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Physiotherapy for the treatment of Achilles tendonitis

The treatment of Achilles tendonitis is one of the important things that should not be delayed or tolerated. The Achilles tendon injury has disrupted the football career of many players, especially professionals, as it is one of the most important hamstrings. 

And it doesn’t stop there, the Achilles tendon or Achilles tendon needs a long rehabilitation period of at least 3 months, so we will find out in this article the causes of this injury and the treatment of Achilles tendon cutting, the best treatment centers and ways to prevent injury.

What is the Achilles tendon?

It is the longest tendon in the body, and it is called the Achilles tendon because it is also the strongest tendon in the human body, as it consists of a solid group of fibrous tissues in the foot. Which can connect the back leg muscles or the calf abdominal muscle to the heel bone. It can be said that the Achilles tendon can withstand 10 times the body weight and the body loses this effort while running or jumping. 

Achilles tendon injuries account for most of the injuries of football players, and the most famous of the players who suffered from it is Shikabala, who had surgery on the Achilles tendon and was rehabilitated after surgical intervention. 

Diagnosis of Achilles tendonitis:

The diagnosis of the Achilles tendon is made by the doctor performing some flexibility movements and also the reflexes of the foot and ankle are measured to confirm the presence of Achilles tendon injury. Therefore, the doctor is inclined to resort to medical imaging tests 

  • X-ray: it helps the doctor to accurately determine the type of injury and exclude similar injuries associated with the same symptoms.
  • MRI: it is considered the most important type because it shows very accurate and detailed images of the Achilles tendon.
  • Ultrasound: the waves work by imaging soft tissues, such as tendons, and help determine the movement of the Achilles tendon and the extent of blood flow around it.

Causes of Achilles tendon injuries and inflammation: 

There are many reasons why a person is likely to develop Achilles tendonitis, as there is no direct cause for an Achilles tendon injury to occur.

 An Achilles tendon tear occurs gradually, but it can also occur suddenly, as Achilles tendon injuries are generally more common among athletes. Who practice physical sports, such as football, baseball, basketball, tennis, volleyball.

The most important factors that increase the incidence of infection are: 

  • Having a previous tendon problem. 
  • The presence of flat feet or flat feet. 
  • Being subjected to a violent tug-of-war.  
  • Extreme jumping or making sudden movements. 

Symptoms of Achilles tendonitis: 

Achilles tendonitis is not considered a serious injury, as Achilles tendonitis can be treated using many completely safe non-surgical methods, which we will discuss later. But first we need to know what are the symptoms of Achilles tendonitis 

Symptoms of Achilles tendonitis are varied:

  • The feeling of constant pain increases with movement.
  • Finding it difficult to bend the injured man.
  • Feeling pain when doing sports activities.
  • The presence of stiffness and soreness in the place of the Achilles tendon.
  • The sensation of pain in the back of the leg next to the heel. 

Symptoms of Achilles tendon rupture:   

Achilles tendon amputation is a common injury, especially among men, and this is indicated by the latest studies, which confirmed that more than 75% of Achilles tendon injuries are the share of men. Symptoms of Achilles tendon rupture include: 

1. Hear the sound of a chord popping.

2. Feeling of sharp pains in the foot.

3. Inability to move.

4. The presence of swelling in the tendon area.

Treatment of Achilles tendon rupture often requires surgical intervention, after which the tendon is rehabilitated in a maximum period of up to 6 months. 

The physic Center for the treatment of Achilles tendonitis is considered one of the best physiotherapy centers that perform rehabilitation after Achilles tendon surgery, and the Achilles tendon is rehabilitated through the latest rehabilitation devices.

Degrees of Achilles tendonitis: 

There are many degrees of Achilles tendonitis that occur for a variety of reasons, mainly it is an injury that expresses excessive use of the Achilles tendon. Most often, the Achilles tendon is injured during sports activities, and therefore swelling and pain occur. And in some cases a severe injury leads to a rupture of the Achilles tendon. Among these degrees are: 

  Partial severing of the Achilles tendon: 

Although the Achilles tendon is the strongest tendon in the human body, it may be subjected to sudden stretching or sudden cutting as a result of a direct injury during playing, or playing sports. 

Symptoms of partial cutting include: 

  • The sensation of pain increases with movement.
  • Difficulty bending the injured foot.
  • Sensation of pain when exercising. 
  • Feeling of stiffness and soreness in the place of the Achilles tendon when waking up from sleep.

  Total cut in the Achilles tendon: 

A complete or total cut of the Achilles tendon results in disability and severe pain, and it can be said that this rupture occurs as a result of a sudden severe constriction of the foot or when a direct blow is struck on the tendon site.

Symptoms of total cutting include: 

1. A bang suddenly occurs.

2. Feeling of sharp pains.

3. Inability to move.

4. Swelling at the site of injury and around it.

5. Discoloration of the affected area in some cases. 

Methods of prevention of cutting and inflammation of the Achilles tendon: 

A cut or inflammation of the Achilles tendon can be avoided by following a set of steps that increase the strength and elasticity of the tendon, thereby reducing the possibility of injury. The most important of these methods are

  • Gradually increase your activity level by light exercises.
  • Avoid heavy exercises that put pressure on the tendons.
  • Choose a shoe that supports the feet carefully.
  • Do stretching exercises daily.
  • Take the time to work out the stretching of the calf muscles and Achilles tendon in the morning, before exercise and after exercise.

Physiotherapy for Achilles tendonitis:  

 It is possible that the Achilles tendon may be affected by some diseases, such as rheumatoid, in which problems occur that hinder the function of the tendon. Also, the treatment of Achilles tendonitis is not considered difficult, as it can be treated with various therapeutic means, such as physiotherapy 

Among the goals achieved by physiotherapy Achilles tendon: 

  • Restoration of the motor range of the joint. 
  • Increase the efficiency of the foot muscles. 
  • Strengthen the Achilles tendon and surrounding muscles. 
  • Prevent the injury from recurring again. 
  • Increased neuromuscular rehabilitation of the joint. 

Duration of treatment of Achilles tendonitis: 

A complete recovery from an operation to cut the Achilles tendon or Achilles tendon takes approximately 4-6 months, since the injured person most often needs to refrain from moving the foot. For a period of 6-12 weeks, it is worth mentioning the need to undergo rehabilitation exercises after the operation to fully restore the ability to walk normally. 

 The following tips should be followed to speed up the healing process:

  • Take adequate rest during the recovery period.
  • Lifting the injured foot while sleeping.
  • The use of various medical instruments for walking, such as a crutch during the initial period of treatment
  • Follow a healthy and balanced diet.
  • Adhere to the medications prescribed by your doctor.

Treatment of Achilles tendonitis without surgery: 

One of the best therapeutic methods for treating Achilles tendon rupture is physiotherapy, as it provides real therapeutic effectiveness to the patient, and helps in the speed of treatment of the patient. Through many treatment methods as well as modern devices that work to restore the functionality of the Achilles tendon and increase its strength again. An Achilles tendon cut can be treated without surgery by

  • Increase the motor range of the ankle joint.
  • Strengthen the tendon muscles and surrounding muscles. 
  • Build muscle tissue and restore its strength.
  • Prevent recurrence of Achilles tendon injury again. 

The physical physiotherapy center is one of the best centers specialized in rehabilitation after Achilles tendon amputation, in addition to the treatment of partial severing of the Achilles tendon. Through rehabilitation and physiotherapy programs that depend on the speed and efficiency of rehabilitation after Achilles tendon injury. 

Exercises for the treatment of Achilles tendonitis: 

Simple inflammation of the Achilles tendon can be treated by following therapeutic exercises, as they help relieve the pain caused by inflammation of the Achilles tendon. The most important of these exercises are: 

Stretching: this exercise can be done through a number of steps:

1. Stand at arm’s length from a wall or one of the sturdy exercise equipment.

2.Put your palms flat on the wall  

3. Put one leg back with the knee straightened and make the heel flat on the floor.

 4. Slowly bend the elbows and front knee and move the hips forward, until the patient feels a tightness in the calf. 

You should hold this position for 30-60 seconds, as well as switch the positions of the legs.

Heel lowering exercise:  

This exercise can be done on the ladder , in stretching it is done by lowering the heel of the foot, this exercise should be done by:  

  1.  Hold the handrails well .
  2. Put a ball on the bottom edge of the tray .
  3. Make the heel of the foot go down to the bottom, so that the foot feels relaxed .
  4. This exercise should be continued For 30 seconds, and repeated ٣ times .

Treatment of Achilles tendonitis at home:

Many are wondering about the extent to which it is possible to treat an Achilles tendon cut at home, and it can be said that this is done by following some natural methods that an ordinary person can do. The most important methods of Achilles tendon treatment are: 

  • The use of medical shoes help to walk comfortably.
  • Rest the foot and tendon, minimize standing on them as much as possible.
  • Apply cold compresses to the area for twenty minutes several times a day.
  • Lifting the foot to improve the course of blood circulation to the area and relieve pain.
  • Adjusting some daily habits, such as quitting smoking, as it reduces blood access to body parts, and is one of the causes of tendon rupture.

The best treatment center for Achilles tendonitis and osteochondrosis: 

There are many physiotherapy centers specializing in the treatment of Achilles tendon rupture, and perhaps the best of them is Fizik Center for the treatment of Achilles tendon with physiotherapy. But why is Fizik center the best center in Egypt Because it has many features, including: 

  • The best treatment and rehabilitation programs after Achilles tendon amputation. 
  • A group of competent doctors specializing in the treatment of sports injuries of all kinds.
  • The latest devices help to get rid of the treatment of Achilles tendonitis.
  • Its prices are average compared to other physiotherapy centers. . 

The latest treatment center for Achilles tendonitis and osteochondrosis: 

Despite the therapeutic quality that physiotherapy centers can achieve in a long time, this does not seem to be the case when talking about Fizik Center for physiotherapy and rehabilitation . It is one of the newest centers in Egypt and the Arab world because it is unique in having the best types of devices. One of the things that made the physics center the newest center:  

  • The presence of the latest therapeutic tools and devices.
  • The presence of youth medical expertise and cadres. 
  • Follow modern systems in the management and control of the course of the therapeutic process. 
  • Follow preventive programs that relieve the patient’s pain in the long term. 

Some questions asked by others: 

Why does the pain return after a period of treatment of Achilles tendon cutting?

It can be said that there are many treatment options in cases of Achilles tendon rupture, including surgical intervention, which reduces the amount of tendon rupture and contributes to improving muscle function. After the surgery, the foot should be immobilized using a splint to reduce movement and prevent any weight from being placed on it. The operation is associated with some complications, including:

  • Rupture of tendons.
  • Pain in the nerves.
  • Swelling in the ankle and lower leg.
  • Numbness of the wound place in the back of the leg.
  • Bruises.

Why painkillers are not useful in some cases of Achilles tendon rupture?

Achilles tendon can occur in violent play in which there is no heating or preparation from a specialized trainer in the game where the tendon is stressed. Therefore, he needs periods of rest with physical therapy in addition to drug therapy until recovery is completed and stop playing until you are completely healed and then start playing gradually and under the supervision of a specialized coach.  

Is achilles tendonitis dangerous?

Achilles tendonitis is not a serious thing at all, as a person needs to undergo some physiotherapy programs through various exercises. Which helps to restore the strength and elasticity of the tendon again and does not require surgery to relieve Achilles tendon pain. 

Is the Achilles tendon the Achilles tendon?

Most people ask this question, and the answer to it must be said that the Achilles tendon is the same as the Achilles tendon, as it is the longest and strongest tendon in the human body. Most players develop Achilles tendonitis in their middle age, especially those who do high physical exertion. 

Sources:

AAOS

NHS 

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