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Like we mentioned last week, proper recovery from a tendon injury is critical to get you back to an active lifestyle. You can only treat your tendon injury or tear properly with an accurate diagnosis from an experienced podiatrist.
Torn tendons can happen in a lot of areas—the Achilles, posterior tibial tendon, peroneal tendon, and anterior tibial tendon. Tears occur from acute (sudden) injuries and from long-term strain with chronic tearing and faulty biomechanics.
Your podiatrist may recommend non-surgical options for a torn tendon, including bracing, casting, physical therapy, taping, rest, behavior modifications, and injections—particularly amniotic injections which are very helpful for helping tendons heal without surgery. (These injections are particularly effective when used in conjunction with other treatments.)
In general, tendons heal after 6-8 weeks from the time of injury. It is important to realize that you may not have any pain after a few weeks, but the injury is still healing! Follow-up appointments with your podiatrist will help determine the speed of recovery and allow for adjustments in your non-surgical treatment plan.
If the injury is not healing or has gotten worse, your podiatrist may recommend surgery to repair the torn tendon. This is common in full ruptures and tendon breaks, but not often used for tendon tears.
The effectiveness of each non-surgical treatment varies from patient to patient. This is due to many factors such as the severity of the injury, patient age, and current overall health. Only an experienced podiatrist like the doctors at the FAAWC can give you an accurate diagnosis and help build the non-surgical treatment plan for your tendon injury. Call us today to get started on the path to healing. 740.363.4373
It’s common for people to jump on the internet, type in their symptoms, and follow whatever advice they find that looks good (or easy). But properly treating a foot or ankle injury requires a proper evaluation that only a podiatrist can give. For example, tendon issues.
Tendons can experience small tears, end-to-end tears, and split tears. Each of these leads to a gradual thickening of the tendon. However, not all of these injuries are treated the same way. Treatment depends on the severity of the individual tear.
Tendon injuries must be rested at some point. Rest allows the tendon to heal properly, giving patients a much better long-term success rate. Resting “properly” is trickier and more important than most people realize. How much rest is enough rest? Both patients and professionals often pay lip service to the importance of rest, while in practice nearly ignore it or even go against it.
Rest can sometimes be accomplished with activity modification, but more commonly, with braces, casts, or applied wraps you would get from your podiatrist. Your FAAWC podiatrist may also recommend rehabilitation. Unless there is a severe tear requiring surgery, rehab is always helpful for motivated patients.
Rehab can start after the first week. Initially, you will work on your range of motion and massage affected areas. Patients then progress to actively strengthening the muscle as well as the muscles in that group. It is always better to do rehab with a therapist, as studies show a much greater success rate. Your podiatrist can help recommend a physical therapist trained to help heal your specific injury.
Treating a tendon injury properly is critical for proper recovery. But when the internet tells you to “rest” your injury or offers exercises for rehabilitation, remember that completing these two tasks correctly takes the assistance of an FAAWC podiatrist. Your injury needs proper diagnosis and treatment to get you back to your active lifestyle. Call for an appointment today 740 363 4373
Alec, I’ll take “important tendons in my foot” for $400, please…
Meet the Posterior Tibial Tendon. This band of tissue starts in the inner calf and courses behind the inner ankle bone. It then inserts into the inner arch area with the peroneal tendon. The posterior tibial tendon is a primary supporter of the arch and controls flexion and inversion (bending and twisting) of the foot.
This tendon is subject to both prolonged strain and sudden injury. Tendonitis of the PTT, also called posterior tibial tendon dysfunction, occurs when the tendon is inflamed, torn, or ruptured. Most commonly, this is caused by pronation. Pronation causes overstretching of the tendon, which eventually causes breakdown and tearing. When the arch flattens, it can also cause the tendon to tear.
Posterior tibial tendonitis presents as sharp pain on the inner arch or behind the ankle bone. Pain is worse with activity or after standing for long periods of time. Swelling is often present. The heel may also be tilted outward as a result of the arch collapsing.
At your appointment, your podiatrist will examine the signs of injury and request exercises to evaluate foot function and movement. X-rays, ultrasounds, and MRIs are sometimes used for diagnosing posterior tibial tendon injuries.
Appropriate and quick care leaves you open to many non-surgical options such as bracing, immobilization, rest, and physical therapy. Orthotics are helpful and needed once the inflammation and pain have subsided. Your podiatrist will monitor your progress and help mold custom orthotics when you need them.
For severe tears and ruptures, surgery may be needed. This can vary from direct repair of the tendon to full reconstruction of the arch. The best way to avoid surgery is to call the FAAWC today for your appointment. 740.363.4373
What are they?
The peroneal (per-o-ne-al) tendons are bands of tissue extending from the calf muscle, down the fibula (lower leg bone), and over the outside of the ankle. You have two in each leg. One ends at the fifth (outside) metatarsal; the other attaches to the inside of the arch. These tendons are the primary stabilizers of the ankle, protecting you from ankle sprains and helping turn and bend the foot.
Why are they pesky?
Peroneal tendons are “pesky” because they are easily damaged by both chronic and acute injuries. In addition, injuries to the peroneal tendons are hard to heal with conservative treatment options.
Peroneal tendons can experience:
Tendonitis – inflammation due to chronic overuse
Tears – a sudden rupture of one or both tendons
Tendonosis – a tear occurring slowly over time
Subluxation – slipping of the tendon from a normal position
Why does this happen?
Factors contributing to both chronic and acute peroneal injuries include overuse, a sudden increase in exercise intensity, improper training techniques, and using improper athletic shoes. High arches and imbalanced ankle muscles can contribute to your risk factors for these injuries. Most peroneal injuries occur in athletes and runners.
What can you do about it?
To avoid a peroneal injury, athletes, runners, and active persons should perform stretching and strengthening exercises, choose proper running shoes, and ramp up training intensity slowly. In addition, orthotics can help correct foot mechanics to avoid injury.
If you have already experienced a peroneal tendon injury, treatment options include:
Immobilization – using a cast, boot, or splint
Anti-inflammatory medications – used to manage swelling and pain
Physical therapy – stability and strengthening exercises
Bracing – during future activities to avoid further injury
Surgery – to release or repair tendons; to correct additional structures in the foot
Any foot or ankle pain needs to be evaluated by a podiatrist. Your peroneal tendons are important to the movement of your foot. Don’t let your active lifestyle be interrupted by a peroneal tendon injury. Call the FAAWC for an appointment right away.
Good health involves every part of your body and your core is vitally important for your health...the core of your foot, that is! Yes, the foot has a core. You may know it as the “arch” of your foot. This simple-looking structure works in every part of standing, walking, and running.
As human beings began to walk and run, the arch of the foot had to develop to keep up with the added strain and pressure. The plantar fascia (the band of tissue running along the arch, is connected to a variety of muscles. The stability and movement of the arch are controlled by these intrinsic and extrinsic muscles—aka the core.
Most of these muscles are small, beginning and ending in the foot. When these muscles are weak, your foot loses stability and strength. This can leave you open to common injuries such as plantar fasciitis, flatfoot, or tendonitis.
The core of your foot is affected most by your foot mechanics and also your weight. People who overpronate or underpronate will need to address these issues to keep their foot’s core strong and healthy. Orthotics are very helpful in keeping your core healthy, and FAAWC is able to provide all orthotic types.
Easy ways to train your foot’s core include picking up a marble 30 times with each foot and pressing your toes into the ground to lift your arch while you’re standing flat (hold for 20 seconds and repeat three times on each foot). Complete these exercises twice a day for maximum results.
You can have a healthy foot core with just a little practice and regular visits to your podiatrist. Call the FAAWC today to schedule an appointment. 740.363.4373