Foot

Management of Chronic Ruptures of the Achilles Tendon

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Achilles tendon rupture is not a common injury but it is being seen more often now, particularly among middle-aged men who are so-called weekend-warriors or weekend athletes. Often, the injury occurs but the patient doesn't see a doctor until about four to six weeks after the injury. At this point, the rupture is considered to be a chronic rupture.




Is there anything new in the world of plantar fasciitis? I've had this problem for 10 years now with no improvement. I've tried heel pads, orthotics, aspirin, night splints, and steroid injections. Nothing has helped. Ouch.

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Plantar fasciitis can be difficult to treat successfully. Often, it requires time and many trials of different treatment combinations. Some patients get lucky and within six to eight weeks, they are better. For others, it can take six to 12 months to find the right mix.




All my friends think I have plantar fasciitis. But I've had that before and this new heel pain doesn't feel the same. What else could it be?

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Heel pain is a fairly common symptom with a variety of possible causes. Plantar fasciitis is the most likely diagnosis. But you'll need a medical evaluation to find out for sure.




After I broke a bone in the middle of my foot, the doctor put a cast on right up to my knee. Wasn't that a bit of overkill? Could I not have just wrapped it and used crutches?

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Casts on a foot can be a burden, they're heavy, they're hot, they make your foot itch, they limit your ability to do things, and you can't get them wet (the plaster ones, anyway). However, casts play an important role in healing.




I hurt the middle part of my foot one day; it felt like something was broken. It's ok now, but aches off and on. Should I have gotten it checked? My friends told me not to bother because the doctors can't do anything for those bones anyway.

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It is possible to break a bone in your midfoot or dislocate a joint there so it is possible that you injured it. If you do injure your midfoot, it is important to get it checked because the damage may be more involved than it may appear.




I know two people who had ruptured tendons, one had a cast and one had surgery and a cast. Why the different treatments?

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Ruptured tendons can be treated with surgery or without. Generally, it is accepted that the tendon repairs better with surgery and lasts longer, but sometimes surgery is not an option.




Whenever I exercise, the back of my foot, the tendon, hurts. What could be causing that?

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The tendon in the back of your foot is called the Achilles tendon. It is the strongest of the tendons in your body because it has to bear your weight and the force of your walking, running, jumping, and so on.

Because the tendon is under so much stress, it can be damaged through over use or with trauma. While no recommendations can be made without an examination of your foot to tell what the problem is, there are some issues you may look at to see if they prevent pain.




Disorder of the Achilles Tendon

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The Achilles tendon is a strong, fibrous tissue. It connects the muscles in the back of your lower leg, or calf, to your heel bone. The Achilles tendon is the largest and strongest tendon in the body as it bears forces of up to 12 times your body weight, which happens when you sprint. The tendon is surrounded by a tissue called paratenon, which helps the tendon move back and forth and supports the blood vessels that provide nutrients to the tendon.




Midfoot Trauma

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Although fractures of the ankle and of the metatarsals (toes) are common, fractures and dislocations in the midfoot are not. Their treatment, however, is vital because of the importance of the midfoot in weightbearing between the front and the back, and the gait. The authors of this article researched diagnosis and treatment of midfoot trauma

The disc-shaped bone in the middle of your foot, the tarsal navicular bone can be broken in one of three ways:




I saw both my parents go downhill with pain in their feet from arthritis. Isn't there a way that doctors can tell early if someone is going to have such problems with their feet?

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Unfortunately, it's not always possible to tell who will develop arthritis in their feet and who will have difficulties with pain and movement.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.

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