Achilles Tendon Ruptures – Not Just For Pro Athletes
Over the weekend Kobe Bryant had surgery on his torn Achilles tendon, ending his season with two games left in the Los Angeles Lakers' playoff chase. Lakers' star likely will need six to nine months for recovery from the most serious injury of his 17-year NBA career.
Most people attribute Achilles Tendon Ruptures to elite athletes. As more and more weekend warriors hit the trail, pavement, or court, the injury has become more commonplace than you might expect.
The Achilles Tendon is a strong tendon that connects the muscles of the lower leg to the heel bone. The tendon allows the foot to bend downward and is very important in walking. The Achilles tendon is one of the strongest tendons, but can be partially or completely ruptured if it is overstretched. Most patients report feeling a pop or snap during the injury along with the feeling of being kicked in the back of the leg. Extreme pain usually arises quickly. Swelling typically occurs around the heel and the lower part of the calf. Depending on whether the tendon is partially or completely ruptured, the tendon may still have some function.
The diagnosis of an Achilles tendon rupture must be made and treated immediately by your Thomas Podiatrist. Although a decreased ability to bend the foot downward is indicative of an Achilles tendon rupture, it is important to rule out any other injuries, such as broken bones. In most cases, an MRI will be ordered to assess the extent of the damage.
Treatment of Achilles tendon ruptures varies depending on the extent of the injury. Most partial ruptures will be able to be treated with a special boot and using crutches. In more extensive injuries, surgical intervention may be required.
This is a serious injury that sometimes can be avoided. Often times patients ignore symptoms of achilles tendonitis which often responds very well with conservative treatment with ice, stretching, physical therapy and treatment with EPAT at our office.
If you suspect that you may have sustained an Achilles tendon rupture, you should contact Thomas Podiatrist Dr. Mark Olsen immediately, so that you have the best possible chance of a speedy recovery and not be sidelined with Kobe Bryant.
When you injure yourself and have to keep the weight off one leg for several weeks or longer, you might be forced to give up your normal activities. You can no longer run on the treadmill or enjoy a long walk through your neighborhood. But just because your life has changed for a certain amount of time does not mean you have to sit on the couch all day every day. Here are a few ways you can stay active while you are recovering from an injury.
Since you will likely have to rest more often than you did in the past, doing stretches for your back, neck, arms, and your good leg will be essential. You do not want those muscles to get stiff and cause you more pain that your injury is already causing. Do the stretches on a regular basis and you will find that your muscles will stay strong while you rest your injured leg.
Your physical therapist will probably give you some exercises that you will need to do with your injured leg. Follow those instructions and make sure that every time you do your exercises that you do them correctly. Form is just as important as repetition. Between physical therapy exercises, there are other things you can do as well. Lift hand weights to keep your arms strong. Do some sit ups to keep your core toned. And do some leg lifts on your good leg. Keeping yourself as strong as possible will help your recovery speed up as well.
3.Play Board Games
You are likely a very busy person without much spare time. When you are injured, there will be many things you can no longer do. But instead of letting your mind go to mush, pull out some of your favorite board games and play them with your kids, neighbors, friends, or anyone else who stops by to help you during your recovery. You will have a good time with the game and you will get to enjoy people you know and love at the same time. Plus, your mind will be occupied and you will not be thinking about your discomfort as much.
4.Get Fresh Air
Just because you are not moving far from your house does not mean that you cannot leave the walls of your living room at all. Even if you do not have the energy to go to work or run errands, you can still sit on your porch, deck, or at least open a window. When you get fresh air, you will feel better all around and will likely get the motivation to venture farther soon.
5.Look into Alternatives to Crutches
Crutches are wonderful tools, but they can also be very painful and even limiting in terms of your mobility. After you hobble around on crutches for a few days, you will understand how many things you cannot do and how slowly you have to do the things you can still do. Fortunately, there are alternatives to crutches on the market. GoodbyeCrutches.com has three such alternatives: the Hands Free Crutch, the Knee Walker, and the Seated Scooter. The Hands Free Crutch allows you to walk much like normal leaving your hands free to carry whatever you need to take along with you. The Knee Walker has wheels so you can scoot yourself from place to place with your good leg and the Seated Scooter lets you rest wherever you go. All three options allow you to stay even more active during your recovery.
Recently Sara Jessica Parker revealed she has permanent foot damage after years of wearing high heels. She blamed “cheap shoes” as the cause for her damage. The lower priced shoes had bottoms that were plastic and she attributed this to her multiple slips and twisting of her ankle. She is now choosing flat shoes to accommodate for her foot pain and deformities that have been diagnosed by a doctor.
Was it the long term use of heels or truly only the cheap ones that caused the issue? I would bet it was a combination of her inherited foot type, overuse of heeled shoes, many hours of contracting muscles that eventually caused issues to the foot as well as the multiple ankle sprains. It is impossible to blame one pair of shoes. Remember she is responsible for putting Manolo Blahnik on the map and we all know those are not “cheap”.
When looking for shoes as a career woman it is best to remember to change it up. If you wear a heel one day follow it by a flat the next. Don’t make every heel a stiletto but instead alter it with a wedge or chunkier type heel. The higher the heel, the greater the pressure on the front of the foot. A wedge shoe distributes your weight more evenly and offers support all the way through the foot. Materials of the sole and heel should provide cushioning and shock absorption. Avoid synthetics, a natural leather or suede insoles is more breathable and pliable, it will prevent chafing and blistering while molding to the foot. Variability in your shoes will never leave you complaining like Sara Jessica Parker that one particular shoe was your problem.
Some of my favorites:
Rockport with Adiprene by Adidas http://www.rockport.com/
ColeHaan with Nike Air http://www.colehaan.com/
Stewart Weitzman http://www.stuartweitzman.com/
Ladies we must remember to inspect and determine the age of our heels as well! High heels are designed to exude confidence and make us feel pretty. But that can only take us so far if foot pain and injuries follow. If your heels just don’t look right or give you that wobbly feeling it is safe to say they are in need of replacement.
Heels have a life span just like sneakers! 3 signs of age to look out for are:
- Frayed materials on the heel which shows age and the environment in which the shoe has been worn.
- Heel surface which can be uneven or missing all together causing instability and over compensation to maintain balance.
- Worn sole having a discolored look which can lose its tread and become uneven and slippery.
Whether you are a marathon runner, weekend hiker, or active mother your sneakers get worn out over the course of time. The length of time may differ but the amount of miles you put on a sneaker determines the age of that shoe. Mileage can break down the cushioning and stability of the shoe and allow for less shock absorption over time. Your legs and joints will begin to feel the impact and injuries may occur due to extra stress placed on them.
Your shoes are broken down into 2 major parts, the midsole and outer soul. The midsole, where the cushioning and stability is provided, usually is the first place to show signs of wear and can cause the most harm. Creasing of the insert will begin to show as well. The outer sole which is usually made of a carbon rubber is more difficult to wear down and will show wear in the later stages. It is only a matter of time before the outer sole has worn through to the midsole creating an uneven surface of the shoe.
You ask “how long does it take to wear out the midsole?” and the answer is usually 300 to 400 miles. Each person is different on the amount of time it will take to reach those miles. The surface of which you wear the shoe plays a huge role. More rigid ground with rocks and sand will wear out a shoe faster than that of a smooth and flat surface. Very active people will perform 300-400 miles in 3-4 months where less active people will lean more towards 6 months. A piece of advice is to sharpie the date you bought the shoes on the tongue. Give a glance at the date and think about how many miles you have gone since. If the mileage is over 400 it is time to replace!
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