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         Achilles Tendonitis:     more detail

21. Dr. Pribut On Injuries
There are several factors that can contribute to achilles tendonitis. Two soleconstruction flaws can also aggravate achilles tendonitis.
http://www.drpribut.com/sports/spinjur.html
Dr. Stephen M. Pribut's Sport Pages
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Sports Injuries:
Posterior Tibial Tendon Problems
Anatomy
The posterior tibial muscle is invested within a synovial lined tendon sheath. Inflammation occurring here may result in a true tenosyovitis (as opposed to tendinitis, occurring at the achilles tendon). Inflammation that occurs at the origin of this muscle may result in medial shin splints. Examination will reveal the posterior medial aspect of the tibia to be tender. The flexor hallucis longus is also frequently involved. This is the muscle that originates in the lower third of the tibia and the tendon also runs behind the medial malleolus to the bones of the great toe. Its functions at the ankle and subtalar joint are similar to that of the posterior tibial tendon.
Treatment of problems of the posterior tibial muscle and tendon
Since the cause of many problems occurring in this area is pronation of the foot at the subtalar joint the remedy is control of pronation at this area. Make sure that your shoes are not excessively worn. Check the heel counter to make sure that it is not caveing in medially (towards the inside of your foot and leg). Avoid overtraining and cut back on your current mileage. Calf or Achilles stretches should also be done. If excessive pronation can not be controlled by a supportive shoe than orthotics will probably be necessary. Over the counter orthotics may be tried, but in resistant cases, custom orthotics will be necessary. To control the immediate effects of the inflammation iceing may be used, anti-inflammatory medicines such as advil or alev may be helpful, and physical therapy - ultrasound and possibly galvanic (electrical stimulation) will help.

22. EMedicine - Achilles Tendonitis Article By David Y Lin, MD
achilles tendonitis The Achilles tendon, named after the seemingly indestructiblemythologic Greek warrior, is the largest and strongest tendon in the
http://www.emedicine.com/sports/topic2.htm

23. Achilles Tendon Pain And Achilles Pain Treatment
achilles tendonitis is a painful condition that can cause pain with every step you As the name suggests achilles tendonitis affects the achilles tendon.
http://www.drfoot.co.uk/achilles tendonitis.htm
Immediate Relief View products that provide immediate pain relief for Achilles Tendon Pain. Common Foot Conditions Achilles Pain Athletes Foot Ankle Sprains Arch Pain ... Verruca Free Advice Ask Dr Foot a Question about achilles pain? Email addresses are not released to third parties.
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ACHILLES PAIN INTRODUCTION TO ACHILLES PAIN Achilles tendonitis is a painful condition that can cause pain with every step you take. As the name suggests achilles tendonitis affects the achilles tendon. The achilles tendon connects the heel of the foot to the calve muscles. Symptoms include pain which may be present at the achilles tendon during activity and may also increase once activity has ceased. Tenderness can usually be felt along the course of the tendon and in some cases there may be the presence of a localized nodule (small sack of fluid) on the tendon. Another sign to look for is that the soles of shoes tend to wear out quickly around the heel region.

24. MedlinePlus Medical Encyclopedia: Achilles Tendinitis
The initial treatment for achilles tendonitis is usually nonsteroidal Overusing a weak or tight Achilles tendon is a set-up for tendinitis.
http://www.nlm.nih.gov/medlineplus/ency/article/001072.htm
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Inflammed achilles tendon Alternative names Return to top Tendinitis of the heel Definition Return to top Achilles tendinitis is inflammation, irritation, and swelling of the Achilles tendon (the tendon that connects the muscles of the calf to the heel). Causes, incidence, and risk factors Return to top There are two large muscles in the calf, the gastrocnemius and soleus. These muscles generate the power for pushing off with the foot or going up on the toes. The large Achilles tendon connects these muscles to the heel. These are important muscles for walking. This tendon can become inflamed, most commonly as a result of overuse or arthritis, although inflammation can also be associated with trauma and infection. Tendinitis due to overuse is most common in younger individuals and can occur in walkers, runners, or other athletes, especially in sports like basketball that involve jumping. Jumping places a large amount of stress on the Achilles tendon. Tendinitis from arthritis is more common in the middle aged and elderly population. Arthritis often causes extra bony growths around joints, and if this occurs around the heel where the Achilles tendon attaches to the heel bone, the tendon can become inflamed and painful.

25. Medical Encyclopedia: Achilles Tendinitis (Print Version)
The large Achilles tendon connects these muscles to the heel. The initialtreatment for achilles tendonitis is usually nonsteroidal anti-inflammatory
http://www.nlm.nih.gov/medlineplus/print/ency/article/001072.htm
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Medical Encyclopedia: Achilles tendinitis
URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/001072.htm Alternative names Tendinitis of the heel Definition Achilles tendinitis is inflammation, irritation, and swelling of the Achilles tendon (the tendon that connects the muscles of the calf to the heel). Causes, incidence, and risk factors There are two large muscles in the calf, the gastrocnemius and soleus. These muscles generate the power for pushing off with the foot or going up on the toes. The large Achilles tendon connects these muscles to the heel. These are important muscles for walking. This tendon can become inflamed, most commonly as a result of overuse or arthritis, although inflammation can also be associated with trauma and infection. Tendinitis due to overuse is most common in younger individuals and can occur in walkers, runners, or other athletes, especially in sports like basketball that involve jumping. Jumping places a large amount of stress on the Achilles tendon. Tendinitis from arthritis is more common in the middle aged and elderly population. Arthritis often causes extra bony growths around joints, and if this occurs around the heel where the Achilles tendon attaches to the heel bone, the tendon can become inflamed and painful.

26. Sports Medicine Advisor 2004.2: Achilles Tendon Injury
achilles tendonitis is the term used when the tendon is inflamed. Achillestendonitis causes pain and may cause swelling over the Achilles tendon.
http://www.med.umich.edu/1libr/sma/sma_achilles_sma.htm
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This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Spanish version Illustration Rehabilitation Exercises
Achilles Tendon Injury
What is an Achilles tendon injury?
The Achilles tendon is a band of tissue that connects the heel bone to the calf muscle of the leg. Injury to the tendon may cause it to become inflamed or torn. Achilles tendonitis is the term used when the tendon is inflamed. The inflammation causes pain at the back of your leg near the heel. A tear of the tendon is called a rupture. It also causes pain near your heel.
How does it occur?
Achilles tendonitis can be caused by:
  • overuse of the Achilles tendon tight calf muscles tight Achilles tendons lots of uphill running increasing the amount or intensity of sports training, sometimes along with switching to racing flats, which are racing shoes with less heel lift

27. Adult Health Advisor 2004.2: Achilles Tendon Injury
Thumbnail image of achilles tendonitis Illustration What is an Achilles tendon achilles tendonitis is the term used when the tendon is inflamed.
http://www.med.umich.edu/1libr/aha/aha_achilles_sma.htm
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This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Spanish version Illustration
Achilles Tendon Injury
What is an Achilles tendon injury?
The Achilles tendon is a band of tissue that connects the heel bone to the calf muscle of the leg. Injury to the tendon may cause it to become inflamed or torn. Achilles tendonitis is the term used when the tendon is inflamed. The inflammation causes pain at the back of your leg near the heel. A tear of the tendon is called a rupture. It also causes pain near your heel.
How does it occur?
Achilles tendonitis can be caused by:
  • overuse of the Achilles tendon tight calf muscles tight Achilles tendons lots of uphill running increasing the amount or intensity of sports training, sometimes along with switching to racing flats, which are racing shoes with less heel lift

28. MMG - Patient Education Achilles Tendonitis/Rupture
Orthopedic Patient Education Collection. Medical Multimedia Group provides themost comprehensive collection of orthopaedic patient education materials
http://www.medicalmultimediagroup.com/pated/foot/achilles/achilles.html
Orthopedic Patient Education Collection Medical Multimedia Group provides the most comprehensive collection of orthopaedic patient education materials available. The eOrthopod® Patient Education Collection contains over 130 professionally written and illustrated web pages covering the most common orthopaedic conditions and procedures. To learn how you can include this collection in your practice web site contact info@medicalmultimediagroup.com or visit www.eorthopod.com For a complete list of topics available click here To visit the eOrthopod® Patient Education Collection., click here
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29. Achilles Tendonitis Definition - Medical Dictionary Definitions Of Popular Medic
Online Medical Dictionary and glossary with medical definitions.
http://www.medterms.com/script/main/art.asp?articlekey=10612

30. NISMAT Athletic Trainer's Corner: Taping For Acute Achilles Tendonitis
NISMAT Athletic Trainer s Corner Taping for Acute achilles tendonitis. Scenario.The fall is here again and athletes are beginning to increase their
http://www.nismat.org/traincor/achilles_tape.html
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NISMAT Athletic Trainer's Corner: Taping for Acute Achilles Tendonitis
Scenario: The fall is here again and athletes are beginning to increase their training for the marathon. Ben comes to the training room complaining of pain in the back of his leg towards his heel. After a brief interview Ben tells us the only training change he has made was to increase his mileage gradually. We ask him to see the team doctor. After seeing the team doctor, Ben comes back with a diagnosis of acute Achilles tendonitis. The doctor has said Ben may continue to train provided the condition does not get worse. The physician has also contacted the training room to inquire if there is a taping technique that may take up some of the stress seen by the Achilles tendon. What taping technique might you suggest? Apply first anchor strip inferior to the muscle belly of the gastroc. The second strip goes around the metatarsal heads. With the foot in a position of slight plantar flexion, measure strips of tape from anchor to anchor.

31. What Is Achilles Tendonitis
This site contains information about achilles tendonitis.
http://www.mamashealth.com/bodyparts/atendonitis.asp

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What is Achilles tendonitis?
Achilles tendonitis is inflammation, irritation, and swelling of the Achilles tendon. The Achilles tendon is the tendon that connects the muscles of the calf to the heel. Achilles tendonitis is also called tendonitis of the heel. What Causes Achilles tendonitis? Inflammation of the tendon can be caused by overuse, trauma, arthritis, and infection. The most common cause is overuse. Tendonitis is common walkers, runners, and athletes who do a lot of jumping and running. Arthritis located around the heel can cause Achilles tendonitis. This occurs because when extra bony growths develop around joints, the tendon can become inflamed and painful. Symptoms? Some of the most common symptoms are:
  • Severe pain in the heel when walking or running Swelling Warm tendon
How is Achilles tendonitis Diagnosed? Your doctor will give you a physical examination, and maybe x-rays and an MRI to determine if you have Achilles tendonitis. Treatment Options?

32. Achilles Tendonitis - Find Achilles Tendonitis Products :: FootSmart
FootSmart offers achilles tendonitis products and other lower body health products.
http://www.footsmart.com/ProductList.aspx?productCategoryId=75

33. Chopat® Achilles Tendon Strap :: Achilles Tendonitis :: FootSmart
Chopat® Achilles Tendon Strap, achilles tendonitis Find Chopat® Achilles TendonStrap and other comfort shoes and health care products to relieve foot and
http://www.footsmart.com/Product.aspx?ProductId=47

34. Achilles Tendon Disorders
Achilles Tendon Disorders resources. Taping for Acute achilles tendonitis.Photo s and instructions. Interventions for treating acute Achilles tendon
http://www.epodiatry.com/resource/achilles-tendon.htm

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Achilles Tendon Disorders
Educational resources Foot and Lower Limb Online Articles and Resources
Articles and resources:
Common Conditions of the Achilles Tendon . Full text from American Family Physician. Everything You Need to Know About Achilles Tendinitis . Full text Podiatry Today. Achilles Tendonitis Fluoroquinolones and risk of Achilles tendon disorders . British Medical Journal. Achilles Tendon Injuries and Tendonitis Operative versus Nonoperative Management of Acute Achilles Tendon Rupture . Abstract. Rehabilitation of the Achilles Tendon Achilles Tendonitis . Full text from eMedicine. Achilles Tendon Nodule: Inflammation, Rupture, or Tumor? AchillesTendon.com Taping for Acute Achilles Tendonitis . Photo's and instructions. Interventions for treating acute Achilles tendon ruptures . Cochrane Review (Abstract). Achilles Tendonitis . Family Practice Notebook. Achilles Tendon Rupture: A Challenging Diagnosis . (Log in needed) Achilles tendonitis treatment . Good section on exercises. Quinolones and Tendon Ruptures . (PDF file) Achilles Tendon Rupture . MRI picture of achilles tendon rupture. Treatment of Achilles tendon ruptures . (PDF file) Achilles Tendonitis and Strains . PhysioBase Forums. Disorders of the Heel, Rearfoot, and Ankle

35. Achilles Tendonitis Treatment Injury Pain Swollen
Sports injury advice for the prevention diagnosis and cure of sports injuriesfor physiotherapists athletes trainers and coaches.
http://www.sportsinjurybulletin.com/archive/0031a-achilles-tendonitis.htm
Sports Injury Bulletin is funded by private subscription and offers a free archive of practical sports injury advice for physios, coaches and athletes
achilles tendonitis, achilles tendonitis treatment, achilles tendonitis injury, achilles tendonitis pain swollen
Achilles tendonitis treatment
Achilles tendonitis interrupts many training programmes and ruins many plans for PBs. It is also the most common injury in athletes over the age of 40, and - unfortunately - it's a problem which doesn't go away very quickly: Traditional achilles tendonitis treatment (ie, rest, non-steroidal anti-inflammatory drugs, orthotics, cortisone injections, icing, ultrasound, and conventional physical therapy) are not very successful, and about 25 per cent of athletes who suffer from chronic Achilles tendonitis problems end up undergoing surgery.
How can Achilles tendonitis be prevented - or cured once it develops? Although everyone seems to agree that calf-muscle strength plays a key role in both the development and resolution of Achilles tendon difficulties (functionally strong calf muscles should ease stress on the Achilles, lowering the risk of injury or promoting healing), not a single scientific study has been published which actually links calf-strengthening with toughening of the Achilles - until now
That deficiency has fortunately been corrected, thanks to some recently published research carried out at the Sports Medicine Unit of the University Hospital of Northern Sweden in Umea, Sweden. There, investigators divided 30 athletes with chronic Achilles tendonitis into two groups. One group of 15 received only traditional Achilles tendonitis treatment (non-steroidal anti-inflammatory medications, rest, orthotics, shoe changes, cortisone injections, and physical therapy), while 15 others engaged in 'heavy-load eccentric calf-muscle training' (to be explained in a moment). All 30 subjects experienced morning stiffness in one of their Achilles tendons (athletes with problems in both tendons were excluded from the study) and suffered from pain while running

36. Achilles Tendonitis Treatment | Achilles Tendonitis Injury | Achilles Pain
achilles tendonitis pain, swollen achilles tendonitis, achilles tendonitis injury amazing effective new treatment Free at the Sports Injury Bulletin
http://www.sportsinjurybulletin.com/archive/achilles-tendonitis.html
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achilles tendonitis, achilles tendonitis treatment, achilles tendonitis injury, achilles tendonitis pain, swollen achilles tendonitis
Achilles tendonitis treatment - how can achilles tendinitis be prevented - or cured once it develops?
Achilles tendonitis interrupts many training programmes and ruins many plans for PBs. It is also the most common injury in athletes over the age of 40, and - unfortunately - it's a problem which doesn't go away very quickly: Traditional treatments for Achilles tendonitis (ie, rest, non-steroidal anti-inflammatory drugs, orthotics, cortisone injections, icing, ultrasound, and conventional physical therapy) are not very successful, and about 25 per cent of athletes who suffer from chronic Achilles-tendonitis problems end up undergoing surgery.
How can Achilles tendonitis be prevented - or cured once it develops? Although everyone seems to agree that calf-muscle strength plays a key role in both the development and resolution of Achilles-tendon difficulties (functionally strong calf muscles should ease stress on the Achilles, lowering the risk of injury or promoting healing), not a single scientific study has been published which actually links calf-strengthening with toughening of the Achilles - until now

37. PodiatryNetwork.com - Achilles Tendonitis
This factfilled source of information dealing with foot, ankle, leg, knee, andhip disorders includes doctor-written articles, ask the doctor section,
http://www.podiatrynetwork.com/r_achilles_tendonitis.cfm
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Achilles Tendonitis
By Kevin A. Kirby, D.P.M., M.S. Editor, PodiatryNetwork.com
Description of Condition
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Foot Care Products Description The Achilles tendon is the largest tendon in the human body. It is located at the back of the ankle joint and can be felt as a large, cord-like structure attaching to the back of the foot. Since tendons serve to attach muscles to bone, the Achilles tendon also attaches the large calf muscles, the gastrocnemius and soleus, to the back of the heel bone, the calcaneus. The muscle mass and strength of the gastrocnemius and soleus muscles are greater than all of the other muscles of the lower leg combined. Therefore, the pull of these muscles on the Achilles tendon is very large since these muscles help balance the body while standing, push the body forward during walking, spring the body forward during running, and spring the body upward during jumping. Because of the large amount of stress which the Achilles tendon is subjected to during running and jumping activities, the Achilles tendon is prone to injury. The most common form of injury to the Achilles tendon is called Achilles tendonitis , which is an inflammatory condition causing pain in the Achilles tendon. Achilles tendonitis generally occurs in people who are active in sports activities. Types of sports that commonly are associated with Achilles tendonitis are basketball, tennis, running, football, soccer, volleyball and other running and jumping sports.

38. Achilles Tendonitis : Health Topics: UI Health Care
achilles tendonitis is irritation and swelling of the Achilles tendon. The Achillestendon is the largest tendon in the body and connects the calf muscles
http://www.uihealthcare.com/topics/sportsmedicine/spor3203.html

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Achilles tendonitis
Achilles tendonitis is irritation and swelling of the Achilles tendon. The Achilles tendon is the largest tendon in the body and connects the calf muscles to the heel bone. It can withstand up to eight times the weight of the body. Achilles tendonitis is usually the result of overuse or an injury. Overuse is often the result of poor training or exercise. There are some diseases that may contribute to tendonitis, such as arthritis or an infection. Most tendonitis is probably caused by a combination of factors. Even the wrong kind of shoes or worn out shoes may be part of the problem. Achilles tendonitis starts slowly and takes a long time to treat. It is most common in runners, but dancers, walkers, and tennis players have it also. Achilles tendonitis starts with pain and tenderness over the heel. At the start of exercise there may be pain, stiffness, or a sluggish feeling. The pain may be less as the exercise continues. It may return after the exercise is over and may be worse with very strenuous exercise. If not treated the tendonitis will get worse and the tendon will weaken. This may cause it to rupture. If this happens, surgery will be necessary. For this reason, anyone having pain in or above the heel needs to see a healthcare provider.

39. BBC - Health - Ask The Doctor - Achilles Tendon Inflammation
A look at the symptoms and treatment of achilles tendonitis.
http://www.bbc.co.uk/health/ask_the_doctor/achilles.shtml
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Achilles tendon inflammation
Help! I'm in agony from what my running coach says is inflammation of my Achilles tendon. How should I be treating it, and what can I do to stop it happening again? John
Dr Trisha Macnair responds
Inflammation of the Achilles tendon is very common among sportsmen and women, whether amateur or professional. The Achilles tendon is a large thick tendon which connects the calf muscles to the heel bone (it's named after the Greek God Achilles who, according to mythology, was vulnerable only at his heel). You can feel your Achilles tendon at the back of your ankle - it's the thick, springy tissue just above the heel. Although the Achilles tendon is the largest tendon in the body and can withstand immense force, it's surprisingly vulnerable. It's the most frequently ruptured tendon in the body. Runners and jumpers particularly fear a ruptured Achilles tendon, which feels like a very painful sudden kick in the back of the ankle and needs urgent repair. Inflammation of the tendon, or Achilles tendonitis, is more common. Symptoms and treatment There are several conditions which can cause similar symptoms, such as inflammation of a heel bursae (or fluid sac) or a partial tear of the tendon. You should see your doctor to confirm what's causing your symptoms.

40. Achilles Tendonitis
Information on the foot problem of achilles tendonitis.
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Achilles_tendonit

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