Treatment FAQ

what is the treatment for a strained achilles tendon

by Dr. Stephanie Luettgen Published 2 years ago Updated 2 years ago
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Achilles tendon injuries can be treated with rest and medicines to help with the inflammation. Exercises often help too. If needed, surgery can be done to repair the tendon.

Medication

Stretching is an effective preventive measure, specifically focusing on tendon and calf stretches. Stretches and light exercises will strengthen the tendon and reduce chances on strains and ruptures. Additionally, it is helpful to wear shoes that fit properly and that support your heels. Risk factors of an Achilles Tendon Strain

Procedures

The R.I.C.E. method is the mainstay of conservative treatment for soft-tissue injuries, such as Achilles tendonitis. It may be used in conjunction with other methods to enhance treatment outcomes. R.I.C.E. stands for: Rest Ice to the areas of soreness and swelling Compression with an elastic bandage Elevation of the extremity above heart level

Therapy

Although steroid injections may provide temporary relief from the pain of an achilles injury they should generally be undertaken with caution as they weaken the tendon and may lead to a complete rupture.

Self-care

To reduce your chance of developing Achilles tendon problems, follow these tips: Stretch and strengthen calf muscles. Stretch your calf until you feel a noticeable pull but not pain. Don't bounce... Vary your exercises. Alternate high-impact sports, such as running, with low-impact sports, such as ...

Nutrition

Jan 04, 2020 · Cortisone injections into the Achilles tendon Gout Fluoroquinolone antibiotic use Fluoroquinolone antibiotics are used very commonly in medicine for treatment of respiratory infections, urinary tract infections, and other bacterial infections. These antibiotics, such as Cipro, Levaquin, and others, are associated with Achilles tendon rupture.

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The main problem in a strain is that the tendon becomes inflammed. Therefore, RICE therapy works to reduce the inflammation. The R in RICE stands for rest -- try and stay off the effected food as possible. The I stands for ICE -- at least initially this can help reduce the swelling.

What should I do if I strained my achilles tendon?

Apr 20, 2022 · Treatment of Achilles Tendinitis / Tendinosis Reduce pain through load management Reduce stress: Heel lift Night splint to minimize the Achilles tightening because of the foot’s plantarflexed position when sleeping. Avoid compression for insertional tendinosis. (No aggressive stretching) Correct any ...

How long does it take an Achilles tendon to heal?

How to strengthen your Achilles tendon?

Does your Achilles' tendon heal on its own?

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How long does it take for a strained Achilles tendon to heal?

Depending on the type of work, some people need several weeks off work after an Achilles tendon tear (rupture); the time taken to return to sport is between 4 and 12 months. Generally, the outlook is good. However, the tendon does take time to heal, usually about six to eight weeks.Dec 21, 2020

Can you walk on a strained Achilles?

Can You Still Walk with a Torn Achilles Tendon? You can still walk if you have a torn (ruptured) Achilles tendon, but you may be unable to bend your injured foot downward and “push off” this foot.May 31, 2019

How do you fix a strained Achilles tendon?

Achilles Tendon Injury TreatmentRest your leg. ... Ice it. ... Compress your leg. ... Raise (elevate) your leg. ... Take anti-inflammatory painkillers. ... Use a heel lift. ... Practice stretching and strengthening exercises as recommended by your doctor, physical therapist, or other health care provider.Oct 18, 2021

How do you know if you have pulled your Achilles tendon?

Pain, possibly severe, and swelling near the heel. An inability to bend the foot downward or "push off" the injured leg when walking. An inability to stand on the toes on the injured leg. A popping or snapping sound when the injury occurs.Jul 31, 2020

What are 2 signs of Achilles tendonitis?

Symptoms of Achilles tendinitis affect the lower leg above the heel....You might notice:Heel pain and ankle pain.Stiffness or tenderness in the tendon.Leg weakness.Swelling around the Achilles tendon.May 12, 2021

What is the fastest way to heal Achilles tendonitis?

3:199:55How to Fix Achilles Tendonitis in 3-5 Minutes (2 Options) - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd you're gonna get in there aggressively. We'd like to do this for a number of minutes but yourMoreAnd you're gonna get in there aggressively. We'd like to do this for a number of minutes but your fingers are gonna get tighter and right typically after two to three minutes. And then you got to take

Should I walk with Achilles tendonitis?

Even fast walking would likely be ok - but if too painful, try using an insert in the heel (available at most drug stores). This shortens the length of the Achilles tendon and relieves some of the stress.

Should you stretch a strained Achilles?

For optimal relief, stretch your Achilles tendon regularly. You should continue to stretch even when you don't feel stiff or sore. To get the most out of each stretch, keep these tips and tricks in mind: Take your time.

What does a partial Achilles tear feel like?

If the Achilles tendon is partially torn pain is felt in the back of the lower leg. This can often feel like you have been kicked in the back of your ankle. There may also be an audible snap, crack or tear.

What happens if Achilles tendonitis goes untreated?

Untreated Achilles tendonitis can lead to a series of tears within the tendon, making it susceptible to rupture. A rupture of the tendon will most likely require more serious treatment options, including casting or surgery.Oct 5, 2015

Is my Achilles torn or strained?

An Achilles tendon tear is usually obvious to the injured. Sharp pain is typically experienced directly above the heel. The rupture is usually accompanied by a popping or snapping noise. The area around your ankle may feel swollen or stiff and could be sensitive to touch.Jan 2, 2019

How do you tell if your Achilles is hurt?

Symptoms of Achilles Tendon InjuryA popping sound, indicating a rupture or damage.Swelling around the heel.Severe pain in the heel.Difficulty in bending the foot downward (plantarflexion)Difficulty in standing, especially on the injured leg.

What is an Achilles Tendon Strain?

An Achilles Tendon Strain is a common injury occurring in the Achilles Tendon, the largest tendon in the body that connects the heel to the calf muscles. Whilst very strong, the tendon is not flexible unless conditioned. This means anyone from an athlete to someone going about their everyday life can be affected by a strain.

Symptoms of an Achilles Tendon Strain

It is common to experience localised pain after incurring an Achilles tendon strain. Additionally, there will be some swelling around and within the tendon itself, near the heel. A strained tendon may make it difficult to stand on your toes. It may only be mild and can pass over time, however if it is continuous you should seek medical attention.

Prevention of an Achilles Tendon Strain

It is possible to prevent a strain of the Achilles tendon in several ways. Stretching is an effective preventive measure, specifically focusing on tendon and calf stretches. Stretches and light exercises will strengthen the tendon and reduce chances on strains and ruptures.

Risk factors of an Achilles Tendon Strain

Often, sudden large changes in training patterns can cause additional stress on the Achilles tendon and result in a strain. This can be mitigated by increasing training intensity gradually and by strengthening calf muscles. Weak calf muscles are more susceptible to tissue damage.

Where to go for Achilles tendon rupture?

People with an Achilles tendon rupture commonly seek immediate treatment at a hospital's emergency department. You might also need to consult with doctors specializing in sports medicine or orthopedic surgery.

How long does it take to recover from Achilles tendon surgery?

Most people return to their former level of activity within four to six months. It's important to continue strength and stability training after that because some problems can persist for up to a year.

What happens if your foot doesn't flex?

He or she might then squeeze your calf muscle to see if your foot will automatically flex. If it doesn't, you probably have ruptured your Achilles tendon.

Where to stitch a torn tendon?

The procedure generally involves making an incision in the back of your lower leg and stitching the torn tendon together. Depending on the condition of the torn tissue, the repair might be reinforced with other tendons.

What is functional rehabilitation?

One review study concluded that if you have access to functional rehabilitation, you might do just as well with nonsurgical treatment as with surgery. More study is needed.

What is the best medication for Achilles tendonitis?

Nonsteroidal anti-inflammatory medications include a long list of possibilities such as ibuprofen, Motrin, Naprosyn, Celebrex, and many others. These medications help to control inflammation in and around the tendon. As stated above, anti-inflammatories can be particularly helpful when treating Achilles tendonitis.

Why do you put a heel wedge in your shoes?

A heel wedge can be inserted into the shoe to minimize the stress on the Achilles tendon. These can be placed in both athletic shoes and work shoes. By lifting up the heel of the foot, even by a small amount, a significant amount of force is decreased on the Achilles tendon.

Who is Jonathan Cluett?

Jonathan Cluett, MD, is board-certified in orthopedic surgery. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams.

What is eccentric strengthening?

Eccentric strengthening exercises are specific activities and movements that allow for muscle contraction while the muscle is lengthening. This may sound strange, most often when the muscle contracts, it shortens. However, there are specific activities that allow for muscle lengthening while contracting.

Can PRP be used for Achilles tendon rupture?

PRP injections have not yet been proven to help in the treatment of Achilles tendon problems, and cortisone injections can lead to possible rupture of the Achilles tendon. Therefore, injections are used sparingly in the treatment of Achilles tendon problems.

Can a cast help with inflammation?

The length of time of immobilization should be limited to prevent stiffness or muscle atrophy, but this can be an effective method of quickly relieving inflammation.

R.I.C.E. Method

The R.I.C.E. method is the mainstay of conservative treatment for soft-tissue injuries, such as Achilles tendonitis. It may be used in conjunction with other methods to enhance treatment outcomes.

Medications

Your doctor will also likely prescribe oral anti-inflammatories or pain medications to alleviate the discomforts associated with the injury. If you want to avoid the side effects of oral anti-inflammatories, they may also prescribe topical anti-inflammatory medications.

Cortisone Shots

If oral medications fail to provide adequate relief, your doctor may recommend injectable corticosteroids, which they will administer into the affected area.

Physical Therapy

If R.I.C.E. has not helped relieve your tendonitis, your doctor may recommend physical therapy. A physical therapy program incorporates stretching and strengthening exercises, both of which can help alleviate your pain, improve your mobility and flexibility, and facilitate your recovery.

Surgery

Your orthopedic doctor will likely consider surgery for your tendonitis if the pain and other symptoms have not improved after six months of nonsurgical intervention. The type they will recommend will depend on the exact location of the injury and the extent thereof.

Achilles Tendonitis Treatment in San Antonio, TX

If you have symptoms of Achilles tendonitis or any other musculoskeletal condition or injury, visit us at the Center for Orthopaedic Surgery and Sports Medicine for a comprehensive evaluation.

What is the best treatment for Achilles pain?

An Achilles TShellz Wrap to increase blood-flow to the treatment area (Circulatory Boost). MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.

How to prevent achilles tendon injury?

If you have an achilles tendon injury, rest is recommended, however, some careful movement is required to prevent the joint from freezing and losing range of motion. See your doctor or physical therapist (PT) for stretches that will not cause further injury to your achilles. Avoid activities that cause pain or may have caused the injury and begin cold compression treatments as soon as possible.

How does a T-Shellz wrap work?

This is why the T•Shellz Wrap ® is such an important tool. The whole purpose of the wrap is to provide localized heat while also significantly increasing blood flow to tissue in the treatment area. The result of this is as follows: 1 Blood vessels within the treatment area relax and naturally expand (this is termed "vasodilation") permitting more blood flow to reach the very tissues you are trying to heal. 2 When tissue temperature increases, the tissues increase both in length and flexiblity. Elongated and flexible tissue is less likely to strain and tear, so your risk of further injury and/or reinjury is reduced when this occurs. Less injury during recovery means 1) your recovery will be streamlined and not sidelined due to recurring injury, and 2) less re-injury will mean less scar tissue should grow in the area. 3 Enhanced blood flow benefits tissue in a number of ways: 1) It is likely to clear the area of toxins and excess fluid build up more quickly, thereby reducing inflammation and 2) Scar tissue can form in areas that are starved for blood flow - an enhanced blood flow is more likely to reduce such occurrences.

Why does my Achilles tendon hurt?

A strain in the Achilles tendon is caused by excessive twisting and turning, a sudden traumatic injury, improper training or overuse during a prolonged period of time.

What is grade 2 strain?

A grade 2 strain occurs when a tendon or muscle is partially torn but still intact. If you have a grade 2 strain, strength in the Achilles tendon and gastrocnemius and soleus muscles is noticeably reduced. Approximately 75% of grade 2 tears occur in sports that involve sprinting or repetitive jumping.

How many different grades of tendon strains are there?

A tendon or muscle can be strained to varying degrees depending on the force that caused the strain and the strength of the tendon or muscle tissue. There are 3 difference grades of tendon strains and the grade is determined by the severity of the tissue damage.

What is the body's response to an immediate achilles injury?

Inflammation is the body's natural response to an immediate achilles injury and is a normal part of the healing process - helping to reduce tissue infection in the early stages of injury. Swelling, pain, heat sensation, redness, and loss of function are the main symptoms experienced.

What is Achilles tendon tear?

An Achilles tendon tear occurs when the tendon attaching the calf muscle to the heel is completely torn. This is a common injury, most often seen in middle-aged male weekend warriors.

What are the risk factors for Achilles tendon rupture?

Other risk factors that are associated with Achilles tendon rupture include: Cortisone injections into the Achilles tendon. Gout. Fluoroquinolone antibiotic use. Fluor oquinolone antibiotics are used very commonly in medicine for treatment of respiratory infections, urinary tract infections, and other bacterial infections.

How many people have ruptured Achilles tendon?

Achilles tendon ruptures are most commonly seen in men who are around the age of 30 or 40. 3  About 15 to 20% of patients have symptoms of Achilles tendonitis prior to sustaining an Achilles tendon tear, but the vast majority of patients have no history of prior Achilles tendon problems. Over 75% of Achilles tendon tears are associated ...

What does it mean when you feel like you have been kicked in the heel?

An Achilles tendon tear, or rupture, is a traumatic injury that causes sudden pain behind the ankle. Patients may hear a 'pop' or a 'snap,' and will almost always say they feel as though they have been kicked in the heel (even though no one has kicked them).

Who is Jonathan Cluett?

Jonathan Cluett, MD, is board-certified in orthopedic surgery. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams.

Can you tear your Achilles?

Certain antibiotics and cortisone shots may make you more likely to tear your Achilles. A specific type of antibiotic, called fluoroquinolones (such as Cipro ...

Question

Almost positive that I strained my achilles tendon. I know I didn't tear it but it is definitely sore. How should this be treated? Don't want to see a doctor if it's not necessary.

Answer

The achilles tendon is a common injured area. Often this will resolve on its own. Unfortunately, there are some instances in which this requires more intensive therapy (such as surgery).

Need more info?

Zocdoc Answers is for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment.

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