Definition The word tenotomy comes from the Greek (“tenon” = tendon and “tome” = cut) and means cutting of the tendon. If a cut occurs exactly at the transition between the tendon and the corresponding muscle, it is called a tenomyotomy (“myo” = muscle). In a fractional tenotomy, however, the muscular part is not touched. … Tenotomy
Tenotomy of the long biceps tendon Long biceps tendon complaints that cannot be controlled by conservative treatment often require a tenotomy of the long biceps tendon. This also applies to serious injuries for which conservative treatment is not promising. In general, a tenotomy is only necessary for the long biceps tendon to treat complaints, as … Tenotomy of the long biceps tendon | Tenotomy
Consequences of a tenotomy In principle, tenotomy is a low-complication procedure that is performed without significant consequences. Only limited mobility and a reduction in strength are sometimes complained of by patients. Since tenotomy is usually performed without significant consequences, unrestricted follow-up treatment is also possible. The rehabilitation can be carried out well and painlessly. Cosmetic … Consequences of a tenotomy | Tenotomy
Pain after a tenotomy Pain is initially considered to be an indication for tenotomy surgery. Therefore, freedom from pain is one of the most important treatment goals of the procedure. In most cases, this goal is achieved and patients report a few weeks after the operation that the symptoms have improved and in some cases … Pain after a tenotomy | Tenotomy
Inflammations of the heel can be caused by a variety of factors and in most cases they occur as part of a permanent overloading or incorrect loading of the foot structures. As a rule, they do not develop suddenly, but rather gradually, so that, if a suitable therapy is initiated early on, they usually disappear … Inflammation at the heel
Symptoms Due to the different causes that can lead to an inflammation of the heel, the symptoms also differ somewhat, so that variable complaints are possible. The Achilles tendon inflammation manifests itself at the beginning with pinching pain usually 2-6 cm above the heel bone, initially limited to moments after longer periods of rest, such … Symptoms | Inflammation at the heel
Therapy In order to successfully counteract Achilles tendonitis or bursitis, the focus is on consistent relief and keeping the affected foot still. In addition, the signs of inflammation can be combated by cooling and by taking anti-inflammatory pain-relieving drugs (NSAIDs, such as ibuprofen or diclofenac). If this is not sufficient, treatment can be extended to … Therapy | Inflammation at the heel
Pain in the heel area is mostly caused by the Achilles tendon. Inflammations, remote spurs or even bursitis lead to irritation and severe pain, especially in the area above the heel. The heel is a part of the foot where a high load pressure is applied on a relatively small contact surface. Strong tendons, and … Pain above the heel
Causes Mainly imbalances in the muscular system, ligament weakness in the ankle joints, deformations of the foot or systemic diseases of the locomotor system lead to pain above the heel. This leads to overloading or incorrect loading of the Achilles tendon, which becomes irritated and can become acutely inflamed. In extreme cases, the Achilles tendon … Causes | Pain above the heel
Diagnosis For the diagnosis of pain in the heel area, the collection of the medical history (anamnesis) and the physical examination play a major role. Not only the heel and Achilles tendon must be examined, but also the entire posture, joint mobility, muscle strength and gait pattern. The function of nerves is also usually examined … Diagnosis | Pain above the heel
The Achilles tendon inflammation The diagnosis of Achilles tendonitis can usually be made on the basis of the symptoms described, some clinical tests and an ultrasound examination. Therefore, an acutely occurring Achilles tendon inflammation usually does not require a detailed diagnosis. However, people who have been suffering from Achilles tendonitis for a longer period of … Diagnosis of an Achilles tendon inflammation
Ultrasound of the Achilles tendon – You can see that! In the case of an Achilles tendon inflammation, different findings can be observed depending on the severity of the inflammation. It is important to compare both Achilles tendons with each other during the ultrasound examination. Thus, possibly degenerative processes, which are caused by a long-term … Ultrasound of the Achilles tendon – You can see that! | Diagnosis of an Achilles tendon inflammation
