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The tendon receives nutrients from the tendon sheath or paratendon. When an injury occurs to the tendon, cells from surrounding structures migrate into the tendon to assist in repair. Some of these cells come from blood vessels that enter the tendon to provide direct blood flow to increase healing. With the blood vessels come nerve fibers.
Stage 1: Tendon is intact, but damaged. Stage 2: Tendon has ruptured. Foot begins to deform. Stage 3: The foot is significantly deformed. Cartilage begins to degenerate. Stage 4: Ankle joint begins to degenerate. [1] In early stages, patients will describe foot and ankle pain. Swelling will also be present.
Non-surgical treatment is an alternative as there is supporting evidence that rerupture rates and satisfactory outcomes are comparable to surgery. [2] If appropriate treatment does not occur within 4 weeks of the injury outcomes are not as good. [8] Achilles tendon rupture occurs in about 1 per 10,000 people per year. [5]
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Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
Tendonitis is inflammation around a tendon, leading to pain experienced during and after activity, which abates temporarily, but returns upon resumption of exercise. [9] Common forms of tendonitis affecting the foot and ankle include Achilles tendonitis, posterior tibial tendonitis, peroneal tendinosis, flexor tendonitis, and extensor ...
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