Tendoachilles Rupture (Ankle Pain)
It’s a rupture of Achilles tendon which runs behind the ankle. Most commonly in the middle aged athlete. Injury often occurs while running, jumping or pivoting.
- Direct injury to Achilles tendon.
- Sudden dorsi flexion or plantar flexion.
- Fall from a height.
- Jumping or stepping into a hole.
- Age 30 to 40 yrs.
- Men > Women.
- Running, jumping, sudden starts and stops: Such as soccer, basketball, tennis.
- Steroid injections for pain relief in the ankle.
- Certain antibiotics e.g. fluoroquinolone, ciprofloxacin or levofloxacin.
Signs and Symptoms:
- Sharp pain and swelling behind the ankle generally described as struck by an object or implement.
- Depression felt 2” above the heel.
- Loud pop out sound.
- The patient can walk but limping seen as the patient can’t stand on one leg.
- Rice: Rest to ankle, Icing over the ankle to limit blood supply thereby preventing further injury and swelling. Compress by crape bandage to limit swelling. Elevation of the ankle by placing a pillow underneath to drain fluid and blood downhill to the heart.
- Ultrasound: To heal swelled and tender area.
- Massage: Effleurage to drain fluid.
- Stretching and strengthening exercise: After the pain and swelling relief.
- Stretching and strengthening of calf muscles.
- Avoid activities that give excessive stress on Achilles tendon such as jumping, hill running etc.
- Change your exercises from high impact to low impact (running to walking or biking or swimming).
- Avoid running on slippery surfaces.
- Shoe modifications like properly fitted shoe and heel pads.
- Gradual increasing in your exercise levels (distance, intensity, duration and frequency.)