FAQ - tendon entrapment
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How can I tell if i torn a ligament or tendon in my leg?


How can I tell if i have a torn ligament or tendon in my leg, I play basketball and yesterday adter basketball workoutss my knee started to hurt and it hurts when I straightin it or bend it? Does anyone know the problem?
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It can be a torn ligament or just a muscle pull. Your doctor or physiotherapist will tell U better.  (+ info)

How to fix a sore tendon in my neck?


The other day I fell down the stairs and hit the left side of my neck on a stair. Ever since then, it's hurt to lift up my head when lying on my back, and it gets sore and tense when I look to the right. It feels like the tendon is sore or swollen or something.

How do I make it better? Do I need to go to the doctor or will this heal itself in time?

Thank you!
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what can I do to get better after a partial tear of my gracilis muscle and tendon?


Hello, I was sprinting, then I think I overstretched my right leg, I needed to stop running due to the pain. Got a MRI results: partial tear of the gracilis tendon and intramuscular tearing of the gracilis, retropatellar tendon bursitis. How long it will take for me to start running or do spinning again?
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I have a full thickness tear of the Subscapularis tendon and a dislocated Bicep tendon?


I know i have to have surgery but do they actually have to do surgery on the dislocated Bicep tendon to or will that heal by itself and how long could i expect to be off work following surgery, i work in the metal industry so i have to lift quite heavy stuff.
Thanks for any info.
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They will look at the biceps tendon in surgery and determine the course of action at that point. They will assess the amount of damage and determine if the tendon will be stable enough without further intervention. They were also see if there is any damage to the tendon itself, as the sucess of surgery greatly does down if the tendon is damaged. They will make sure the the groove where it sits is wide and deep enough to prevent further dislocation.

In terms of when you can return to work, this is something that you will need to ask your surgeon after surgery. In general, you may begin light duty work involving no lifting, pushing, pulling or carrying more than 1-2 pounds, 6-8 weeks after surgery; you may work at waist level and lift 5-10 pounds, 3-4 months after surgery. Return to heavy lifting or overhead use may require 6-12 months.  (+ info)

Why is a cast put on a deep laceration on the flexor tendon?


My girlfriend recently cut her leg in the achilles tendon area. When we went to the ER the doctor used 10 staples and put the ankle in a splint and referred us to an orthopedic specialist who cut the splint off and bit the leg in a cast. Why did they do this?

And is there anything we can do to relieve the pain of the staples?
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The tendon will tear apart if you move the ankle. It's a thick fibrous band and in order for it to heal it needs to be kept from moving. It takes six to eight weeks for tendons to heal and in that time period motion will re-rupture the tendon. Think of it as a thick rubber band which allows you to move your foot down. If the foot unexpectedly goes up the rubber band will snap and it's another operation to re-sew the tendon back together again.  (+ info)

Is surgery needed to heal tendinitis or tendon strain?


I am not sure 100% if I have tendinitis or quad strain, but I wanted to know what would be the best way to treat either. I am looking for anything that would help me besides rest but if that is the best treatment without surgery, I am for it. My knee does not experience any swelling just pain on the knee cap or pain to a muscle or tendon. I seen a physician about it and he told me just rest. Do anyone have any experience with these injuries?
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Tendinitis by it's very name means that you have an inflammation. There is not really any surgical way to fix this. In order to reduce the pain from inflammation, you can take Ibuprofen or Naproxen. Naproxen typically has fewer side effects and tends to be easier on the stomach when taken for extended periods of time. It is available over the counter as Aleve. The recommended dose should provide you with temporary relief. Additionally, follow the R.I.C.E. method.

R = rest
I = Ice
C = Compression
E = Elevation

You should rest your leg in an elevated position as much as possible, but if that isn't the most convenient, a compression bandage such as an over the counter ace bandage should provide some relief.
The ice will really only help reduce swelling for the first few days, however it can help with pain.

Muscle strain will be treated in the same way, however as long as there is no swelling, heat may help reduce pain. Try heat wraps, epsom salt baths, or even icy hot.

If there is actual ligament or muscle damage, you will need surgery in order to repair the damage, but strain or inflammation are by far the most common causes of pain.  (+ info)

Is it possible to tear your achilles tendon and not have any swelling?


I accidentally stepped in a hole earlier today, I guess those things normally do happen on accident right. :) I did hear a pop and think I may have torn my achilles however I am not sure because there is no swelling only severe pain. Is it possible to tear a tendon and have no swelling?
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I had the same thing happen to me. You need to pay real close attention to what I'm about to tell you because I spend alot of time every day wishing that I could go back to the point in time during my injury that you are in now.
I had that same small pop in my achilles tendon and there was alot of pain afterwards but no swelling. The tendon looked and felt normal to the touch but I was walking with quite a limp. I thought that it might clear itself up and just kept walking on it, although I did no exercising whatsoever, only walking. Well, it's almost 2 years later and the injury is still extremely bad. It is very weak, very inflexible and I can't walk or stand for too long without making it worse.
I'm so glad that I looked at this question today because now I have a chance to relay some very important information to you that is coming from direct experience and from the same situation. I would honestly give a million dollars to go back the stage of my injury that you are in now, knowing what I know now. My injury was the result of overuse and finally a quick movement led to what felt like a small pop or a light-to-moderate finger flick on the back of my achilles.
What you have suffered is most likely a partial tear. Your symptoms and the fact that there is no swelling and that a pop was felt really make me believe that you have an injury that is very similar to what I had. If you had a complete rupture (torn in half) I think that there would be a lot of swelling and you would be able to feel an impression or hole where the tear was. A way to test for a rupture is to use the Thompson Test. You can give this to yourself or someone else can do it for you, look it up on line and here's a video of it being performed. http://www.youtube.com/watch?v=AmDi08rlR3I
I strongly believe that I had a small tear and I still suffer to this day because I didn't do the proper things that would have allowed it to heal properly. I just kept walking on it, although I really cut down on the amount of walking that I did. The fact that I kept using it and walking on it prevented the injury from being able to heal properly due to the constant stress and pulling apart during each step. When muscles or tendons tear, the way that they are repaired is by the small vessels and capillaries bleeding and this blood solidifies and becomes scar tissue. Over time, this scar tissue matures and if let to heal properly can become almost as strong and elastic as the original tendon. If this scar tissue is repeatedly disrupted and pulled apart, more and more scar tissue will be built up and the orientation of the fibers in the tissue will become gnarled and disoriented. The proper orientation of the fibers is really important to strength and elasticity. Fibers are stacked in a straight pattern which gives them strength and the ability to stretch. When they are disoriented, they are nowhere near as strong and stretching them causes the gnarled mass to be pulled apart easily due to the inferior design of its structure.
Here are some pictures of what I'm talking about along with short articles:
http://www.athleticadvisor.com/Injuries/General_Inj/tendosis.htm
http://eccentric-exercises.blogspot.com/
The condition that I've developed is called tendinosis and it is the same one that you will develop if you don't treat the injury like I should have. Tendinosis is a result of improperly healed tissues and built up scar tissue as well as disrupted blood flow to the tissue from the damaged capillaries. The result is a "failed" healing and the tissue that is in place of the injury is nothing like the original healthy tissue. This improperly healed tissue is very weak and can't be stretched much at all or it becomes irritated or causes further injury. I can't stretch my calves very hard at all and not really hard enough to make much of a stretch in order to elongate them and I can't extend my foot upwards at much more that a 90 degree angle and this makes it really difficult to walk. The tendons eventually shorten as a result of not being able to stretch them which causes reinjury. If you let the tissue heal properly it will be strong however, strong enough to be stretched and brought back to normal length in order to make regular walking possible and allowing the injury to eventually heal back to normal strength. Here's the best site that I've been able to find on tendinosis: http://www.tendinosis.org/
First off, I think that it's of paramount importance that you go and see a doctor and ASAP. I truly, truly believe that the best treatment for you is going to be to certainly at the minimum to be put on crutches and possibly to be put into a cast. Let me tell you from direct experience that if you don't use crutches, your injury will heal like crap. If I had the chance to go back, I know for a fact that this would have been the proper treatment for me, and I strongly believe that it will be what's best for you. If you felt a pop and are having severe pain, then you most likely have a small tear. This is serious business and is a very dangerous situation without the proper care; and without the right knowledge on what's happening and which steps to take, it's almost certain disaster. Lucky for you, someone who has been in your exact situation just happened to view your question so take what I'm saying very seriously.
Go see a doctor ASAP and see if he recommends casting. I'm telling you right now, that you should absolutely use crutches from this moment on, no matter what anyone says. It's great that your injury is still very fresh and you have a really good chance to clear this up if you treat it properly. If you don't you will be in psychological misery like I am due to the debilitating aftermath of what comes from the neglect of this injury. My life is literally 50% as good as it was before and I don't want to see this happen to someone else.
In the mean time you need to be icing it. Ice for 15-20 min. every 2 hours. Take 800mg ibuprofen 3 times a day also, both of these will help reduce the inflammation which will aid in healing. These are both very standard treatments for this injury or any muscle or tendon injury and were prescribed to me by every doctor I've ever seen for a muscle or tendon injury.
My neighbor had this happen to him too. He hyperextended his foot upwards (just like you) by putting his foot down hard while riding a four-wheeler. He went to the doctor and ended up with a partial tear and was put into a cast for 2 or three months, I can't remember which, I think 2. He said that it took a year until it was back to normal and now he's doing fine. I think that he had an MRI done to diagnose his injury and if you don't have insurance, they cost over $1000. If you do have insurance, tell them that you want one done and if you don't have insurance, they should be able to assume by your symptoms what kind of treatment you should have. Let them know about these storys and that you're willing to be put on crutches and casted if necessary. If they want to send you to a specialist, then use crutches form this point on until you get the yes or no on crutches or casting. I'm telling you that you most likely will need them by what you describe and they certainly can't hurt in any way. Even if the injury is minor (which if you felt a pop is not considered minor) crutches will definitely help regardless and if the injury is what I believe that it is, then crutches will prevent a disaster.
I've read stories from others who had the same thing I had happen to them also, it's very real and could happen to you too. Take care of this now and don't let this ruin your life like it's ruined the hell out of mine. Email me by all means if you want at [email protected] and good luck.  (+ info)

How big of a cast for achilles tendon tear?


My girlfriend tore her achille's tendon at the end of April and has been in a walking boot since, but is due to have surgery late July. She'll be in an actual cast after the surgery, how high should her cast extend? Past the knee or just below the knee?
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The cast will probably be below the knee and with the foot slightly pointed  (+ info)

how do I treat a torn achilles tendon bump?


Tore my Achilles tendon last year at the join with the calf. Now have a bump much further down near the heel. It is aggravated by physio toe raise exercises. Any ideas what the bump might mean? Professionals seem flummoxed. Injury triggered blood clot which is receding.
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How much cholesterol in Beef tendon ?


How much cholesterol in Beef tendon ?

For example, is there an equal amount of cholesterol in 1lb of fat vs 1 lb of tendon?
Sorry let me clairfy, for example, the vietnamese pho noodles...they contain beef tendons in there.
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A tendon is the tough, fibrous material that connects a muscle to bone. I have never met anyone that eats beef tendon. I think you meant to say tenderloin.

If so, I once heard that there is 64 grams of fat in the so-called choice cuts of beef like New York steak or tenderloin. I don't remember if that was for a 6 or 8 oz cut. As a comparison, the same size cut of top sirloin has 15 grams of fat.  (+ info)

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