ACCHILLES TENDENITIS
The Achilles tendon, which is involved in all pressing functions such as walking, running and jumping, is a very strong and thick tendon formed by the union of the calf muscles at the back of the ankle. The Achilles tendon, which ends at the back and top of the heel bone, plays an important role in lifting the body's load. Edema and pain problems in the tendon as a result of tendon fatigue and direct trauma can lead to tendinitis, that is, tendon inflammation. Heel and foot pressure problems can be shown as other factors that predispose to tendinitis.
Complaint
Pain felt behind and sometimes around the ankle, local swelling on the tendon, as well as tenderness towards the heel area and calf muscles are among the symptoms. Difficulty in walking and doing sports, and limitations in activities that require elevation, are frequently observed with Achilles tendinitis.
Examination
Pain is felt during manual examination of the Achilles tendon and its surroundings. Swelling due to edema inside the tendon and in the tendon sheath may be observed. Pain occurs when the patient is asked to stand on tiptoe.
Diagnosis
Before treating Achilles tendinitis, the causes of Achilles tendinitis must be examined in detail. In addition to stepping, walking and foot biomechanics, sports started without warming up and stretching, and the use of shoes with inappropriate soles and contact with the back of the foot are questioned in detail. After the examination, the definitive diagnosis is made by magnetic resonance. X-rays may be requested to distinguish bone pathologies.
Treatment
The primary treatment is rest, cold application, painkillers and anti-edema medication. Toe movements are restricted, the heel area is elevated and the ankle bandage can be wrapped. Help can be obtained from socks containing special bandages. If the patient has compression problems, insoles are used. If the complaint is long-lasting, help should be sought from physical therapy. PRP can be applied to patients with recurring complaints.