Can a torn achilles tendon heal on its own?

Can a torn achilles tendon heal on its own?

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نوشته شده در تاريخ سه شنبه 27 تير 1396 توسط Philip Septimus
Overview
Pronation is the natural act of the body spreading the impact of walking, jogging or running throughout the foot evenly. As the foot strikes the ground, the ankle naturally rolls inward absorbing the shock of the ground and mobilizing to the terrain. Overpronation is when the ankle of the foot rolls in past its normal 15? of inward rotation. The cause of this could be many things such as foot type, biomechanics, or compensation strategies. People with flat feet often, although not always, overpronate.Overpronation

Causes
During our development, the muscles, ligaments, and other soft tissue structures that hold our bones together at the joints become looser than normal. When the bones are not held tightly in place, the joints are not aligned properly, and the foot gradually turns outward at the ankle, causing the inner ankle bone to appear more prominent. The foot moves in this direction because it is the path of least resistance. It is more difficult for the foot to move in the opposite direction (this is called supination). As we develop, the muscles and ligaments accommodate to this abnormal alignment. By the time growth is complete, the pronated foot is: abnormally flexible, flat, and its outer border appears raised so that as you step down you do not come down equally across the entire foot; instead, you come down mostly on the inner border of the foot. Normal aging will produce further laxity of our muscles that causes the pronation to become gradually worse.

Symptoms
Overpronation may have secondary effects on the lower legs, such as increased rotation of the tibia, which may result in lower leg or knee problems. Overpronation is usually associated with many overuse injuries in running including medial tibial stress syndrome, or shin splints, and knee pain Individuals with injuries typically have pronation movement that is about two to four degrees greater than that of those with no injuries. Between 40% and 50% of runners who overpronate do not have overuse injuries. This suggests that although pronation may have an effect on certain injuries, it is not the only factor influencing their development.

Diagnosis
Look at your soles of your footwear: Your sneaker/shoes will display heavy wear marks on the outside portion of the heel and the inside portion above the arch up to the top of the big toe on the sole. The "wet-foot" test is another assessment. Dip the bottom of your foot in water and step on to a piece of paper (brown paper bag works well). Look at the shape of your foot. If you have a lot of trouble creating an arch, you likely overpronate. An evaluation from a professional could verify your foot type.Over-Pronation

Non Surgical Treatment
An orthotic is a device inserted inside the shoe to assist in prevention and/or rehabilitation of injury. Orthotics support the arch, prevent or correct functional deformities, and improve biomechanics. Prescription foot orthoses are foot orthoses which are fabricated utilizing a three dimensional representation of the plantar foot and are specifically constructed for an individual using both weightbearing and nonweightbearing measurement parameters and using the observation of the foot and lower extremity functioning during weightbearing activities. Non-prescription foot orthoses are foot which are fabricated in average sizes and shapes in an attempt to match the most prevalent sizes and shapes of feet within the population without utilizing a three dimensional representation of the plantar foot of the individual receiving the orthosis.

Prevention
Wear supportive shoes. If we're talking runners you're going to fall in the camp of needing 'motion control' shoes or shoes built for 'moderate' or 'severe' pronators. There are many good brands of shoes out there. Don't just wear these running, the more often the better. Make slow changes. Sudden changes in your training will aggravate your feet more than typical. Make sure you slowly increase your running/walking distance, speed and even how often you go per week. Strengthen your feet. As part of your running/walking warm up or just as part of a nightly routine try a few simple exercises to strengthen your feet, start with just ten of each and slowly add more sets and intensity. Stand facing a mirror and practice raising your arch higher off the ground without lifting your toes. Sit with a towel under your feet, scrunch your toes and try to pull the towel in under your feet. Sitting again with feet on the ground lift your heels as high as you Can you lose weight by doing yoga?, then raise and lower on to toe tips.

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نوشته شده در تاريخ دوشنبه 26 تير 1396 توسط Philip Septimus
Overview
A high arch accompanied by a medially angulated heel is termed pes cavovarus. When this is complicated by foot drop and equinus of the ankle, it is described as pes equinocavovarus. Another variant, pes calcaneovarus, occurs when the primary deformity is excessive ankle and hindfoot dorsiflexion, in order to place the foot flat on the ground, the forefoot plantarflexes, leading to a high arch.

Causes
Pes cavus may be hereditary or acquired, and the underlying cause may be neurological, orthopedic or neuromuscular. Pes cavus is sometimes, but not always connected through Hereditary Motor and Sensory Neuropathy Type 1 (Charcot-Marie-Tooth disease) and Friedreich's Ataxia; many other cases of pes cavus are natural.High Instep

Symptoms
Cavus foot is often caused by a neurologic disorder or other medical condition, such as cerebral palsy, Charcot-Marie-Tooth disease, or stroke. A high-arched foot may cause one or more of the following symptoms. Discomfort when walking barefoot on hard surfaces. Hammertoes (bent toes). Claw toes (toes clenched like a fist). Frequent ankle sprains. Haglund?s Deformity (bony enlargement of the back of the heel bone). Calluses on the ball, side, or heel of the foot.

Diagnosis
To diagnose cavus foot, your doctor will examine your foot and review your medical history. In most cases, your foot will undergo muscle testing and your walking pattern will be evaluated. To provide a more accurate diagnosis, x-rays may also be done in certain cases.

Non Surgical Treatment
Any fixed deformity must be accommodated, for example by cupping and supporting the varus heel and providing a small heel raise to compensate for forefoot plantaris. It has been shown that an orthosis that allows the first metatarsal to drop How can we increase our height? decrease calcaneal dorsiflexion, and that this coincides with a reduction in foot pain.

Surgical Treatment
The aims of surgery are threefold. To correct deformity, thereby placing a balanced, stable, plantigrade foot on the ground with even plantar pressures between heel, first ray and fifth ray. To relieve pain due to overloaded or arthritic joints, while preserving joint motion where possible. To re-balance muscle forces, aiding in gait and preventing progression or recurrence of deformity. In principle, these aims are achieved by means of Joint releases and tendon lengthening. Tendon transfers, taking over-powerful, mechanically advantaged tendons and transferring them to weaker, disadvantaged tendons. Osteotomies, dividing and re-aligning bones, and stabilising with plaster or internal fixation. Arthrodeses, fusing stiff, painful joints.Pes Cavus

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