Abstract

Steroid injections, while effective for short term pain relief, can weakness tendons and increase risk of rapture corticosteroid suppress inflammation, which can impair tendon healing and reduce its tensile strouth. They may also delay tendon healing and cause degeneration making them more prove to rapture for that the risk is higher with long-term or high dose steroid use, especially in older patients or those with pre-existing tendinopathy and the use of certain antibiotics risk fluoroquinelones therefore corticosteroids can inhabit the body’s natural ability to repair and strengthen tendon including the Achilles tendon. They can suppress inflammation and reduce rollagen production weakening the tendon structure. Corticosteriods which are commonly used trendy are analugs of harmones synthesized in the laboratory. In humans corticosteroid harmones are produced by the adrenal glands and relased in the body in response to stress, they controls the protein, fat and carbohydrates metabolism and further more exert an important ant-inflammation activity by preventing phospholipid realse, decreasing the effect of eosinophils and proinflmmtion cytokines and through a number of other mechanisms on reducing the vascularisation. Clinical presentation: Rapture often present with sudden pain, a possible audible snap and an inability to bear weight, some patient may experience chronic pain and notice the injury whom daily tables, like climbing stairs becomes difficult. Treatment surgical repair is often necessary for Achilles tendon raptures, especially resulting steroid use or chronic degenerative.

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