China's Liu concerned about Achilles Tendon injury at 2012 Olympics

Liu Xiang, a Chinese hurdler at the 2012 London Olympic Games may be troubled by both back and foot problems as reported through several sources by his coach, Sun Haping. A previous article states that he had issues with his Achilles tendon in the past. I am not sure on the specifics of this particular athlete. However, the Achilles tendon is a very important tendon for anything involving the lower extremities: walking, running, jumping, landing, etc. It passes from the knee to the back of our heel bone or calcaneus, so it directly affects knee and ankle motion. Achilles tendon injuries can occur anywhere along its course, but from a podiatry perspective, most of the injuries are at the back of the heel or 2 cm above, in an area called the watershed region (an area of decreased blood supply). X-rays look at bone problems and may not adequately show tendon injuries. Therefore, diagnostic ultrasound and MRI studies may be ordered to determine whether there is inflammation of the tendon or a tear. If your Achilles tendon is sore, it is essential to incorporate RICE-rest, ice, compression, and elevation. If you hear a pop, feel a deficit in the tendon, have severe swelling, blistering, or pain in the area, or have difficulty moving the ankle, it is important to seek immediate treatment in case the tendon has ruptured. Additionally, pain, swelling, redness, and heat in the back of the calf require an immediate assessment by the emergency room for DVT or a blood clot, which can be life threatening. Tears of the Achilles tendon are treated with immobilization or surgery, depending on the severity. Tendonitis of the Achilles tendon is treated in a variety of ways: strapping, soft casts, walking boots, physical therapy, medication, rest, and ice. It is important to see a podiatrist if you have injured your Achilles tendon. Presented for informational purposes by Dr. Mary Ann Bender, 6931 W. North, Oak Park, IL 60302, 708-763-0580