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1. Tendinopathy, also called tendinosis, refers to the breakdown of


collagen in a tendon. This causes burning pain in addition to
reduced flexibility and range of motion.
2. During the physical exam, the doctor will inspect your lower leg
for tenderness and swelling. Your doctor might be able to feel a
gap in your tendon if it has ruptured completely.
The doctor might ask you to kneel on a chair or lie on your
stomach with your feet hanging over the end of the exam table.
He or she might then squeeze your calf muscle to see if your foot
will automatically flex. If it doesn't, you probably have ruptured
your Achilles tendon.
If there's a question about the extent of your Achilles tendon
injury — whether it's completely or only partially ruptured — your
doctor might order an ultrasound or MRI scan. These painless
procedures create images of the tissues of your body.
3. The Achilles tendon or heel cord, also known as the calcaneal
tendon, is a tendon at the back of the lower leg, and is the
thickest in the human body. It serves to attach the plantaris,
gastrocnemius (calf) and soleus muscles to the calcaneus (heel)
bon. It allows us to stand on our toes when walking, running, or
jumping.
4. Tendon healing after surgical repair generally progresses through
a short inflammatory phase, which lasts about a week, followed
by a proliferative phase, which lasts a few weeks, followed by a
remodeling phase, which lasts many months. During the
inflammatory phase, vascular permeability increases and an
influx of inflammatory cells enter the healing site. These cells
produce a number of cytokines and growth factors that lead to
recruitment and proliferation of macrophages and resident
tendon fibroblasts. During the proliferative and remodeling
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phases of healing, fibroblasts proliferate and begin to produce,
deposit, orient, and crosslink fibrillar collagens.
5. Stance phase: foot is in contact with the ground
Sub phases are;
Initial contact (heel strike/contact)
Loading response
Midstance (foot flat)
Terminal stance (heel off)
Preswing (toe off).
Swing phase: foot is in the air
Sub phases are;
Initial swing (acceleration)
Midswing
Terminal swing (deceleration).
6. COMPLICATIONS LIKE ;
Skin irritation. ...
Soreness. ...
Bruises. ...
Nerve system damages. ...
Different injuries. ...
Artery problems. ...
Atrophy. ...
Serious mobility detention.
7. Starting Physical Therapy after Fracture
After a fracture, physical therapy may be ordered to help ensure
you return to optimum function as quickly as possible. You may
encounter a physical therapist at different times in the continuum
of care after suffering a fracture.
Your physical therapist can help you master using your assistive
device in your home environment. You may also engage in
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exercises to help improve your overall endurance or to strengthen
the muscles around the fracture site.
Others are;

Stretching
Massage
Ultrasound
Strengthening exercises.

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