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A ruptured Achilles tendon usually occurs as an acceleration injury, for example after a hard press or other. Patients generally report a "kick" sensation behind the ankle.

Treatment is divided into surgery or non-surgery. Non-surgical manipulation involves restricting the limb in a cast for 8 weeks with the foot "looking down". Some surgeons believe that direct surgery on the tendon is beneficial. Surgery provides a lower chance of recurrence (re-rupture of the tendon) in the gallbladder but presents with unwanted bleeding and infections.

It is no surprise that athletes injure their Achilles tendon. Most cases of Achilles tendon rupture are caused by injury, around the age of 30, which is 20 times more common in men. Taking some antibiotics, steroid injections, increased training load are aggravating factors for such an injury. An athlete's return to competitive action depends on the success of the treatment and his willingness to receive physical therapy.

The Achilles tendon is the strongest tendon in the human body. It is a striped oriental formation that contains a large proportion of collagen fibers and results from the union of the tendons of the biceps and is embedded in the curvature of the heel.

In order to avoid the rupture of the Achilles tendon, before any physical activity, the above-mentioned stretching movements of the tendon and the muscles (mainly of the gastrocnemius duo) should precede. Stretching exercises should be done slowly and carefully without bouncing, until you feel a pull along the tendon and muscles, without feeling pain.

The compilation of a well-studied and evidence-based protocol for repairing the rupture of the Achilles tendon is of paramount importance for the safe and immediate mobilization of the patient.

After all, prevention is the best treatment and ensures the maintenance of health and fitness.


Ioannis Litsioulis

Physiotherapist - Teacher

Graduate of ATEITH

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