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         Achilles Tendonitis:     more detail

1. Achilles Tendinitis - Overview, Causes & Symptoms - Podiatrychannel
walking. The Achilles tendon is vital to our ability to walk upright and achilles tendonitis can make walking almost impossible.
http://www.podiatrychannel.com/achillestendinitis/
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Achilles tendinitis is a painful and often debilitating inflammation of the Achilles tendon, also called the heel cord. This large tendon is an extension of the two calf muscles; it runs down the back of the lower leg and attaches to the heel bone (calcaneus). The Achilles tendon connects the strong leg muscles to the foot and gives us the ability to rise up on our toes, facilitating the act of walking. The Achilles tendon is vital to our ability to walk upright and Achilles tendonitis can make walking almost impossible. Side View of Foot Back View of Foot Click on the images to view a larger version.

2. Footcare Direct - Achilles Tendonitis
Overview and illustration of achilles tendonitis.
http://www.footcaredirect.com/tendonitis.html
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Achilles Tendonitis
A chilles tendonitis, enthesis, tenosynovitis, and bursitis are all terms that can be used interchangeably for the pain associated with the posterior or the back of the heel of the human foot.
The achilles tendon is the co-joined tendon of the Gastrocnemius and the soleus muscle which form the thickened tendon at the back of the leg as it inserts into the calcaneous (heel bone). This structure becomes inflamed and damaged from a variety of mechanical forces: pronation (inward tilting of the heel) or supination (outward tilting of the heel); excessive weight; over-use, such as running or tennis or other sport activities; and sometimes metabolic problems, such as diabetes arthritis or even gout can play a major role in inflammation of the achilles tendon. However, most achilles tendon problems are mechanical in nature.

3. Foot.com Information Center
A look at this disorder, what it is, the causes, symptoms, treatment and prevention.
http://www.foot.com/html/achilles_tend.html
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4. Achilles Tendonitis
Information about injuries to the achilles tendon, and surgical repair of this ligament.
http://orthopedics.about.com/health/orthopedics/blachilles.htm
zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Orthopedics Home Essentials ... A-Z Index of Orthopedic Conditions zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Broken Bones Sports Injuries Arthritis Pediatric Orthopedics ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb);
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Subscribe to the About Orthopedics newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search Orthopedics Email to a friend Print this page Stay Current Subscribe to the About Orthopedics newsletter. Treatment of Achilles Tendonitis Ice An Injury Physical Therapy Find A Doctor Suggested Reading Tendinitis Ankle Sprains Heel Spurs - Plantar Fasciitis Prevent Achilles Tendonitis Buy the Right Shoes Prevent Bunions Most Popular Tendonitis Bursitis Cortisone Injection - Steriod Shot Meniscus Tear - Torn Cartilage What's Hot Total Knee Replacement in Young Patients What is the difference between a fracture and a break? How to Lift - Proper Lifting Technique to Avoid Back Problem... Transient Osteoporosis of The Hip ... Minimally Invasive Knee Surgery
Achilles Tendonitis
From Jonathan Cluett, M.D.

5. Achilles Tendonitis
achilles tendonitis causes inflammation and degeneration of the achilles tendon. Causes and treatments and prevention of achilles tendonitis can be found here. The pain caused by achilles tendonitis can develop gradually without a
http://www.foot.com/info/cond_achilles_tendonitis.jsp

6. NISMAT Athletic Trainer's Corner: Taping For Acute Achilles Tendonitis
NISMAT Athletic Trainer's Corner Taping for Acute achilles tendonitis. Scenario Ben comes back with a diagnosis of acute achilles tendonitis. The doctor has said Ben may continue
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.

7. MedlinePlus Medical Encyclopedia: Achilles Tendinitis
The large Achilles tendon connects these muscles to the heel. The initial treatment for achilles tendonitis is usually nonsteroidal anti-inflammatory drugs (NSAIDs), like aspirin
http://www.nlm.nih.gov/medlineplus/ency/article/001072.htm
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Achilles tendinitis
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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.

8. EMedicine - Achilles Tendonitis : Article By David Y Lin, MD
achilles tendonitis The Achilles tendon, named after the seemingly indestructible mythologic Greek warrior, is the largest and strongest tendon in the human body. achilles tendonitis was the Jr, Neidhart D, Brand RL achilles tendonitis in runners a report of
http://www.emedicine.com/sports/topic2.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Sports Medicine Foot And Ankle
Achilles Tendonitis
Last Updated: September 19, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: Achilles peritenonitis, Achilles peritendinitis, Achilles tendinitis, Achilles tendinosis, Achilles rupture, Achilles tendo calcaneitis AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: David Y Lin, MD , Fellow, Department of Orthopedic Surgery, Section of Pediatrics, UT-Campbell Clinic Coauthor(s): Henry Marano, MD , Director, Associate Professor, Department of Orthopedic Surgery, St Joseph's Hospital, Albert Einstein College of Medicine; Evan Schwartz, MD , Director of Orthopedic Surgery, St John's Queens Hospital, New York Medical College; Assistant Professor, Department of Surgery, Albert Einstein School of Medicine David Y Lin, MD, is a member of the following medical societies:

9. ACHILLES TENDONITIS PLAGUES ATHLETES AND OTHERS
achilles tendonitis PLAGUES ATHLETES AND OTHERS If so, you might have achilles tendonitis, a condition that plagues athletes and nonathletes alike. achilles tendonitis
http://www.personalhealthzone.com/achillestendonitis.html
ACHILLES TENDONITIS PLAGUES ATHLETES AND OTHERS
A Monthly Foot Fact from Foot.com Do you sometimes experience a burning pain above the heel with every step you take? If so, you might have achilles tendonitis, a condition that plagues athletes and non-athletes alike. Achilles tendonitis is caused by inflammation and degeneration of the achilles tendon, the large tendon located in the back of the leg and inserted into the heel. This tendon can be aggravated by activities that repeatedly stress the area, such as running, jumping or other pounding sports, or can be injured by a single traumatic event. Achilles tendonitis can also be caused by not stretching regularly before exercise or wearing high heels that cause the tendon to shrink and become more vulnerable to injury. In some cases a heel bone deformity, or even prolonged periods of standing, can cause symptoms. The pain sometimes lessens during activity. According to Dr. Suzanne Belyea, D.P.M., Medical Director of Foot.com, symptoms of achilles tendonitis include a shooting or burning pain, or an extremely piercing pain. "The pain will be in the area in the back of the heel, and can also be perceived as tenderness upon rising first thing in the morning or after sitting for an extended period of time. If the condition is aggravated by a shoe rubbing against the tendon, you might see redness and feel soreness to the touch." Dr. Belyea notes that several factors can contribute to the onset of achilles tendonitis. The most common is over-pronation, or flat feet, which occurs when the arch of the foot collapses upon weight bearing, putting stress on the achilles tendon. Improper shoe selection can also lead to the condition, or aggravate it.

10. ACHILLES TENDON INJURIES
of Achilles tendon anatomy and injury including tendonitis and rupture. TYPES OF INJURIES. achilles tendonitis is an inflammation of the tendon.......
http://www.arthroscopy.com/sp09009.htm
ACHILLES TENDON INJURIES
ANATOMY
The Achilles tendon is the tendon that connects the calf muscle (gastrocnemius) to the heel bone (calcaneus). This is the tendon that is just below the skin at the back of the ankle. As with most tendon injuries, this tendon may be injured. Figure 1 : Posterior View of Normal Achilles' Tendon as it goes from gastrocnemius muscle to the calcaneus.
FUNCTION
When the gastrocnemius muscle (in the calf) contracts (shortens), the tendon which is attached from the muscle to the heel bone (calcaneus) moves. As the muscle shortens, the tendon moves to point the foot downwards. This is the action that allows a person to stand on one's toes, to run, to jump, to walk normally, and to go up and down stairs. (Click HERE for an animation of the gastrocnemius contracting.)
TYPES OF INJURIES
Achilles tendonitis is an inflammation of the tendon. It often results from a small stretch injury that causes the tendon to become swollen, painful and less flexibility than the normal tendon. (Click HERE for an animation of Achilles' tendonitis.) Untreated, this injury may fail to heal, or progress to a chronically painful condition. Of course, in some people, the tear may progress to a complete rupture of the tendon. (Click

11. Treatment For Plantar Fasciitis And Achilles Tendonitis From Pf Night Splint
Night Splint for plantar fasciitis, achilles tendonitis and heel spurs.
http://www.orthomedicalsupplies.com/nightsplint.htm
night splint plantar fasciitis achilles tendonitis achillies tendonitis night splint plantar fasciitis achilles tendonitis achillies tendonitis ... sore heels Use a night splint to treat plantar fasciitis or ease in the discomfort of achilles tendonitis. Getting an injury such as achillies tendonitis is painful. orthopedic heel spurs or any type of heel spurrs can result in terrible foot pain and heel pain. If you are experiencing foot heal pain, an achilles tendon sprain can be equally as uncomfortable, not to mention the pain of an achilles tendon injury. It's always important to take care of your sore feet. Sometime you can soak a sore foot in warm water using a foot bath or wear comfortable shoes to take care of your sore heels. Use a night splint to treat plantar fasciitis or ease in the discomfort of achilles tendonitis. Getting an injury such as achillies tendonitis is painful. orthopedic heel spurs or any type of heel spurrs can result in terrible foot pain and heel pain. If you are experiencing foot heal pain, an achilles tendon sprain can be equally as uncomfortable, not to mention the pain of an achilles tendon injury. It's always important to take care of your sore feet. Sometime you can soak a sore foot in warm water using a foot bath or wear comfortable shoes to take care of your sore heels. Use a night splint to treat plantar fasciitis or ease in the discomfort of achilles tendonitis. Getting an injury such as achillies tendonitis is painful. orthopedic heel spurs or any type of heel spurrs can result in terrible foot pain and heel pain. If you are experiencing foot heal pain, an achilles tendon sprain can be equally as uncomfortable, not to mention the pain of an achilles tendon injury. It's always important to take care of your sore feet. Sometime you can soak a sore foot in warm water using a foot bath or wear comfortable shoes to take care of your sore heels. Use a night splint to treat plantar fasciitis or ease in the discomfort of achilles tendonitis. Getting an injury such as achillies tendonitis is painful. orthopedic heel spurs or any type of heel spurrs can result in terrible foot pain and heel pain. If you are experiencing foot heal pain, an achilles tendon sprain can be equally as uncomfortable, not to mention the pain of an achilles tendon injury. It's always important to take care of your sore feet. Sometime you can soak a sore foot in warm water using a foot bath or wear comfortable shoes to take care of your sore heels. Use a night splint to treat plantar fasciitis or ease in the discomfort of achilles tendonitis. Getting an injury such as achillies tendonitis is painful. orthopedic heel spurs or any type of heel spurrs can result in terrible foot pain and heel pain. If you are experiencing foot heal pain, an achilles tendon sprain can be equally as uncomfortable, not to mention the pain of an achilles tendon injury. It's always important to take care of your sore feet. Sometime you can soak a sore foot in warm water using a foot bath or wear comfortable shoes to take care of your sore heels. nightsplint100016 nightsplint000123

12. Achilles Tendonitis
achilles tendonitis Information about achilles tendonitis; understanding this common problem and serious complications such as Achilles tendon rupture.
http://orthopedics.about.com/cs/ankleproblems/a/achilles.htm
zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Orthopedics Home Essentials ... A-Z Index of Orthopedic Conditions zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Broken Bones Sports Injuries Arthritis Pediatric Orthopedics ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb);
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Subscribe to the About Orthopedics newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search Orthopedics Email to a friend Print this page Stay Current Subscribe to the About Orthopedics newsletter. Treatment of Achilles Tendonitis Ice An Injury Physical Therapy Find A Doctor Suggested Reading Tendinitis Ankle Sprains Heel Spurs - Plantar Fasciitis Prevent Achilles Tendonitis Buy the Right Shoes Prevent Bunions Most Popular Tendonitis Bursitis Cortisone Injection - Steriod Shot Meniscus Tear - Torn Cartilage What's Hot Total Knee Replacement in Young Patients What is the difference between a fracture and a break? How to Lift - Proper Lifting Technique to Avoid Back Problem... Transient Osteoporosis of The Hip ... Minimally Invasive Knee Surgery
Achilles Tendonitis
From Jonathan Cluett, M.D.

13. Achilles Tendonitis Hub
Links to information and resources.
http://www.knowdeep.org/tendonitis
Achilles tendonitis is an inflammation of the tendon caused by physical activities such as running and aerobics. The inflammation causes pain at the back of your leg near the heel. Achilles tendonitis by MEDLINEplus Medical Encyclopedia - updated by Benjamin D. Roye, M.D., M.P.H., Department of Orthopaedics, New York-Presbyterian Hospital, New York, NY. Achilles Tendon - from University Sports Medicine, School of Biomedical Sciences, State University of New York at Buffalo. Achilles Tendon Injuries and Tendonitis - by Anthony J Saglimbeni, MD, Education Director, Clinical Assistant Professor, Departments of Family, Internal and Sports Medicine, and Pediatrics, University of California at San Diego. Taping for Acute Achilles Tendonitis - by the Nicholas Institute of Sports Medicine and Athletic Trauma. Achilles Tendonitis from eMedicine - by David Y Lin, MD, Fellow, Department of Orthopedic Surgery, Section of Pediatrics, UT-Campbell Clinic. Achilles tendonitis by Robin Collins, Registered Physiotherapist Achilles Tendinitis and Running - by Patrick J. Bird. Achilles Tendonitis by Dr. James C. Graham

14. Foot.com Information Center
achilles tendonitis. Definition. achilles tendonitis causes inflammation and degeneration of the achilles tendon. The achilles
http://www.foot.com/info/cond_achillies_tendonitis.jsp

15. Achilles Tendonitis Information At MyFootShop.com!
Information about achilles tendonitis and other common conditions of the foot! Products. Conditions. achilles tendonitis. Keywords Achilles, tendonitis, heel pain
http://www.myfootshop.com/detail.asp?Condition=Achilles Tendonitis

16. Achilles Tendonitis - The Big 5 - Injuries And Treatment Section - Time-to-Run -
achilles tendonitis the BIG Five - the 5 most common running injuries. Definition Inflammation of the Achilles tendon.The Achilles
http://www.time-to-run.com/injuries/thebig5/achilles.htm
Injuries section Injuries home Injury guide The BIG 5 Achilles tendonitis ... Injuries links Achilles tendonitis - the BIG Five - the 5 most common running injuries Definition : Inflammation of the Achilles tendon.The Achilles is the large tendon connecting the two major calf muscles, gastrocnemius and soleus, to the back of the heel bone. Under too much stress, the tendon tightens and is forced to work too hard. This causes it to become inflamed (that is tendinitis), and, over time, can produce a covering of scar tissue, which is less flexible than the tendon. If the inflamed Achilles continues to be stressed, it can tear or rupture. Symptoms:
Dull or sharp pain anywhere along the back of the tendon, but usually close to the heel. limited ankle flexibility redness or heat over the painful area a nodule (a lumpy build-up of scar tissue) that can be felt on the tendon a cracking sound (scar tissue rubbing against tendon) with ankle movement. Causes:
Tight or fatigued calf muscles, which transfer the burden of running to the Achilles. This can be due to poor stretching, rapidly increasing distance, or over-training excessive hill running or speed work, both of which stress the Achilles more than other types of running.

17. Achilles Tendonitis - Inflammation, Irritation, And Swelling Of The Achilles Ten
achilles tendonitis, Achilles tendinitis is inflammation, irritation, and swelling of the Achilles tendon (the tendon that connects the muscles of the calf to the heel). There are two large diabetic, diabeties, plantar fascitis, achilles tendonitis, diabetic foot, ArcH SupporT diabetic, diabeties, plantar fascitis, achilles tendonitis, diabetic foot, ArcH SupporT
http://www.supportyourfeet.com/achilles_tendonitis.htm
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Achilles Tendonitis
Definition
Achilles tendinitis
is inflammation, irritation, and swelling of the Achilles tendon (the tendon that connects the muscles of the calf to the heel). Cause
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.

18. Common Conditions Of The Achilles Tendon - May 1, 2002 - American Family Physici
achilles tendonitis and Peritendonitis. ILLUSTRATIVE CASE ONE. 7 achilles tendonitis is common when persons first take up athletic activities.
http://www.aafp.org/afp/20020501/1805.html

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Common Conditions of the Achilles Tendon MICHAEL F. MAZZONE, M.D., and TIMOTHY MCCUE, M.D., Medical College of Wisconsin, Waukesha, Wisconsin A PDF version of this document is available. Download PDF now (6 pages / 109 KB). More information on using PDF files. T he 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 most vulnerable area of the Achilles tendon is between 2 and 6 cm above the calcaneal insertion. 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. The blood supply diminishes with age, predisposing this area of the tendon to chronic inflammation and possible rupture. The Achilles tendon does not have a true synovial sheath but instead has a paratenon. The paratenon is a connective tissue sheath that surrounds the entire tendon and is able to stretch 2 to 3 cm with movement, which allows maximal gliding action. The Achilles tendon has been shown to thicken in response to increased activity. The morphologic changes such as decreased cell density, decreased collagen fibril density, and loss of fiber waviness that occur with aging predispose the tendon to injury.

19. MMG - Patient Education Achilles Tendonitis/Rupture
Orthopedic Patient Education Collection. Medical Multimedia Group provides the most comprehensive collection of orthopaedic patient
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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20. Achilles Tendon Tear Homepage
Diagnosis, ACHILLES TENDON TEAR In some cases, achilles tendon ruptures occur after a long history of achilles tendonitis (inflammation).
http://www.emedx.com/emedx/diagnosis_information/foot-ankle_disorders/achilles_t

Diagnosis
ACHILLES TENDON TEAR For more Sports Medicine and Orthopedic Information Check out EMEDx.com Definition Tearing of the tendon behind the ankle that connects the leg and ankle to the heel bone Details The achilles tendon is a strong band of tissue that is the continuation of the large calf muscles. It serves as the power source for pushing off with the foot. Causes Achilles tendon tears typically occur during cutting and jumping type sports such as basketball, tennis or football. These tears are the result of a violent contraction of the large calf muscles and usually do not involve any contact with another player. In some cases, achilles tendon ruptures occur after a long history of achilles tendonitis (inflammation). Diagnosis Achilles tendon tears are diagnosed by a history of a sudden injury followed by a "pop" felt behind the ankle. The tear is confirmed by squeezing the calf muscles. If the foot does not move, the tendon is probably torn. Occasionally, an MRI or ultrasound is needed to establish that the tendon is indeed ruptured.
Physical Examination of a Torn Achilles Tendon
Treatment Nonoperative: For inactive patients or patients who are not willing to accept surgical risks, nonoperative care is given. This care is in the form of a cast for 4-6 weeks followed by rehabilitation. The risks of nonoperative care include a higher risk of rerupture and possible loss of strength with pushing off type activities.

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