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Lecture 11

HKIN 241 Lecture 11: lecture 11 (one note)

3 pages112 viewsWinter 2017

Human Kinetics
Course Code
HKIN 241
Tara Sutherland

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Care and Prevent
Lecture 11
(Continued from the Ankle and Lower Leg)
First Aid Care:
Immediately apply ice, compression and elevate
Apply a horseshoe or doughnut pad, keep it in place with a elastic wrap.
Have athlete rest, use crutches, may want to put in walking boot or cast for short
period of time
If needed refer to physician or hospital for x-rays .
Achilles Tendon Strain or Rupture
probably the most severe acute muscular problem in lower leg
75%seen in males between 30-50 years
mechanism of injury usually pushing off of the forefoot while knee is
extending (racquet ball)
most ruptures occur 1-2 c ich’s proxial to the distal attachets of the
tendon on calcaneus
individual experiences sharp pain and hears or feels a POP in the tendon region
often described as a gun shot sound
a common sensation is one of being hit in the back of the leg
visible defect in the tendon
inability to actively extend the foot (against resistance)
swelling - bruising and a palpable defect in the tendon
immediate referral to physician
Achilles Tendinitis
most common in lower leg
tight heel cord hyper pronation- repetitive heel running a recent change in shoes or
running surfaces- increase in distance or intensity
pain present during and after activity
increases with passive dorsiflexion and resisted plantar flexion
point tenderness diffuse or localized swelling
aching or burning in the posterior heel
occasionally fine crepitation can be palpated in the tendon with movement
Rx - PIER, Modalities, NSAIDS-heel lifts - reduced activity (rest) - especially running
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