In Greek mythology, Achilles’ mother, Thetis, dipped him in the River Styxx as an infant in order to give him the power of invulnerability. But Thetis forgot one thing—his feet. Unfortunately, things didn’t end well for Achilles, and he suffered a deadly blow to his heel in battle.
Here in the real world, although it is strong, our Achilles tendon remains a vulnerable spot for us too.
The Achilles tendon is the thickest and strongest tendon in the body. Coming in at about six inches in length, it has the important job of connecting the calf muscle to the heel bone. Whether you’re out on a leisurely stroll or running, jumping or doing push-ups, your Achilles tendon is working hard to endure the load and stress we put on it.
But if it’s placed under too much stress, the tendon can tighten and overwork itself, which can lead to an overuse injury such as Achilles tendinosis.
To better understand this overuse injury, we askedJoseph Blazuk, MD, an orthopedic sports medicine physician withTOCA at Banner Healthin Arizona, to break down the causes and treatment options for tendinosis and how to prevent further damage.
What is Achilles tendinosis?
Much like other overuse injuries such as胫骨夹板，阿基里斯肌腱病是慢性过度使用的结果。它可能是由于卷问题，您只需通过肌腱重复地加载太多负载（如距离运行），或者更常见，对准，肌肉不平衡和小腿紧绷可以加速肌腱上的磨损。
Typically, it will present as Achilles pain that worsens during activity—sometimes squeezing the tendon is painful, and in bad cases, you can even see noticeable thickening of the tendon.
“肌腱病意味着紊乱和混乱，就像一根旧的降绳，纤维加厚和磨损，或者在我们失去纤维组织的末端的涂料刷，”博士博士说。
What causes Achilles tendinosis?
如果你有非常高拱形的脚，狭小的小腿肌肉和/或过度（即，脚向内滚动和扁平化more than normal with walking/running), you’ll be more predisposed to Achilles tendon injury. Certain medications such as fluoroquinolone antibiotics (Cipro, Levaquin) can place the tendon at risk as well as any cortisone injections in the vicinity of the tendon. Inflammatory arthritis (such asrheumatoid arthritis), thyroid disease anddiabetesare systemic issues that may also increase the chance of Achilles tendon injury.
肌腱炎如何与肌腱增强不同？
许多人仍称为他们的肌腱疼痛肌腱炎，这意味着肌腱的急性炎症，但研究人员表示不再准确。
“Tendinitis implies 'acute' inflammation, but when we look under a microscope at tendinopathic tendons, we don't see cells characteristic of an acute inflammatory response, so tendinosis or tendinopathy has become the more accurate term,” Dr. Blazuk said.
What is an Achilles tendon rupture?
当肌腱纤维撕裂并完全分开时，发生了腱肌腱破裂。为了使其破裂，通常意外地施加突然的力量。
“您的”周末战士“通常会遭受这些伤害，破裂最常发生在30多岁至50年代的男性身上，”Blazuk博士说。“破裂往往会发生非常有力的推迟或从跳跃着陆。”
当它破裂时，有些人听到了一个捕捉或流行，觉得有人在阿基里斯踢他们。然而，小腿菌株是一种损伤，其症状重叠，但通常沿着小腿沿着沿着achilles肌腱相反的疼痛。
“One way you can distinguish at home is to lay on your belly, bend your knees to 90 degrees and have someone look to see if the affected side foot points down compared to the normal side,” Dr. Blazuk said. “If so, there is a good chance we are dealing with a rupture versus a calf strain.”
How is Achilles tendinosis treated?
If you notice tendinosis pain is starting to affect your recreational activities, it may be time to see your doctor.治疗will depend on the type and the severity of your injury, but typically your doctor will start you out with a stretching program and physical therapy.
For ruptures, your doctor may immobilize the area by treating with a walking cast for 6-12 weeks or repair through surgery. Dr. Blazuk said the outcomes and return to activity are about the same for both.
“传统的思想学院是，在选择外科修复的人们中，破裂的风险较低，但有些数据表明这可能不再是真的，”布拉泽克博士说。“如果存在急性破裂，这是一个值得拥有的谈话。”
How can I prevent injury?
Don’t ignore the warning signs and power through the aches and pain. Here are some things you can do to prevent Achilles tendinosis from occurring:
- Properly warm-up before ramping up exercise
- Stretch the calf/heel cords after exercise or in between sessions
- 戴医生规定的矫形器或鞋插入物
找医生
你在肌腱肌腱疼痛吗？安排与横幅卫生专家约会，他们可以帮助确定疼痛的原因，让您对待并主頁(欢迎您)返回锻炼。访问vwin.comac德赢官方首页 to learn more.
