Tuesday, January 4, 2011

Matter how the Achilles tendon in the end

 Yi Kang REVIEW: Recently, Liu Xiang, the Olympic Games because suddenly retire, defeated by Achilles tendon problems? Achilles tendon problem is not effective in preventing and treating it? See below for you from the medical point of a comprehensive analysis of the Achilles tendon problem, and how prevention and treatment.
Liu Xiang, the Achilles tendon in the end is how's going?
First we look at the medical anatomy of the Achilles tendon
calf muscles to the back of the gastrocnemius and soleus muscle, both muscles extend the back of the ankle joint to form a large tendon, the rear leg of its connection the muscles to the calcaneus, is the Achilles tendon in the heel is easy to touch the top of the root tendon, which is the body's thick tendon, it is human walking, running, climbing and other sports organizations indispensable (left). It can be seen from the right, the skin is the Achilles tendon and calcaneus below, directly attached to the Achilles tendon on the calcaneus. from the side view on the same can be seen attached to the calcaneal tendon, synovial capsule surface, the outside is directly skin coverage, is directly in the squeeze between the calcaneus and the upper part of the force. As a small vascular network within the Achilles tendon unique characteristics of the organizational structure, making the blood circulation is not rich, although the strong elastic fibrous tissue, but in the event of damage, repair capacity is extremely poor and if the local often by friction, repeated inflammatory, or even severe infection, lesions deep deep Achilles tendon, periosteum, resulting in local swelling, flexibility to reduce or even disappear, or even in strenuous exercise have occurred when the Achilles tendon rupture risk. tendon inflammation will become brittle, it will insist on running in pain, may also fracture, when trouble is even greater.
we take a look how the formation of Achilles tendinitis
Anatomy of the Achilles tendon of the unique characteristics, it is vulnerable to injury, the formation of Achilles tendinitis. in the clinical needs of Achilles tendinitis often occurs in the strained calf muscle and Achilles heel person, because muscle tension, Achilles tendon resulting in greater pressure to bear, lack of proper long-term recurring Achilles tendon repair, coupled with repeated trauma, resulting in the Achilles tendon and calcaneus binding sites of chronic inflammation causing pain and limited mobility damage, because of this excessive Achilles tendinitis caused by the use. long-term overload damage, such as a sudden increase in physical activity, or even result in a partially torn Achilles tendon, Achilles tendinitis generally occurred in the Achilles tendon attachment points on the less vascular areas. Achilles tendinitis affecting functional activity of the ankle joint is a common clinical problem, often affecting the patient's life and work, a serious Achilles tendon rupture occurs when the body is to lose all standing, walking, running and jumping ability, the corresponding movement of players is a fatal injury .
then what people susceptible to Achilles tendinitis that?
almost all track and field athletes will happen Achilles tendon injuries, such as sprinters, distance runners, high jumpers, long jumpers, etc., other players such as weightlifting, diving athletes, basketball players, volleyball players were also prone to Achilles tendon injury to the formation of acute or chronic inflammation. In addition to athletes, generally like running, hiking, ballet dancers and other load movement of people also often occur Achilles tendinitis. If you had Achilles tendinitis
What are the main symptoms of clinical
the most common symptoms are standing, walking or exercise heel pain in your lower back or leg. pain to pain-based, walking, tiredness, increased cold, rest, heat pain relief. the pain became more severe in the morning, because patients usually sleep their feet straight. when patients get up and put your feet on the ground, the Achilles tendon to relax the state from the night changes to stretch the state, which produces the pain. the pain can also be increased after exercise, such as running, playing, weightlifting. a severely ill patient may even feel pain when walking. Achilles tendon in patients with acute and sometimes a little swollen, local tenderness evident. hyperplasia often the Achilles tendon in patients with chronic Achilles thicker, larger, tenderness evident. examination can be found in the proliferation of the Achilles tendon, compared with the contralateral Achilles tendon may feel stiff.
in medicine with The clinical diagnosis of tendinitis Achilles tendon

from the initial diagnosis of patients with occupational characteristics, early morning heel pain worsened after exercise, severe pain, tenderness and other characteristics of the Achilles tendon can be extensive parts of the initial diagnosis.
with Clinical diagnosis of tendon detection means
Department of MRI in need of the Achilles tendon, the Achilles tendon is also the diagnosis of the Ministry of MRI examination of Achilles tendinitis of the preferred means of diagnosis of Achilles tendon inflammation may be the extent, location, with or without adhesions, help the clinical decision to choose conservative treatment or surgical treatment.
medical classification of Achilles tendon inflammation without bacterial infection
from Achilles tendinitis can be divided into bacterial and aseptic Achilles tendinitis Achilles tendinitis, normally sterile Achilles tendinitis of the more common, but if there are open injury has not been disinfected is easy and timely development of bacterial Achilles tendinitis. but also according to the site of inflammation into the Achilles tendinitis Achilles tendon end of the disease, the Achilles tendon slip bursitis, Achilles tendinitis mixed, from the media coverage of the Achilles tendon should belong to Liu Xiang, the end of disease, this type of pain caused by Achilles tendinitis is much to be severe, some of the treatment also relatively difficult.
similar clinical need to distinguish
clinical symptoms, the need to Achilles tendinitis and differentiated with bone pain and should not be confused. with heel pain are the fat pad injury, heel bursitis, heel spurs and other causes. fat pad injury trauma history, or walking strain; bursitis long-term friction, fatigue; calcaneal spur is a degenerative disease, and age has a lot to, X-ray examination can be found in the proliferation of bone spurs. often with pain pain below the heel, and Achilles tendinitis of the heel pain, mainly in the back of the heel. with the tender point pain than its predecessor, that is the end point in the heel, and Achilles tendinitis of the tender point is more extensive than in the foot with tenderness in the back, the scope of the Achilles tendon tenderness. non-professional medical practitioners with the most simple distinction between pain and bone pain often increase when walking, and Achilles tendinitis often in the morning after the pain worsened.
medical Achilles tendinitis How to treat - first look at non-surgical treatment of Achilles tendinitis
disinfection for bacterial, anti-inflammatory is the key. For aseptic Achilles tendinitis can be taken to rest, ice, spray, drugs, adjusting the shape of shoes and so on, to avoid repeated hormone blocking treatment, prevent the occurrence of spontaneous Achilles tendon rupture.
Chinese medicine treatment of Achilles tendinitis with better clinical efficacy, we can take Chinese medicine foot bath, hot pack. Massage can play an important means to a certain analgesic effect, but it should be noted that the response in patients with Achilles tendon injury and the actual situation and avoid further aggravating the Achilles tendon injury, the Chinese massage can promote long-term Achilles tendinitis in clinical recovery and even cured. Acupuncture is the treatment of Achilles tendinitis comparison good idea. acupuncture take too River, the full three years, Yanglingquan and other points, with the river through the Kunlun too, must meet three seeped bone needle. acupuncture Yanglingquan, it is best to make sense under the needle reached the following Achilles, that more points to play a needle, a needle more by the role. because of the Achilles tendon in foot Shaoyin kidney and bladder full sun between the through hole with a needle to treat Achilles tendinitis. Yanglingquan is the Eight Points the tendons, the Eight points are gathered by the local gas, so Yanglingquan treat muscle disease.
various non-surgical treatment during the same time, the patient is to obtain a positive effect with the key. recommended in patients with normal do more exercise, for example, the case in the knee straight to stretch the gastrocnemius and in the case of the knee slightly bent to stretch the soleus muscle. necessary services required to accelerate a number of anti-inflammatory analgesics in patients with recovery.
as specific anatomical structure of the Ministry of the Achilles tendon, resulting in its > Achilles tendinitis how medical treatment - Surgical treatment of Achilles tendinitis
conservative treatment fails or if the effect is not obvious, you can consider choosing surgical treatment, surgical separation of adhesions is the main method, removal of lesion of tendon sheath, multiple longitudinal Achilles tendon lesions type incision decompression, if found after the upper corner of the high-heel, Achilles tendon collision, after the top corner to level the calcaneus should be smooth.
of course, take into account the movement of Chinese sports medicine surgery, especially the huge U.S. gap, conditional or surgical treatment of choice in the United States, especially in such national treasures as the athlete Liu Xiang, so that really ruined his athletic career.
Last Achilles tendinitis have better ways to prevent it?
Achilles tendinitis prevention is very important, do the following to be effective in preventing
1. sport before, need to do 20 minutes of warm-up, opened the activities of the joint ligaments.
2. When doing physical exercise , we must step by step, slowly increase the volume.
3. one can always do some small load leg exercise, exercise the capacity of the Achilles tendon.
especially like sports and athletes should do preventive work, For such national treasures as the athlete Liu Xiang to send medical team to the scene to guide the professional conduct of its restorative exercise is particularly important.
sincerely hope Liu Xiang after the last treatment and reasonable tone, as soon as possible return to the track, race glory performance. We pay more attention to Liu Xiang events sports health.
attached Li Hongbiao teacher blisters on movement control, we want to help.
Appendix: Exercise blister prevention strategies (Kunming Sports Training Bases Campaign Medical Clinics Li Hongbiao)
sports blisters is most common in our daily life Local and sports shoes, sportswear due to excessive local friction. the skin surface and deep space between the full exercise of the formation of lymph blisters. vesicle movement usually occurs because the players wear new shoes or participate in marathon sports or hiking long time, campaigns can prevent and treat blisters.
how can I do to prevent movement of the bubble?
ensure that shoes are for your own foot size. the idea of (example: Band-Aid in the local paste) and support to bring other potential hot spots to prevent occurrence of red blisters on the area. in the shoes of attention to check the formation of shoes, do not have wrinkles! especially when climbing movement. Sports shoe storage to avoid the impact of radiation and heat, as these factors will lead to the leather folds and deformation occurs. as far as possible to keep shoes dry, wet shoes, boots and socks dry these items more than likely lead to blisters! wherever When possible, replace the regular use of shoes, socks or shoes desiccant to keep dry.
blisters the first symptoms of what it?
first appearance of skin redness, usually in the Achilles tendon and upper contact with the local or toes. using socks. in the local areas of high friction applied Vaseline to reduce friction is an effective short-term behavior, or other can be applied as quickly as possible cooling agent is also OK.
sports how to treat it the blisters?
If blisters if not broken, it is necessary to use a sterilized needle to pierce the blisters, blisters in particular, bear the weight of the region. disinfection in the home through the needle can be used to disinfect the flame burning! But do not bloody blisters on the full pump it! have a sense of prevention of local infection! drainage to keep too much skin as possible to cover the wound. is to take various measures to prevent infection after the do. with a sterilized cotton swab to clean the wound, and then, in the cover the wound dressing, dressing changed regularly until it healed. 

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