Golden State Warriors Center and 4x NBA All-Star, Demarcus Cousins is expected to make his return this Friday. He underwent surgery last season due to rupture of his left Achilles’ tendon and has been out since Jan. 26th, 2018🤕
QUICK RECAP⬇️ .
The Achilles’ tendon is the largest and strongest tendon in the body, connecting the calf muscles (gastrocnemius and soleus muscles) to the heel bone (calcaneus). ✅Here’s an example of just how strong this tendon is. 10km run = Average time 50 minutes, Average cadence of 150. 150 x 50= 7500 steps. 7500/2= 3750 steps per leg. Achilles load= 4500N per step x 3750 steps = 16,875,000N.
1.68 Million Kgs of load/leg - total duration of the 10km run.‼️ Thankfully, most of the time our bodies cope with it 🙏🏾🤓Injury is commonly found in athletes with quick and abrupt movements (runners,football, basketball, tennis players, etc.). Additionally, injuries to the achilles tendon can be caused by excess corticosteroids, certain antibiotics (Cipro-fluoroquinolone) or tendinosis/paratenonitis, which weaken the tendon.⛹🏾⛹🏾 A sudden force in the muscles can cause a strong contraction of the gastrocnemius (calf) muscle, putting the achilles tendon under additional stress. 😭Achilles tendon injuries can be caused by muscle overuse, tight musculature, and biomechanical problems with the feet, including fallen arches (flat feet→ excessive pronation) 😰Resting, and non weight bearing rehab is a conservative treatment used in both nonrupture/ruptured injury. Stretching the calf muscles to prevent tightness, and strengthening the calf muscle eccentrically by performing calf raises are highly recommended.✅ The pathophysiology of the buildup to complete tendon rupture consists of collagen degeneration, fiber disorientation, and increased mucoid ground substance; however, no increase in inflammatory cells occurs. In healthy tendons, 95% of the collagen is type I. Degenerate tendons have less type I collagen and significantly more type III collagen. Surgical techniques are varied and usually involve reapproximation (rejoining) of the torn ends of the Achilles' tendon sometimes reinforced by the gastroc/soleus aponeurosis or plantaris tendon.