Ахилл сіңірінің қабынуы: себептері, диагностикасы және емдеуі

Medical condition of the ankle and heel

Achilles tendinitis is a common injury, particularly in sports that involve lunging and jumping. It is also a known side effect of fluoroquinolone antibiotics such as ciprofloxacin, as are other types of tendinitis. Swelling in a region of micro damage or partial tear can be detected visually or by touch. Increased water content and disorganized collagen matrix in tendon lesions may be detected by ultrasonography or magnetic resonance imaging. Achilles tendinitis is thought to have physiological, mechanical, or extrinsic (i. e. footwear or training) causes. The Achilles tendon has a generally poor blood supply throughout its length, as measured by the number of vessels per cross sectional area. Blood is supplied via the synovial sheaths that surround it. This lack of blood supply can lead to the degradation of collagen fibers and inflammation. Tightness in the calf muscles has also been known to be involved in the onset of Achilles tendinitis. During the loading phase of the running and walking cycle, the ankle and foot naturally pronate and supinate by approximately 5 degrees. Excessive pronation of the foot (over 5 degrees) in the subtalar joint is a type of mechanical mechanism that can lead to tendinitis. Overuse can simply mean an increase in running, jumping or plyometric exercise intensity too soon. Another consideration would be the use of improper or worn down footwear, which lack the necessary support to maintain the foot in the natural/normal pronation. believe these nerve fibers to be the cause of the pain they injected local anaesthetic around the vessels and this decreased significantly the pain from the Achilles tendon.

Achilles tendinitis is usually diagnosed from a medical history, and physical examination of the tendon. Projectional radiography shows calcification deposits within the tendon at its calcaneal insertion in approximately 60 percent of cases.

Performing consistent physical activity will improve the elasticity and strength of the tendon, which will assist in resisting the forces that are applied. While stretching before beginning an exercise session is often recommended, evidence to support this practice is limited. Achilles tendon injuries can be the result of exceeding the tendon's capabilities for loading, therefore it is important to gradually adapt to exercise if someone is inexperienced, sedentary, or is an athlete who is not progressing at a steady rate. This eccentric training method is especially important for individuals with chronic Achilles tendinosis which is classified as the degeneration of collagen fibers. and orthotics is limited. Foam rolling may increase range of motion, but there is only weak evidence for the direct treatment of stiffness. Other treatments include:
An eccentric exercise routine designed to strengthen the tendon. Application of a boot or cast.

The evidence to support injection therapies is poor. This includes corticosteroid injections.

The prevalence of Achilles tendinitis varies among different ages and groups of people. Achilles tendinitis is most commonly found in individuals aged 30–40 Runners are susceptible,

Risk factors include participating in a sport or activity that involves running, jumping, bounding, and change of speed. Although Achilles tendinitis is mostly likely to occur in runners, it also is more likely in participants in basketball, volleyball, dancing, gymnastics and other athletic activities. Another risk factor is any congenital condition in which an individual's legs rotate abnormally, which in turn causes the lower extremities to overstretch and contract; this puts stress on the Achilles tendon and will eventually cause Achilles tendinitis.