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Sports Injury

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  Sports InjuryACHILLES TENDON RUPTURE  An Achilles tendon rupture is an injury that impacts the lower portion of your leg. It occurs most commonly in people who play recreational sports. The Achilles tendon itself is a strong fibrous cord that connects the heel bone to the muscles in the back of your calf. By overstretching your Achilles tendon, you can rupture or tear it. The rupture can  be a partial or complete rupture. If you have experienced an Achilles tendon rupture, youmay feel a snap or a pop along with an immediate sharp pain located in the back of your ankle and lower leg that makes it impossible for you to walk right. The best treatment option for this condition is often surgery. Symptoms of Achilles Tenon Rupture ome of the symptoms of an Achilles tendon rupture include pain and severe swelling located near your heel. !ou also might not have an ability to bend your foot downward or push off of your injured leg when you walk. hen the injury occurs, often people experience a popping or a snapping sound. In the case of a partial rupture, you may still  be able to move your foot and you may experience less swelling and pain than with a complete rupture. If you do feel a pop or snap in your heel, you need to see a doctor immediately. C!uses of !n Achilles Tenon Rupture  !our Achilles tendon is responsible for helping you to point your foot downward, push off your foot when you are walking, and rise up on your toes. #very time you move your foot, you must rely on your Achilles tendon. In most situations, the rupture of the Achilles tendon occurs on the spot of the tendon that receives the least amount of blood flow. This will weaken that particular section of the tendon, which also degenerates with age. $uptures are caused by a sudden increase in the stress on your Achilles tendon. ome examples include falling from a height, increased participation in recreational sports, and stepping into a hole. everal factors put you at an increased risk for Achilles tendon rupture. %irst, Achilles tendon ruptures are most common among adults between the ages of &' and ('. It is alsoup to five times more likely to occur in men than in women. )besity can increase the amount of stress that is placed on your Achilles tendon. ports are a common factor involved in many Achilles tendon ruptures, including hockey, softball, tennis, soccer, running, and basketball. Tre!tment of Achilles Tenon Rupture The most common treatment in the case of a complete rupture of the Achilles tendon is surgery. The procedure typically involves making an incision in the back portion of your lower leg and stitching the tendon that has been torn together. The repair may be reinforced with other tendons depending on the condition of the torn tissue. After the surgery you will be spending between six to eight weeks with your leg in a cast, walking  boot, brace, or splint. A second treatment is a nonsurgical treatment that includes wearing a walking boot or a cast which will allow the ends of your torn tendon to reattach themselves on their own.  The method has the ability to be effective, as it avoids risks like infection that are associated with surgery. !et the likelihood of having a re*rupture of the tendon is higher with an approach that is nonsurgical, and additionally recovery can take longer. If a re*rupture does occur, the surgical repair may be more challenging. hether surgery is chosen or not, you will still need to go through a rehabilitation  program that involves therapy exercises in order to strengthen your leg muscles and your Achilles tendon. The majority of people will return to their former activities in about a four to six month period. Pre ention of Achilles Tenon Injury There are ways to help prevent an Achilles tendon injury from occurring. %irst, it is important to stretch your calf muscles and Achilles tendon prior to physical activities. !ou should also avoid activities that will put a lot of stress on your Achilles tendons, suchas jumping and hill*running. If you notice pain during the exercise, you should rest. If a  particular activity or exercise causes you a good amount of pain, you should try another activity. !ou should alternate high*impact sports, like running, with walking, swimming, or biking. +aintaining a healthy weight is also very important. !ou should also wear athletic shoes that fit well and have sufficient cushioning, especially in the heel area. CHONDRO#ALACIA PATELLA  hondromalacia patella is a condition in which overuse, injury, or other factors have caused damage to the cartilage under you kneecap. hile sometimes treatments such as rest and ice may help, physical therapy and surgery may be necessary to ease the pain. ymptoms of chondromalacia patella include a dull and achy pain that is located in the front portion of your knee, an increase in pain when you walk up or down stairs, pain in your knees when you s-uat or kneel, knee pain when you sit for an extended period of time, a grating or a grinding sensation when you extend your knee, and stiffness in your knee. If the pain doesnt improve after treating it with rest and cold packs, you should seeyour doctor. C!uses of Chonrom!l!ci! P!tell! ometimes the causes of chondromalacia patella are due to muscle weakness, overuse, or injury to the knee. In some instances, an unusual alignment of the kneecap is responsible. ith older adults, the pain may be related to knee joint arthritis which impacts the ability of the cartilage to absorb shock. %lat feet or weak hip muscles or weak thighs can also contribute to pain. orn out or ill fitting shoes can also contribute to pain. $unners and others who participate in exercise that involves their lower legs may have anincreased risk of developing this pain. omen are also more likely to be affected. )ther risk factors include having weak hip muscles, particularly the hip abductors, trauma to the kneecap, malalignment of the lower extremity, and wearing shoes that are worn out or do not fit properly. Tre!tment of Chronrom!l!ci! P!tell!
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