14111878
Description
Flashcards by Yvonne Roentgen, updated more than 1 year ago
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Created by Yvonne Roentgen
about 6 years ago
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| Question | Answer |
| What is it? | Painful CHRONIC tendon injury. tendinitis - inflammation. tenosynovitis - inflammation of the sheath (paratenon). tendonosis - no inflammation |
| What continued | Injured area of Achilles has lost normal appearance. |
| Mechanism or Causes | Overloading due to excessive tensile force of tendon with repetitive movements of running and jumping. Rapid increase in intensity and duration of exercise. Repetitive weight-bearing activities. Repetitive microtrauma. |
| Signs and Symptoms | Generalized PAIN, stiffness in Achilles tendon region. Reduced GS-complex flexibility. Pain at beginning of activity. Pain & stiffness in the morning or after sitting. Walking discomfort. Warm, tender and thickening on palpation. |
| Management or Rehabilitation | Slow progression due to tendon. Reduce stress on tendon. Flexibility for heel cord. Strengthening of GS-complex. |
| Observation, assessment and Tests | Observation - generalized pain, stiffness proximal to insertion. Redness and swelling. Tender palpation. Test - Royal London Hospital Test. Painful Arc Sign |
| Redflags | Pain with exercise Incline Running Inflammation Inability to plantar flex foot. Acute onset with significant swelling and bruising. |
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