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Achilles Tendon Rupture
WHAT YOU SHOULD
KNOW
The Achilles tendon is the cord that attaches the heel to
the calf muscles. It runs up the back side of the ankle, and
can be torn (ruptured) by a sudden strain. If the tear is
small, it will usually take about 8 to 12 weeks to
heal.
Causes
The ruptures usually occur during
athletics or in an accident. Running, jumping, and tripping can
all cause a tear.
Signs/Symptoms
You can expect pain, tenderness,
swelling, or bruising behind the ankle. You may find it
difficult to move your foot, and it's usually painful to
walk.
Care
Your doctor will probably order
an x-ray. If you have a small tear, treatment may consist of a
cast or splint followed by exercise therapy to bring the tendon
back up to strength. If the injury is large, surgery may be
needed to fix the tear, again followed by exercise therapy.
You'll need to use crutches for a while. If you tore some skin
when you were injured, you may need a tetanus
shot.
WHAT YOU SHOULD DO
-
Use your crutches as long as directed. Do not stop
using them on your own.
-
To reduce the swelling, keep the injured foot on
pillows while lying down and on a stool when
sitting.
-
Apply ice to the injury for 15 to 20 minutes each
hour for the first 1 to 2 days. Put the ice in a plastic
bag and place a towel between the bag of ice and your
skin.
-
If you are given a plaster or fiberglass
cast:
-
Do not try to scratch the skin under the cast by
pushing a sharp or pointed object down the
cast.
-
Check the skin around the cast every day. You may
put lotion on any red or sore areas.
-
If your fiberglass cast gets a little wet, it can
be dried off with a hair dryer.
-
If you are given a plaster splint:
-
Wear the splint until your doctor says you may take
it off or until your follow-up
examination.
-
You may loosen the elastic around the splint if
your toes become numb or begin
tingling.
-
If you put pressure on any part of the cast or
splint, it may break.
-
Keep the cast or splint dry. Cover it with a plastic
bag when you bathe. Do not lower it into
water.
-
If the doctor prescribes pain medicine that makes you
drowsy, don't drive. You also may take over-the-counter
medicines for pain. Take all medications exactly as
directed.
-
If you are given a tetanus shot, your arm may get
swollen, red, and warm to the touch at the site of the
shot. This is a normal reaction to the
medicine.
Call Your Doctor If...
-
Your cast or splint gets damaged or
breaks.
-
You have severe pain that won't go
away.
-
You have more swelling than you did before
treatment.
-
The skin or toenails of the injured foot turn blue or
grey, or become cold or numb.
-
There is a bad smell coming from your cast or
splint.
-
There are new stains coming from under the cast or
splint.
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