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 ADEPOJU IYINOLUWA E 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 ADEPOJU IYINOLUWA E exercises to help improve your overall endurance or to strengthen the muscles around the fracture site. Others are;