The Achilles tendon is among the most robust tendon in the body. The Achilles tendon attaches the leg muscles on the heel bone, so transmits the forces from your calf to the feet for walking and running. One considerable anatomical problem with this Achilles tendon is that it and the leg muscles are a two-joint design. Therefore the tendon and the calf muscles passes across two joints – the knee joint and the ankle joint. If during activity the two joints can be moving in opposite directions, in this instance the ankle is dorsiflexing simultaneously that the knee will be extending, then the load on the Achilles tendon is quite substantial and if there is a weakness or issue with the Achilles tendon it might possibly rip or break. This would happen in sports activities such as tennis or badminton where there are lot of abrupt stop and start movement.
If the Achilles tendon does rupture it can be pretty dramatic. At times there's an discernable snap, yet sometimes there may be no pain and the athlete merely drops down since they loose all strength from the leg muscles through to the foot. There are several video clips of the tendon rupturing in athletes accessible in places like YouTube. A basic search there will probably locate them. The videos reveal how extraordinary the rupture is, just how simple it appears to occur and the way instantly disabling it is in the athlete when it occurs. Clinically a rupture of the Achilles tendon is quite apparent to identify and evaluate, as after they contract the calf muscles, the foot will not move. While standing they are unable to raise on to the toes. The Thompson test is a examination that whenever the calf muscle is compressed, then the foot ought to plantarflex. When the Achilles tendon is ruptured, then this does not happen.
The first aid approach to an Achilles tendon rupture is ice and pain alleviation and also for the athlete to get off the leg, normally in a walking support or splint. There are actually mixed viewpoints on the specified strategy for an Achilles tendon rupture. One choice is operative, and the alternative choice is to using a walking support. The research reviewing the 2 methods is rather apparent in indicating that there are no contrast between the two with regards to the long term results, so you can be comfortable in understanding that whatever treatment solution is used, then the long terms results are the same. In the short term, the surgical approach can get the athlete back in sport a lot quicker, but as always, any surgical procedure can have a little anaesthetic risk as well as surgical wound infection risk. That risk should be compared to the requirement to get back to the sport quicker.
What's most likely more important than the selection of the surgical or non-surgical therapy is the rehab just after. The evidence is quite obvious that the faster standing and walking and movement is completed, the higher quality the outcome. This must be undertaken progressively and slowly to permit the Achilles tendon along with the muscle to build up strength ahead of the resumption of activity.