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Achilles Tear

Michael A. Gott MD fellowship trained orthopedic surgeon discusses an Achilles Tear. Transcript: A very frequent injury that I see, especially in my weekend warrior patients are injuries to the Achilles tendon. Now that's the tendon behind your heel that attaches from the heel bone into the calf muscle. It allows us to point our toes down, or what's called plantar flex our ankles. It's extremely important in forward propulsion, or jumping and running and usually the story is that a gentleman or lady is playing sports, whether it's tennis, whether it's basketball, whether it's just running, and they feel like something popped in their ankle, or somebody kicked them in the back of the leg, and frequently they come with a large amount of swelling and pain behind the heel and also a palpable defect where that cord once was behind their heel, and we can usually diagnose this just with a psychical examination. Again, we do also confirm it with MRI. Now the treatment of Achilles tendon ruptures can be two ways. It's a possibility to treat it non-operatively in a cast and let it heal. Unfortunately, if you let this happen if you have it heal non-operatively, which will heal reliably, you do have an increased risk of re-rupture, meaning that if you go back and play you will re-rupture this tendon higher than 10%. Now if you fix it, it's less than that. The other issue with going for a non-operative treatment is you will have some post injury weakness, meaning you may always feel that one side, your injury side, is weaker than the other, and if we repair it, or sew the two ends back together, then you have a much better chance for equal strength on both sides. www.orthosportswestchester.com