Tendon Ruptures
Description: The exact cause of rupture of the Achilles tendon is not known. As with Achilles tendonitis, tight or weak calf muscles may contribute to the potential for a rupture. If this muscle is weak and becomes fatigued, it will tighten and shorten. Overuse also causes muscle fatigue. The bottom line with Achilles tendonitis is that the more fatigued the calf muscles are (regardless if it is from weakness or overuse), the shorter and tighter they will become. This tightness will increase the stress on the Achilles tendon.
Most ruptures occur from a combination of a forceful stretch of the tendon with a contraction of the calf muscles. |
A classic sign of an Achilles tendon rupture is an athlete looking over his shoulder to see who or what has just hit their ankle. There is often an audible "pop." There is little warning, and often the pain (or lack thereof) is out of proportion to the extreme nature of the injury. The injured patient will not be able to lift up onto his toes; although he may be able to point his toes while not weight bearing.
Treatment: A completely ruptured Achilles tendon will require surgical repair, followed with up to 12 weeks in a series of casts. Partial tears may be treated with casting for up to 12 weeks alone, and sometimes are treated with surgery and casting. A heel lift is usually used for 6 months to one year following removal of the cast. Rehabilitation to regain flexibility and then to regain muscle strength are also instituted following removal of the cast. As with all sports related injuries, a visit to a physician for a proper diagnosis and treatment plan is essential.
Make an appointment with Shane Hayes, our Board Certified Pedorthist for a consultation and to discuss your rehabilitation options through footwear and orthotics.
Treatment: A completely ruptured Achilles tendon will require surgical repair, followed with up to 12 weeks in a series of casts. Partial tears may be treated with casting for up to 12 weeks alone, and sometimes are treated with surgery and casting. A heel lift is usually used for 6 months to one year following removal of the cast. Rehabilitation to regain flexibility and then to regain muscle strength are also instituted following removal of the cast. As with all sports related injuries, a visit to a physician for a proper diagnosis and treatment plan is essential.
Make an appointment with Shane Hayes, our Board Certified Pedorthist for a consultation and to discuss your rehabilitation options through footwear and orthotics.