Achilles tendon pain can be caused by it’s completely or partially rupture. In this situation the lower limb’s mobility and walking are difficult. A fissure usually occurs at about 3.8 cm to 6.4 cm above of its insertion point into of the heel. Some experts believe that the Achilles tendon pain is caused by the cracks that occur with predilection in this area, because of a limited blood flow. Achilles tendon pain due to its rupture can be treated by:
Surgical treatment, followed by a rehabilitation program for total recovery of the tendon’s function
Use of splints, plaster boot or other device to keep the lower leg immobilized, this method leads to tendon healing, but it may develop fragility and because of this at anytime a new fracture may occur.
The Achilles tendon pain may be reduced through physiotherapy or other rehabilitation program, which also restores flexibility and strength of the leg. If tendon rupture is not treated, when the first signs of weakness or of the sensation similar to walking through sand, it will lead to intense Achilles tendon pain. Eventually walking becomes close to impossible.
Other Achilles tendon problems
Achilles tendon pain can also result from other diseases that can occur alone or in combination with tendonitis.
Achilles parasite infections: these are the Achilles tendon sheath inflammation, may manifest itself as pain, swelling, laxity which usually worsens during activity (there are known Achilles peritendonitis)
Retro bursitis: inflammation of the bag which is filled with fluid located between the back of the heel and Achilles tendon, just above its insertion bone, it is manifested by swelling, laxity and pain in the back of the leg
Insertion tendonitis: represented by the area in which tendon damage will catch on the heel, is manifested by laxity in the back of the heel to reduce foot flexion. Pain tends to worsen and remain constant after physical exercise. This condition usually accompanies retrocalcaneana bursitis.
What should you do in case of Achilles tendon pain?
Consult a doctor immediately if:
Severe pain in the back of the heel and joint
Sharp pain, like a direct hit to the Achilles tendon occurs
Click on the tendon
Discomfort during walking
Swelling in the tendon
Signs of damage to nerves or blood vessels such as numbness, tingling, pins and needles in the foot or pale skin or bluish.
In the event of a new Achilles tendon rupture, a patient who has such a history of suffering from this trauma must put the foot rest and consult a physician as soon as possible.
Watchful waiting is a period in which the patient and doctor or physician must monitor the signs and symptoms of disease. This method is not addressed when severe Achilles tendon pain is involved. If one thinks that the patient suffers from an Achilles tendon injury, it should consult a specialist urgently, because the application of emergency treatment often leads to an effective cure.
If a patient suspects, as a result of Achilles tendon pain, that he has tendonitis he must put his affected foot to rest for several days, avoiding any demanding activities. He can use ice or analgesics for calming the Achilles tendon pain and swelling. If lax, persistent cramping and pain appear, at this point, the solution is for you to consult a doctor immediately.
Medical specialists recommended in case of intense Achilles tendon pain.
Doctors who can diagnose and treat a disease of the Achilles tendon are:
Specialist physicians in emergency medicine
Orthopedic medical specialists.
Physical recovery after an Achilles tendon rupture is indicated a physiotherapist.