Treating Achilles Tendon Rupture: Strategies and Recovery The Achilles tendon is the largest tendon in the body and is made of a complex anatomical structure.
Treating Achilles Tendon Rupture: Strategies and Recovery The Achilles tendon is the largest tendon in the body and is made of a complex anatomical structure. The gastrocnemius and the soleus musculature converge to form the Achilles tendon, which inserts onto the calcaneal tuberosity. The primary role of the Achilles tendon is plantarflexion of the ankle joint.
Case Question A patient with an achilles tendon rupture would like to start working on her range of motion (ROM). After how many weeks should she initiate this? A) Start early motion at day 1 from injury B) Start early motion after 3 weeks of immobilization C) Wait until 8 weeks to begin range of motion exercises D) Range of motion exercises should not be started until 12 weeks and ultrasound confirms tendon healing.
Although a strong tendon, it is commonly ruptured among recreational and competitive athletes. However, they also frequently occur in the episodic athlete. Achilles tendon ruptures occur in 20-32 per 100,000 patients.
Risk factors that increase the risk of rupture include fluoroquinolone use and steroid injections into the tendon. Tendon rupture typically occurs with sudden forced plantarflexion, or less commonly with violent dorsiflexion of a plantarflexed foot. Patients often describe feeling as though they were violently struck/kicked in the back of the ankle.
Extreme pain is typical, but is not a sensitive finding, as up to one-third of patients do not report any pain at all. PHYSICAL EXAM Integrity of the Achilles tendon can be assessed by squeezing the calf, known as Thompson’s test . Absence of plantarflexion indicates a positive test ( The patient should be placed into a posterior slab splint with the foot in a plantarflexed position known as resting equinus.A rupture does warrant a surgical evaluation but does not necessarily require surgical intervention.
If you are experiencing symptoms that may be related to treatment of achilles tendon rupture, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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