Why does my Achilles tendon hurt? Learn How to Tell If It Is Torn.

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Күн бұрын

Why does my achilles tendon hurt is common complaint among active people in a variety of levels of fitness. Many patients both young and old of achilles tendon pain hurting while running. The Achilles tendon is a fibrous band that runs from the gastrocsoleus complex (calf muscles) attaching to the calcaneus heel bone. If you experience pain while running it is pain it is typically experienced 2 to 6 cm above the heel bone along the tendon called a mid-substance Achilles tendonopathy. During runnning the achilles tendon takes 6-8 times the persons bodyweight as compared to walking and standing. In this region of the tendon it has relatively poor blood supply making it harder to heal and repair. Another type of achilles tendon injury is a insertional Achilles tendonopathy which is harder to treat and less common. Over the years the use of achilles tendinits and recently tendinosis have been used to describe pain in this region. We have attached the following breakdown to understand the differences between a tendinitis and a tendonosis.
In the case of an Achilles tendon tear especially in the case of a full thickness tear the onset is often reported as sudden onset and associated with a "pop" or "snapping" sound. Patients often complain of a feeling of being hit with a "ball" or "hammer" in the region of the Achilles tendon and sudden change in strength. It can occur from a sudden pivot and rapid change in direction that is done in sports like basketball, volleyball or football in the age group of 30-60 years of age. In the over 60 age group, relatively inactive and overweight the tears can occur with less intense activity like stepping off a curb especially in those who are less physically active. When observing a patient walking they have difficulty "pushing off" while walking but can compensate with over muscle groups and diagnosis may be missed in %25 of the time. In acute cases you may feel a gap in the tendon but less so in chronic cases.
When diagnosing an achilles tendonopathy, tendonitis or tendonosis all experience extensive loading of the tendon contributing in the early phases to inflammation and microtears in the same region of as the tendon tears then can progress to non-inflammatory condition which can eventually result in a tendon tear. Eventually the patient develops pain in this region but it doesn't occur with rapid movement in sports, a fall or trauma. This condition can slowly develop over time and worsen depending on the level of activity. A common misconception is the rest is necessary which can rapidly weaken the tendon and casue atrophy in the calf musculature. Depending on the person it may be tender to touch, focal swelling at the site, thickening of the tendon and warmth in the tendon. Most commonly this is referred to a tendonitis indicating inflammation which has been shown to be less common compared to a Achilles' tendonosis.
0:00 Start of Video
0:39 Understanding the Achilles Tendon
2:13 Different types of Achilles tendon conditions: tendonitis, tendonitis, tendonopathy
3:23 Understanding a Achilles tendon tear
10:57 Two Ways to Tell if you might have a full Achilles tendon tear
If we are sure it is an injury of the Achilles tendon the most important is to rule out if it is a partial or complete tear. In cases of a tear there is a limited window to manage it surgically and non-surgically. If the diagnosis is not made in 1-2 weeks it can cause the tendon to become retracted. When this occurs the tendon is further away from where it has been attached which can make it hard or impossible to manage conservatively through ankle boot immobilization or surgically repaired. Here are a couple a few tests that a physician will use to make a clinical diagnosis and when in doubt a MRI is ordered to confirm the physician suspicions.
How to test for an Achilles tendon tear using two tests
Thompson test or Squeeze test
The patient is positioned in prone with feet hanging off the table. Then gently squeeze calf on side. You should observe a the foot moving into plantarflexion and foot moving away from the table. A positive test is no movement at the ankle indicating a full tear of the achilles tendon.
Palpation of Achilles' tendon for gap for acute tears. Start moving your fingers along the tendon starting at the heel bone and about 2-6cm from the the achilles attachment you may notice a gap in the tendon. One way to compare this is to do this same assessment on the unaffected side.

Пікірлер: 30

@apexmovebetter 2 жыл бұрын

Make sure watch to the end of the video for the 2 ways to test if you have an Torn or Ruptured Achilles. Please place a comment or ask question. Thanks for watching and please "like" and " subscribe" if you got something from this video! #achillestendonitis#achillessstifness#achillessurgery

@aerithkyo9302 Жыл бұрын

Hi just want to ask, is it common when u laydown for like 3-4hours and suddenly when u wake up and stand, your ankle began to be like painful then all the area near the ankle slowly painful aswell.. is that a common thing happen during achilies tendon problem or is it just a soft tissue?.. p/s: im having this kind of pain after like three month ago but only been in painful during last month

@earthquakemagoon2505 11 ай бұрын

Good information here! Skål!

@ultrahustle Жыл бұрын

thanks very informative!! I have a tear and going into 5th week, doc added the heel lift after 10 days of my incident.

@apexmovebetter Жыл бұрын

Thanks

@conservativehippie13 Жыл бұрын

These edits are classic haha

@maggie0285 10 ай бұрын

I have horrible heel pain and there is a distinct area across my Achilles that is swollen.

@DavidKirkwood 11 ай бұрын

25 yo male who’s moderately active. Started training three weeks ago for a 10K race and just completed it today. Tendon on one leg been feeling some pain that’s similar to typical race soreness. Can kind of feel the muscle flex strangely when stretching the leg but can still walk on it without much trouble (outside of regular race soreness). Is this something ibuprofen and ice packs will fix in a couple days? Worth seeing a doctor? I really enjoyed the video and any comments from you would be appreciated!

@ikeman9784 7 ай бұрын

It definitely not ruptured cos you won't be able to walk on it. Probably some tendinopathy.. They have physical therapy for that to get rid of the pain and get you back to your activity..

@gazadan6623 Жыл бұрын

What happens if a misdiagnosed tear is treated late ? Are there setbacks?

@strangelee4400 11 ай бұрын

We'll get right on that. You'll get an answer soon we promise. Wouldn't want you waiting too long for us to answer now would we? Remember...prompt explanations can save lives! A stitch in time saves nine is the saying we always use arou...AAAND HE'S DEAD. Seriously though...did you ever find an answer?

@peggyallman7647 8 ай бұрын

Mine started with a heel spur

@chandrakantpatel438 2 жыл бұрын

Request planter fascia viedo please

@apexmovebetter 2 жыл бұрын

Will do

@johnwade1937 Жыл бұрын

I'm an active 74+ male with 24.39 BMI, was walking 2-3 miles daily & was dancing regularly. I pulled or tore Achilles tendon 2 weeks ago while dancing but only on right leg & not my left. My right leg was seriously injured in car accident 10 yrs ago that required Pilon fracture surgery (like Tiger Woods injury). I can still walk, but a much shorter distance before increased pain and then simply rest. I thought your KZbin vid was excellent, and shall appreciate any recommendations you may offer.

@apexmovebetter Жыл бұрын

Any range of motion loss compared to the other ankle?

@kimberlywood7783 9 ай бұрын

I have a suspected tear near the insertion point ... a horse landed on my achilles. They scheduled an mri .... I wonder if knowing would help or if I could cancel the mri and just treat at home.

@apexmovebetter 9 ай бұрын

I would get the MRI so you can know how to adjust treatment

@Tebogomaoko Жыл бұрын

which number do i call for free consultation?

@apexmovebetter Жыл бұрын

Are you in New Jersey?

@TeriLynn-wx3ix Ай бұрын

Snap, crackel & pop, in my 60s have osteoarthritis with Achilles tendonotus/ itus. Cant even stand or walk . No clue yet if its toRn . On going 3 yrs now. Pain is off the charts. No pain in calf just foot & ankle...

@apexmovebetter Ай бұрын

Let’s get you an evaluation by a PT to see what you can do to move better.

@TeriLynn-wx3ix Ай бұрын

@@apexmovebetterwas doing some stretches with elevation . Find out in 2 days how Physical therapy might help. Really don't want reconstructive surgery of the ankle & both tendons. That sounds very limited & Scary . Thank you for reaching out to me.

@sledninja 9 ай бұрын

stop putting the banner up in the middle of the screen, telling us to hit the like button, it's an automatic thing If we like it we will share we don't need guidance to do it.