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         Achilles Tendonitis:     more detail

81. Achilles Tendon Rupture - Wheeless' Textbook Of Orthopaedics
unlike flexor tendons in the hand, the achilles tendon has no true synovial sheath, identify the level of the rupture of the achilles tendon;
http://www.wheelessonline.com/ortho/achilles_tendon_rupture
Duke Orthopaedics presents Wheeless' Textbook of Orthopaedics Site Index A - Z Search Site by Word Home Contact Us My Account
Achilles Tendon Rupture
- See: Achilles Tendonitis
- Discussion:
- ruptures typically occur after age 30, more often in people beyond middle age;
- rupture at musculous tendinous junction occurs most often in young people, but ruptures near the calcaneus also occur;
- inciting event may be related to atrophy of the soleus muscle , and commonly occur in weekend athletes;
- in 5-33% of patients there will be a prodromal incident of pain several days beforhand;
- mechanism usually involves eccentric loading on a dorsiflexed ankle with the knee extended (soleus and gastroc on maximal stretch);
- unlike flexor tendons in the hand, the Achilles tendon has no true synovial sheath, but rather is covered only by a paratenon;
- hence, exogenous healing (from synovial fluid) would not be expected to occur;
inciting causes:
- consider systemic conditions such as gout or hyperparathyroidism (esp with pure avulsion injury);

82. ACHILLES TENDINITIS
achilles tendinitis is inflammation of the achilles tendon. Every time you takea step you rely on your achilles tendon.
http://www.mydr.com.au/default.asp?article=2369

83. Achilles Tendon Injury -- ECureMe.com
UPDATED SARS INFORMATION,Check health symptoms, make a self diagnosis, ask adoctor or veterinarian online, view an encyclopedia of diseases treatments,
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Achilles Tendon Injury
more about Achilles Tendon Injury

  • The Achilles tendon is the large tendon that connects the three calf muscles to the heel bone (calcaneus), which helps to transfer power from the calf muscles to the feet, giving rise to the toes as they push off when walking. Several problems can affect the Achilles tendon, including Achilles tendonitis, bursitis and tendon ruptures.
    Pain just above the heel
  • Tenderness

84. Achilles' Tendon@Everything2.com
The achilles tendon, or Tendo achilles as it is sometimes referred to as, Controlling both lateral and orbital foot movement, the achilles tendon is
http://www.everything2.com/index.pl?node=Achilles' tendon

85. Dr. Koop - Achilles Tendinitis
The large achilles tendon connects these muscles to the heel. Jumping placesa large amount of stress on the achilles tendon.
http://www.drkoop.com/ency/93/001072.html
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Achilles tendinitis
Definition: Achilles tendinitis is inflammation, irritation, and swelling of the Achilles tendon (the tendon that connects the muscles of the calf to the heel).
Alternative Names: Tendinitis of 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.

86. Elsevier.com - Achilles Tendon, An Issue Of Foot And Ankle Clinics
The achilles Tendon is the largest tendon in the human body. Dr. Maffulli s issueincludes chapters on structure, imaging , diseases, ruptured tendons,
http://www.elsevier.com/wps/product/cws_home/705337
Home Site map Regional Sites Advanced Product Search ... Achilles Tendon, An Issue of Foot and Ankle Clinics, 10-2 Book information Product description Author information and services Ordering information Bibliographic and ordering information Book related information Submit your book proposal Other books in same subject area About Elsevier Select your view ACHILLES TENDON, AN ISSUE OF FOOT AND ANKLE CLINICS, 10-2
To order this title, and for more information, go to http://www.elsevierhealth.com/title.cfm?ISBN=141602655X
First Edition
By
Nicola Maffulli
, MD, MS, PhD, FRCS(Orth)
Description
The Achilles Tendon is the largest tendon in the human body. Dr. Maffulli's issue includes chapters on structure, imaging , diseases, ruptured tendons, managing tendonitis and other debilitating tendon injuries.
Contents
1. Anatomy (O?Brien) 2. Imaging (Bleakney) 3. Aetiology and Epidemiology (Kannus, Jarvinen, Maffulli and Khan) 4. Paratendinopathy (Paavola) 5. Tendinopathy of the Main Body of the Tendon (Maffulli and Myerson) 6. Insertional Tendinopathy (McGarvey) 7. Conservative Management of Achilles Tendinopathy: New Ideas (Alfredson) 8. Acute Ruptured (Movin and Maffulli) 9. Chronic Rupture (Edwards) 10. Management of Complications (Re-Rupture, Skin Healing etc) (Kumta and Maffulli) 11. The Future: Rehabilitation, Gene Therapy, Optimisation of Healing (Sharma)
Hardbound, ISBN: 1-4160-2655-X, 240 pages, publication date: 2005

87. Achilles Tendon
Links to information on other types of foot problems are provided. Patient EducationHandout Publication Type; achilles Tendon / injuries;
http://omni.ac.uk/browse/mesh/D000125.html
low graphics
Achilles Tendon
other: Tendons, Para-Articular Achilles tendinitis This patient-orientated leaflet provides access to information about the causes, prevalence, risk factors, stages of tendon inflammation, signs and symptoms, diagnosis, treatment (including naturopathic treatment), and prevention of Achilles tendonitis. Images of the foot and calf muscles are included. This leaflet has been produced for the Podiatry Channel Web site, a Healthcommunities.com medical speciality channel developed and monitored by board-certified physicians in the US. Links to information on other types of foot problems are provided. Patient Education Handout [Publication Type] Achilles Tendon / injuries
Last modified: 02 Sep 2005

88. May 1, 2003 / 29 Nisan, 5763 True Vulnerability Don T Ignore Pain
If your achilles tendon is getting sore, it is time to pay attention to it This is the area that pads the achilles tendon and cups it so that it does
http://www.jewishworldreview.com/0503/health_ex050103.asp

Jewish World Review
May 1, 2003 / 29 Nisan, 5763 True vulnerability: Don't ignore pain in the achilles tendon
By Marlene Cimons
There are a lot of "don'ts'' to keep in mind when coping with Achilles tendonitis. Don't ignore it. Don't try to exercise through it. And don't ever let a doctor talk you into using cortisone to treat it. As bad as Achilles tendinitis is, it is far worse to rupture the tendon. A tear in the tendon could mean surgery, a cast and a recovery period that can last months. And you are courting rupture when you ignore the above advice. "If your Achilles tendon is getting sore, it is time to pay attention to it immediately,'' says Dr. Stephen M. Pribut, a sports podiatrist in Washington, D.C. "You should not allow this to turn into a chronic and troubling malady.'' The tendon connects the heel to three powerful muscles: the two heads of the gastrocnemius and the soleus. It is named for Achilles, who (as students of Greek mythology will recall) was submerged as a baby by his mother into magical waters with the hope of making him immortal. Unfortunately, she held him by the heels while she dipped him, and that was the one spot the water never touched. Henceforth, he was vulnerable in the heel, a trait inherited by many athletes (and one that has come to symbolize nonphysical weaknesses, as well.)

89. Many Treatments Available For Achilles Tendon Injuries
Many Treatments Available for achilles Tendon Injuries.
http://www.pamf.org/news/2001/0601_achilles.html

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Reuters Health News
... News at PAMF Many Treatments Available for Achilles Tendon Injuries
HealthNews
June 2001
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Achilles tendonitis: It may sound like an exotic condition, with hints of ancient Greece, but it's surprisingly common among active people of all ages, according to PAMF podiatrist Amol Saxena, of the Department of Sports Medicine. Dr. Saxena sees about 200 patients a year with chronic Achilles tendonitis.
Achilles tendonitis is an inflammation of the Achilles tendon, or the tendon joining the calf muscles of the leg to the heel bone. The primary symptom is pain ­ but the occurrence of pain can be misleading, Dr. Saxena said.
"Often the inflamed area gets warmed up as you start jogging or playing on it, and it feels better as you play. But as soon as you're done, it can start hurting again." Stiffness, especially in the morning, also is common, he said. Dr. Saxena warned that tendons can rupture requiring surgical repair ­ if the condition is left untreated. "The other bad thing is that people can't do the activities they want to do, so they start slowing down in life. They might gain weight or have other health problems," he said.

90. Achilles Tendon - Medical Illustration
This full color stock medical exhibit illustrates the achilles tendon and theassociated anatomy of the ankle. The following structures are labeled
http://hon.nucleusinc.com/generateexhibit.php?ID=9463&ExhibitKeywordsRaw=&TL=&A=

91. Rupture Of The Achilles Tendon - Medical Illustration
This full color medicallegal illustration displays the normal anatomy of thelower leg and the rupture of the achilles (calcaneal) tendon.
http://hon.nucleusinc.com/generateexhibit.php?ID=1611&ExhibitKeywordsRaw=&TL=&A=

92. Achilles (Calcaneal) Tendon - Medical Illustration
This medical illustration features the bones of foot plus the achilles (calcaneal)tendon and plantar ligament from a medial view.
http://www.doereport.com/generateexhibit.php?ID=8291

93. Achilles Tendon - Medical Illustration
This medical exhibit pictures the achilles (calcaneal) tendon and calcaneus (heel)bone from a lateral (side) view.
http://www.doereport.com/generateexhibit.php?ID=4516

94. Achilles Tendon, Running Economy And Tendinitis
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achilles tendon, running economy, tendinitis
Having a short Achilles tendon may be an athlete's Achilles heel
Smart runners are always trying to improve their 'running economy' (the rate at which oxygen is used to run at a particular pace), because better economy (lower oxygen consumption) almost always translates into better race times and lower perceptions of effort during quality running.
For years, exercise physiologists have believed that the key ways to upgrade economy involve (1) doing intervals on the track at faster-than- race speeds, and (2) carrying out lots of hill training, which includes running up hills at about race pace with regular running form and also 'bounding' up steep inclines with exaggerated knee lifts. The theory is that the fast intervals and hill running boost leg-muscle power. Improved power then makes it possible to recruit fewer muscle fibres while running at quality speeds. The lower recruitment diminishes oxygen consumption (heightens economy). In addition, many physiologists speculate that the vigorous intervals and hill training also improve neuromuscular coordination during running, leading to fewer wasteful body movements and lower oxygen usage.
Runners who do a lot of work on hills and carry out frequent race-speed intervals do have better economy than runners who train differently, but researchers at the Laboratory for Functional Anatomy and Biomechanics at the University of Copenhagen in Denmark have recently identified two key ANATOMICAL factors which can account for differences in economy between runners, too. These two factors are Achilles-tendon length and Achilles-tendon area. Basically, the longer and slimmer the Achilles tendon, the more economical is the runner, say the Danish researchers.

95. Symptoms Of Achilles Tendon Rupture & When To Seek Medical Care - EMedicine Heal
Information on when to seek medical care for the symptoms occurring with Achillestendon ruptures.
http://www.emedicinehealth.com/articles/4504-4.asp
Search September 8, 2005 Registration Healthcare Professionals You are in: Foot, Ankle, Knee, and Hip
Achilles Tendon Rupture
When to Seek Medical Care
Tendon strain or tendon inflammation (tendonitis) can occur from tendon injury or overuse and can lead to a rupture.
  • Call your doctor if you have signs of minor tendon problems.
    • Minor tenderness and possible swelling increases with activity. There is usually no specific event causing sudden pain and no obvious gap in the tendon.
      You can still walk or stand on your toes.
      Acute calf pain and swelling can indicate a tear or partial tear of the Achilles tendon where it meets the calf muscle. You may still be able to use that foot to walk, but you will need to see a specialist such as an orthopedic surgeon. Surgery is not usually done.
      Sometimes special heel pads or orthotics in your shoes may help.
      Follow up with your doctor to check for tendonitis or strain before resuming activity, because both can increase the risk of tendon rupture.

    Any acute injury causing pain, swelling, and difficulty with weight-bearing activities such as standing and walking may indicate you have a tear in your Achilles tendon. Seek prompt medical attention from your doctor or emergency department.

96. EMedicine Health - Achilles Tendon Rupture, Synonyms And Keywords
The achilles tendon, or tendon calcaneus, is a large ropelike band of fibroustissue in the back of the ankle that connects the powerful calf muscles to the
http://www.emedicinehealth.com/articles/4504-8.asp
Search September 8, 2005 Registration Healthcare Professionals You are in: Foot, Ankle, Knee, and Hip
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tendon calcaneus heel cord tendonitis tendinitis ... Achilles Tendon Rupture, Authors and Editors Sections Achilles Tendon Rupture Overview Achilles Tendon Rupture Causes Achilles Tendon Rupture Symptoms When to Seek Medical Care ... Next Steps Synonyms and Keywords Authors and Editors Dementia is not something that happens only to older people. Learn about causes and treatment options. Stress, fear, or worries can lead to severe anxiety, which can have a serious impact on your life. Do you need to seek help? Anxiety
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97. Achilles Paratendinopathy < Ankle & Foot < Injury A To Z < PhysioRoom.com: Sport
The achilles tendon is situated above the heel and forms the lower part of The appearance of the achilles tendon region becomes thickened compared to
http://www.physioroom.com/injuries/foot/achilles_paratendinopathy_sum.shtml
< Injury A to Z Supports Neck
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... Injury A to Z Achilles Paratendinopathy
summary The Achilles tendon is situated above the heel and forms the lower part of the calf muscles. Achilles paratendinopathy is characterised by inflammation of the paratendon. It can be due to a number of causes, but direct trauma can be implicated in this condition. The other major cause of inflammation of the Achilles Paratendon is training error. In the case of an acute episode of Achilles Paratendinopathy, there is pain in the tendon which is exacerbated by activity. Often, the tendon feels very stiff first thing in the morning. The appearance of the Achilles tendon region becomes thickened compared to the unaffected side, and will also be tender. In the acute stage (first 48 hours) the RICE protocol should be followed - rest, ice, compression and elevation (never apply ice directly to the skin) . The most important thing is to rest the affected Achilles Paratendon from sporting activity for a couple of weeks. If the pain is severe, analgesics are required. Read the full article > Search the Shop Your Basket items Bestsellers Mueller Reusable Hot/Cold Pack LP 769 Patella Brace Mueller Soccer Ankle Brace Coccyx Cushion ... LP 701 Neoprene Tennis Elbow...

98. ACHILLES TENDINITIS
The achilles tendon connects the calf muscles to the heel bone. If you donot, your achilles tendon may rupture (tear) or become a longterm problem,
http://www.healthtouch.com/bin/EContent_HT/cnoteShowLfts.asp?fname=02179&title=A

99. Kerlan-Jobe Orthopaedic Clinic Injury Achilles Tendon
Anatomically, the achilles tendon connects the calf muscle to the heel, and, An injury to the achilles tendon can range from irritation of the bursa
http://www.kerlanjobe.com/index.php?practiceId=1052&lib=Injury&dir=categories&ca

100. American Family Physician: Common Conditions Of The Achilles Tendon
Full text of the article, Common Conditions of the achilles Tendon from AmericanFamily Physician, a publication in the field of Health Fitness,
http://www.findarticles.com/p/articles/mi_m3225/is_9_65/ai_85285722
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Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. The Achilles tendon spans two joints and connects the calcaneus to the gastrocnemius and soleus muscles, comprising the largest and strongest muscle complex in the calf (Figure 1). The tendon is vulnerable to injury because of its limited blood supply, especially when subjected to strong forces. The blood supply to the tendon is provided by longitudinal arteries that run the length of the muscle complex. The area of the tendon with the poorest blood supply is approximately 2 to 6 cm above the insertion into the calcaneus.(1) The blood supply diminishes with age, predisposing this area of the tendon to chronic inflammation and possible rupture.

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