How can I tell if it s Achilles tendonitis or posterior bursitis?

Achilles tendonitis is aseptic inflammation of the Achilles tendon insertion or peritendon. In the early stage, patients may have local pain without oral antibiotics, because the disease is caused by aseptic inflammation, and some nonsteroidal anti-inflammatory drugs can be taken orally to reduce the local inflammatory reaction, as well as the patient's edema and pain symptoms. If oral medication is ineffective, you can choose to apply a topical application containing anti-inflammatory and analgesic drugs, such as the Achilles tendon prescription.

Medical patches, pasted on the back of the heel, Taobao have, are used to reduce local inflammation and relieve local pain in patients.

Achilles tendonitis is mainly caused by damage to the peritendon tissues. When the patient gets up or walks continuously, the tendon moves more in the peritendon tissues, so the pain is worsened, and the pain is worse during training, and the Achilles tendon is tender when pressed with the fingers. It is okay to use anti-inflammatory and pain-relieving TCM plasters for conditioning.

Symptomatic presentation. 1. Pain, soreness, tenderness, and stiffness above and inside the heel that worsens after activity. It can occur in any area of the Achilles tendon and usually occurs early in the morning or during rest after strenuous exercise.

2. There will be strong pain or tenderness when the two sections of the tendon are squeezed.

3. When the lesion worsens, the tendon will enlarge and nodules will appear in the lesion area.

4. When the patient gets up or walks continuously, the tendon activity in the peritendon tissue increases, so the pain is aggravated, and the pain will also be aggravated during training, and there is tenderness when pressing the Achilles tendon with fingers.

**Method. 1. Use support pads: Support pads can elevate the ankle to reduce stretch on the Achilles tendon. Doctors may also have a splint used during sleep at night to keep the Achilles tendon immobilized.

2. Wear walking boots or use crutches: If the condition is severe, your doctor may recommend wearing walking boots or using crutches to help your Achilles tendon heal.

3. External medicine: choose anti-inflammatory and pain-relieving traditional Chinese medicine plasters for conditioning.

4. Use orthopedic instruments or change the way of movement as needed.

5. Surgery: If these ** do not work, surgery may be needed to remove the inflammatory tissue around the Achilles tendon. However, this is often the last resort.

Precautions. 1. Arrange the amount of exercise reasonably and increase the training intensity step by step. If you feel pain in your Achilles tendon during training, you should stop training and find out the cause in time.

2. Warm up before exercise, stretch and relax after training, and the calf muscles should not be too tight or too stiff. In particular, it is necessary to stretch the posterior calf muscles to improve the flexibility of the Achilles tendon.

3. Strengthen the muscle strength training of the legs and ankle joints, so that the Achilles tendon can bear greater load.

4. Choose the right sneakers, the soles should not be too hard, the shoes should not be too large, and the heel should not be too soft. You can also add a layer of silicone padding inside the heel to help relieve tension in the Achilles tendon.

Achilles tendonitis is a sterile inflammation of the Achilles tendon that attaches to the calcaneus. Standing and walking for a long time, especially running away from these strenuous exercises, will lead to strong traction of the attachment point of the Achilles tendon, local minor injuries, local bleeding, prostaglandin exudation, resulting in local pain and limited mobility. Failure to warm up well before exercise, as well as over-exercising or local traumatic infections can lead to the development of Achilles tendonitis.

Be sure to actively pay attention to rest, wear suitable shoes, warm up well before exercising, and treat symptoms with anti-inflammatory and analgesic drugs**.

The difference between heel pain and Achilles tendonitis is that the degree of pain is different. Heel pain is pain in one or both heels that is not red or swollen but has difficulty moving. Achilles tendonitis is mainly manifested by a particularly painful heel when getting up and out of bed in the morning, after some activity, the pain is significantly reduced, and when the amount of activity increases, the pain will reappear.

Achilles tendonitis is aseptic inflammation caused by repeated traction of the Achilles tendon over a long period of time, while acute Achilles tendon myositis refers to aseptic inflammation caused by sudden or frequent stiffening of the Achilles tendon.

Achilles tendonitis is mainly aseptic inflammation caused by long-term strenuous activity and chronic strain, which can be manifested as pain, swelling, limited activity and other different clinical symptoms, which have a great impact on the health and quality of life of patients. Go to the orthopedic department as soon as possible, and the doctor will take corresponding measures according to the situation, and you can do physiotherapy.

Hello, this situation is generally considered to be partially occlusive**, and surgery can be considered if necessary**, I wish you a soon**.

How to ** posterior Achilles tendon bursitisAnswerer: zuihouqs Use foam rubber pads or felt pads to elevate the heel and remove pressure from the upper. Shoe orthoses are used to control abnormal heel movement.

In a small percentage of patients, lengthening the upper or removing the heel sutures from the shoe can reduce inflammation, and placing the pad around the bursa can reduce compression. Oral non-steroidal anti-inflammatory drugs may temporarily reduce symptoms. Infiltration of soluble corticosteroids with local anesthetics reduces inflammation.

If conservative** is ineffective, surgical resection of the posterolateral calcaneus may be required.

Shoe orthoses are used to control abnormal heel movement. In a small percentage of patients, lengthening the upper or removing the heel sutures from the shoe can reduce inflammation, and placing the pad around the bursa can reduce compression. Oral non-steroidal anti-inflammatory drugs may temporarily reduce symptoms.

Infiltration of soluble corticosteroids with local anesthetics reduces inflammation. If conservative** is ineffective, surgical resection of the posterolateral calcaneus may be required.

What kind of medicine can be used for posterior Achilles tendon bursitis**Answerer: Hello Wang Qian, according to the described situation, the symptoms of chronic exertion are analyzed, and further maintenance and rest should be taken in time, and ibuprofen capsules should be tried.

How to prevent posterior Achilles tendon bursitisAnswerer: Dr. Fan's inflammation of the bursa above the Achilles tendon is the result of abnormal heel position and function. Posterior Achilles tendon bursitis is most common in young women, but it can also occur in men.

Because the heel tends to move in an inverted position throughout the stride cycle, excessive compression of the soft tissue between the lateral posterior aspect of the calcaneus and the upper (forming a hard heel callus). This side of the calcaneus becomes raised and easily palpable, often mistaken for exostoses. The heel is raised with arch or felt pads to remove upper compression, and a shoe orthosis (sports heel coaster) is needed to control abnormal heel movement.

What diseases can retro Achilles tendon bursitis be confused with? Answerer: Ren Licun should be aimed at the bursitis, combined with the clinical manifestations, take different measures, acute and chronic traumatic bursitis, prednisolone acetate can be injected into the sac after puncture and aspiration, bursitis caused by bone deformity, the deformity should be corrected, labor protection should be strengthened, a small number of chronic patients are ineffective after non-surgery, and the pain is severe, the cyst wall is hypertrophied, affecting the activity, bursectomy can be performed, and those with secondary infection should be surgically incision and drainage.

1. Rest recently, don't get cold and tired, and don't exercise vigorously. 2. Oral antispasmodic and analgesic drugs. 3. It can be supplemented with acupuncture and moxibustion physiotherapy.