyin azalması,
  • Bəzi şişmələr.
As there are also similar symptoms in situations such as partial tendon tear and ankle bursitis, you must see an orthopaedic surgery for a true diagnosis.

Even if it is related to the level of damage of the tendon, the treatment mainly includes what is mentioned below:
  • In the meaning of stopping completely practicing and running during one week, such as a total rest or turning the practice to easy exercises such as swimming which does not stretch the Achilles tendon,
  • Anti-inflammatory treatment which does not contain steroids,
  • Orthoses such ankle support or sole plate which help supporting the muscle and attenuate the tension which is on the tendon,
  • A bandage specially designed to limit the movements of the tendon,
  • Appropriate exercises to extend the stretching, massage, ultrasound and the weak muscle group in the front part of the foot and the rising flexors (flexor muscles) of foot.
Surgery is generally the latest choice to make. If there is a contact between the tendon and the cover of it; by thickening the layer constitutes the fibrous tissue. To take out the fibrous tissueand to fix the rupture if there is may be a good choice of treatment. In the Achilles tendinitis disease, the convalescence is slow; temporary plaster may be applied and in order to avoid muscle loss rehabilitation program may be needed.

You may not prevent the Achilles tendinitis. But there are six precautions to take in order to decrease the risk of the attack:

  • Choose your shoes for running cautiously. The shoes must provide the necessary supporting action without hurting the ankle. Using an orthopaedic shoe which is advised and which puts in order your ankle bone thanks to a slight position change may be helpful. Perhaps the best precaution is; to know your limits and to follow a soft program when you practice.
  • Before running, walk and stretch to warm up little by little the tendon again. To spend some of your minutes to warm up is better to spend months to recover from a torn Achilles tendon. (Is worth)

  • Focus on stretching and strengthening your calf muscles.
  • Increase little by little your running distance and speed. The increases must not be higher than % 10.
  • Avoid hill running and similar exhausting, sole hurting races.
  • Take a wisely rest after having practiced.

OP.DR. SELİM MUĞRABİ
Selim Muğrabi; Orthopaedist and Traumatology Specialist, he was born in 1970 in İskenderun. He graduated from School of medicine of Istanbul University in1993. In 2002, in Haydarpaşa Numune Hospital....

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