Knikno House / Fabian Tan Architect

first_imgArchDaily Save this picture!© Ceavs Chua+ 43 Share “COPY” Manufacturers: LG Hausys, Panasonic, Johnson SuisseSave this picture!© Ceavs ChuaRecommended ProductsWindowsVitrocsaMinimalist Window – SlidingFiber Cements / CementsDuctal®Ductal® Cladding Panels (EU)Fiber Cements / CementsApavisaTiles – Nanofusion 7.0Enclosures / Double Skin FacadesIsland Exterior FabricatorsCurtain Wall Facade SystemsText description provided by the architects. This semi-detached house was rebuilt for a young family on a 60’ x 90’ piece of land. Laid out over two different levels, the lower section of the plot houses the car porch with a ramp and staircase, connecting it to the home which sits on the higher land area. The house consist of a single-storey open living space, which intersects perpendicularly to a 2-storey building with closed private rooms.Save this picture!© Ceavs ChuaSave this picture!Ground Floor PlanSave this picture!© Ceavs ChuaThe dominant longitudinal upper floor from the front to the rear is a gabled form inspired by the client’s request for a modern interpretation of a barn. Its façade is made from modular grey concrete blocks, which in contrast with the predominantly white ground floor accentuates weight.Save this picture!SectionUpon entry, a corridor takes you immediately into the house with a choice of going to specific areas without walking through other spaces. On the left is the open linear living areas which expresses continuity through its inverted gabled timber ceiling that seeks to add warmth. This voluminous space opens itself through the front garden that shields the road view and the rear with a black koi pond & lounge decking. To add to this, it is also visually connected to the first floor corridor that serves as the entryway to the bedrooms. This creates a tranquil, bright and an unobstructed cross ventilated space.Save this picture!© Ceavs ChuaThe plan is ‘T’ shaped and creates precise experiences with the exterior and interior through a series of spatial geometry and symmetry.  It is difficult to describe this home in a simplistic sense as its parts seem to mesh with each other, giving multiple repeated descriptions of spaces but hopefully, it will speak for itself in clarity to the present listener.Save this picture!© Ceavs ChuaProject gallerySee allShow lessELKA Residential Building / DAAL Studio + ELKA ArchitectsSelected ProjectsHouse W / KC Design StudioSelected Projects Share Knikno House / Fabian Tan Architect Houses Projects ShareFacebookTwitterPinterestWhatsappMailOr Clipboard Knikno House / Fabian Tan ArchitectSave this projectSaveKnikno House / Fabian Tan Architect Malaysia Architects: Fabian Tan Architect Area Area of this architecture project Area:  2700 ft² Photographs CopyHouses, Renovation•Petaling Jaya, Malaysia Photographs:  Ceavs Chua Manufacturers Brands with products used in this architecture project ShareFacebookTwitterPinterestWhatsappMailOr Clipboard “COPY” CopyAbout this officeFabian Tan ArchitectOfficeFollowProductsWoodStoneConcrete#TagsProjectsBuilt ProjectsSelected ProjectsResidential ArchitectureHousesRefurbishmentRenovationPetaling JayaMalaysiaPublished on November 24, 2017Cite: “Knikno House / Fabian Tan Architect” 24 Nov 2017. ArchDaily. Accessed 11 Jun 2021. ISSN 0719-8884Browse the CatalogShowerhansgroheShowers – Croma SelectGlass3MGlass Finish – FASARA™ GradationPartitionsSkyfoldVertically Folding Operable Walls – Zenith® SeriesWall / Ceiling LightsCocowebLighting – Blackspot LED Barn LightUrban ApplicationsIsland Exterior FabricatorsPublic Safety Answering Center II Envelope SystemCeilingsSculptformTimber Batten Ceiling in All Souls ChapelHanging LampsLouis PoulsenLamp – PH 5 + PH 5 MiniGlazedGrespaniaWall Tiles – Porto PetroThermalSchöckInsulation – Isokorb® Concrete to SteelCeramicsTerrealTerracotta Baguettes in Vork CenterCompositesLamitechPlastic facades PanelexCarpetsHalcyon LakeCarpet – Nobsa GreyMore products »Save世界上最受欢迎的建筑网站现已推出你的母语版本!想浏览ArchDaily中国吗?是否翻译成中文现有为你所在地区特制的网站?想浏览ArchDaily中国吗?Take me there »✖You’ve started following your first account!Did you know?You’ll now receive updates based on what you follow! Personalize your stream and start following your favorite authors, offices and users.Go to my streamlast_img read more

Die Antwoord Announces Impending Breakup In 2017

first_imgSouth African duo Die Antwoord recently confirmed in a new interview that they will be disbanding in September of 2017. The group’s Ninja said, “Die Antwoord dies on that day,” but not before sharing a brand new video for a song called “Fat Faded Fuck Face.”At one point, the band promised that they would release five albums before disbanding. With their fourth album due out this month, it seems the group will keep up their end of the bargain after all.You can read the full Exclaim! interview here, and check out the new single below.last_img read more

Chicken litter study

first_imgBy Phil WilliamsUniversity of GeorgiaScientists may need to reexamine assumptions about the spreadof antibiotic-resistant genes, according to a new study byresearchers at the University of Georgia. They found that poultry litter -a ubiquitous part of largebroiler operations – harbors a vastly larger number of microbialagents that collect and express resistance genes than waspreviously known.The study, published April 20 in the Proceedings of theNational Academy of Sciences, shows that waste left behind by flocksraised in industrial chicken houses is rich in genes calledintegrons that promote the spread and persistence of clusters ofvaried antibiotic resistance genes. Samples takens from Georgia poultry houses Integrons are the key to the problem Humans and animals have billions of bacteria in and on theirbodies at any time, and even if resistance to a single antibioticarises in a few of them through mutation, there are still severalother antibiotics that can eliminate them. But if bacteria in thesame environment are already equipped with clusters of genesconferring resistance to many antibiotics and can readilyexchange these clusters, then the treatment options are limited.”That’s what we have today, and the surprising abundance ofintegrons in the environment is a key as to why we have thisproblem,” said Summers.The discovery is now leading Summers and her UGA colleagues tosee whether these resistance-gene-clustering systems are presentin previously unrecognized reservoirs in companion animals andhumans. The results will change our understanding of whereresistance to new antibiotics will develop and how fast and howfar it will spread and have implications for all antibiotic use,not just that in agriculture.The research was supported by a grant from the NationalResearch Initiative of the U.S. Department of Agriculture and madepossible by four anonymous poultry producing companies thatafforded free access to their facilities for sample collection.center_img Solving long-standing puzzle”We were surprised to find a vastly greater pool of thesemulti-resistance clustering agents than anyone had suspectedbefore,” said Anne Summers, a UGA microbiologist who led thestudy. “Finding such a huge reservoir of integrons explains along-standing puzzle about how clusters of resistance genesspread so rapidly and persist in bacterial communities even afterantibiotic use concludes.”Other authors of the paper included Sobhan Nandi, apostdoctoral associate in the UGA department of microbiology, andJohn Maurerand Charles Hofacre of the department of avian medicine in UGA’sCollege of Veterinary Medicine. Maurer also holds an appointmentwith the UGA College of Agricultural and Environmental Sciences’Center for Food Safety in Griffin.Antibiotic resistance is a serious and growing problem for farmanimal operations and human health. Antibiotic use to treatdisease and increase feed efficiency has been a common part ofindustrial farms for more than half a century. When antibiotic-resistant bacteria began to show up in hospitalsin the 1950s, researchers initially believed that simplyrestricting the use of antibiotics on farms could reduce theprevalence of antibiotic resistance among humans.”Over the past 30 years, we have learned this hope wasunrealistic because we share both pathogenic and benign bacteriawith other humans and animals,” said Summers, “and becausebacteria transfer genes among themselves.” At the heart of the multi-resistance problem are integrons,which scientists until now have exclusively studied in suchpathogenicbacteria as Salmonella and E. coli. The UGA team wondered, however: Does the poultry productionenvironment also harbor integrons that assemble these largeclusters of distinct resistance genes? To find out, samples of poultry litter from Georgia broilerhouses were collected regularly over a 13-week period. Litterbegins as a bedding material of softwood shavings placed incommercial broiler houses before chicks are brought to it. By thetime the flock is harvested, the shavings have become mixed withchicken feces, uric acid, skin, feathers, insects and smallinvertebrates. Rich in minerals, poultry litter is often recycledfor fertilizer and other uses. What the researchers discovered was startling: One integron type,called intl1 (typically found in E. coli and Salmonella) was upto 500 times more abundant than these bacteria themselves were inlitter. A bit of microbial sleuthing revealed that integrons arealso carried by so-called Gram positive bacteria that are muchmore abundant in litter than the E. coli-type bugs, called Gramnegative bacteria.”The fact that integron genes in the Gram positive bacteriaare identical to those of E. coli indicates they are beingactivelyexchanged among these otherwise unrelated bacteria,” saidSummers. “Just as intriguing, integrons and resistance genes wereabundant regardless of antibiotic use on the farms, suggestingthat, once acquired, integrons are inherently stable, evenwithout continual exposure to antibiotics.”The study has several significant implications, said Summers.Most studies of antibiotic resistance have been done in hospitalsettings, and until recently, much less work has been done on thereal-world ecology of systems that createmultiple-resistant clusters. Knowledge about how antibioticresistancesspread from animals to humans is at present sketchy; however,since humans and their pets are “colonized” by similar bacteria,it is reasonable to think we and our companion animals alsoharbor such multi-resistance gene clusters that are enriched whenwe take an antibiotic ourselves or treat our pets. last_img read more

‘Arsenal must offload Aubameyang with Man Utd’s £100m’

first_img Loading… “If Arsenal were to get £100m for him to sign for United, I would take that. It will make them better, that is why they would pay big. Arsenal were the challengers to United for the title, but now neither of them are. If Man Utd offer £100m for Aubameyang, sell him. If Arsenal were to do such a deal, then Mikel Arteta could be given the funds to reinvest in his squad. The Spaniard may also seek to get Mesut Ozil’s lucrative contract off his books, with Nicholas of the opinion that the Gunners can force their way back into the Premier League elite if they carry out the right business. Nicholas added: “My preference would be to offer Aubameyang what he wants. “Everyone will flag up his wages. I have been told differing scenarios, especially with Mesut Ozil. Is it possible Ozil could move on? Could this then help fund wages for Aubameyang and others? If they get him off the wage bill without getting anything for him, it will not be too bad. “Arteta wants five or six out and he wants that money to rebuild. If nothing more is in the pot, sell to rebuild. read also:Real Madrid make inquiry about Arsenal captain Aubameyang “If you are doing that as a financial package, you are not buying to replace Aubameyang. You can get rid of Shkodran Mustafi and Henrikh Mkhitaryan, who has been out on loan. This will all help to filter through, so there are easy things to do. Give him what he wants, get rid of dead wood, you have the kids, and it would not cost £200m to challenge for the top four once more.” FacebookTwitterWhatsAppEmail分享 Promoted Content10 Characters That Should Be Official Disney Princesses7 Ways To Understand Your Girlfriend BetterThe Highest Paid Football Players In The WorldPortuguese Street Artist Creates Hyper-Realistic 3D GraffitiCan Playing Too Many Video Games Hurt Your Body?9 Celebrities Who Look Older Than They Really Are7 Truly Incredible Facts About Black Holes12 Marvel Superheroes When They Were KidsInsane 3D Spraying Skills Turn In Incredible Street Art6 Unforgettable Shows From The 90s That Need To Make A ComebackCouples Who Celebrated Their Union In A Unique, Unforgettable WayWhich Country Is The Most Romantic In The World? Arsenal should be looking to offload Pierre-Emerick Aubameyang if Manchester United table an offer of £100 million ($125m), says Charlie Nicholas, with £200m ($249m) required to make the Gunners top-four contenders again. The Gunners have so far been unable to get their club captain tied down on a new contract. As he is approaching the final 12 months of his current terms, those at Emirates Stadium have a big decision to make on Aubameyang’s future. Having seen the likes of Alexis Sanchez and Aaron Ramsey run down their deals towards free agency in the past, Arsenal cannot afford to see the value of another prized asset diminish. Aubameyang is said to be attracting interest from the likes of Barcelona and Manchester United, with Nicholas of the opinion that a deal could be done with the Red Devils despite Old Trafford not being the best destination for a proven frontman. The former Gunners frontman told Sporting Life: “I do not see the glamour and appeal of joining Man Utd. Would he win the title with United in the next few years? I don’t think so. He might not even be in the Champions League if he was to join. What is the real appeal? Is it salary? I don’t think he is that type. “[Robin] van Persie jumped to a massive salary, but Man Utd are not the same calibre as what they were. Would he be the cutting edge to them? Man Utd have other issues to address like Arsenal.last_img read more

Nairobi marathon postponed due to political tension

first_imgAthletes at the previous Kenya marathonNairobi, Kenya | AFP | Kenya’s highest profile marathon, due on October 29, has been postponed to late November over fears of political unrest around the country’s re-run presidential election expected on October 26.The Nairobi Marathon, a road race which has often been a platform for young Kenyan athletes to launch their international careers, will now be held on November 26.“This revised date is to give runners ample time to participate in both the election and the marathon,” race organisers said. The marathon — the only regional road race recognised by the International Association of Athletics Federations (IAAF) — is not the only sport to have been affected by the tense political climate in the country after August’s presidential election was annulled by the Supreme Court and a re-run ordered.Last month the International Cricket Council (ICC) said this October’s World Cricket League (WCL) sixth-round fixture between Kenya and the Netherlands would be moved from Nairobi to South Africa with the match set to be played at East London’s Buffalo Park cricket stadium on October 6 and 8.Share on: WhatsApplast_img read more

SJV Defends Handling of Coach Dismissal

first_img“Hey Chris (Schuster), this is coach Charlie, dog. I’m telling you right now, today, in the sum- mertime, before we’ve even started a game yet, right, we are going to blitz every (expletive) play until your guy comes out the game. So don’t bring him to the game.” By Chris Rotolo |HOLMDEL – The president of Saint John Vianney High School called the public perception of how his office handled the dismissal of a former assistant football coach “ridiculous.”Last week, reports first arose from the Asbury Park Press about former Lancers Offensive Coordinator Charlie Rogers and a profanity-laced voicemail the ex-NFL Pro Bowler left Aug. 25 for Chris Schuster, the parent of a youth football player whose son left the Matawan American Youth Football League (AYF) team Rogers headed.Though the Lancers’ varsity football program has no affiliation with Matawan AYF,Saint John Vianney released a statement Sept. 7 announcing Rogers’ firing the previous day, and school president Joseph F. Deroba said the timeline of events is misleading.“The assumption is we knew about this for three weeks before making a decision. It’s ridiculous. Anyone who knows us knows that would never happen,” Deroba said in a Sept. 11 interview with The Two River Times.Deroba said he and Saint John Vianney officials first heard about the voicemail when the story broke Sept. 6, and proceeded to act swiftly but justly.“Once we found out what happened we took the time to have him come in and say his piece. There’s a thing called due process that we had to consider. Mr. Rogers deserved to be heard and 24 hours after hearing him out we decided to part ways,” Deroba said. “Mr. Rogers was very professional about it. He was apologetic and classy about the whole thing.”Deroba said Rogers’ acceptance of the consequences aligned with the upstanding character the former Matawan High School football star displayed while on campus.“I was at numerous practices all summer long and never once did I hear a foul word from any of our coaches, including Mr. Rogers. The kids on the team, their parents, for the most part they seemed to like him. He seemed to care for them. And I never heard that language all summer long. I’m not saying everyone is an angel.”According to reports, on the 44-second voicemail left by Rogers, the former Lancers’ coach can be heard referring to Schuster’s son, who had recently left Matawan AYF to play for St. Bart’s, an East Brunswick-based football program. “You know I’m pissed off about this (expletive) right here. And I’m telling you, I swear to God, we are going to blitz, we don’t care if we give up a badge or not, we’re blitzing everybody. We are blitz- ing every single (expletive) play. And (inaudible) that it’s a bad (expletive) move, and I don’t like it, and it’s a stupid move and we are going to blitz every single (expletive) play. Hang that (expletive) up. Every play!”Schuster was the acting president of Matawan AYF, but stepped down from his post when the organization failed to take immediate action against Rogers. However, at a Sept. 6 executive meeting of Jersey Shore AYF, Rogers was suspended indefinitely from holding any position within New Jersey AYF.Deroba said at a Catholic school like Saint John Vianney, actions like this have a consequence, “but this doesn’t make Mr. Rogers a bad person.”“He messed up, we all do. He made mistakes like we all do. But there are consequences. The consequences would be the same for me or anyone else at this school,” Deroba added. “You can’t represent a Catholic high school when you act like that.”Following Rogers’ firing, Saint John Vianney traveled to local rival Rumson-Fair Haven for a Sept. 7 meeting, and dropped a lopsided 43-6 decision to the Bulldogs.This article was first published in the Sept. 13-20, 2018 print edition of The Two River Times.last_img read more

Mendeley Launches $10,001 API Contest for Open Science Apps

first_imgGrowing Phone Scams: 5 Tips To Avoid Tags:#hack audrey watters The scientific and academic research tool Mendeley has announced a contest aimed at encouraging developers to build apps on top of Mendeley’s open database. That database includes over 70 million research papers, usage statistics, reader demographics, social tags and related research recommendations. The winning app will receive a grand prize of $10,001.Describing itself as a of sorts for academic research, Mendeley isn’t simply a bibliographic management tool as it is able to glean information from aggregated data to help track trending research topics. Mendeley launched its API last year, and a number of apps have been created already, such as Twendeley, a Twitter-Mendeley mashup. Mendeley’s “API Binary Battle” now incentivizes developers to build even more.“The irony of the Internet is that scientists created it, yet it has been underutilized in strengthening the academic community online. A “Facebook for science data? has never been achieved,” says Mendeley Chief Scientist Dr. Jason Hoyt. “With tools like the Mendeley API platform, developers can bring academia back to the center of the Internet.” The judging panel includes O’Reilly Media’s CEO Tim O’Reilly and Amazon CTO Werner Vogels. The deadline for submissions is August 31. Why You Love Online Quizzescenter_img 7 Types of Video that will Make a Massive Impac… How to Write a Welcome Email to New Employees? Related Posts last_img read more

Let’s Talk About Why Yahoo Really Bought Tumblr: Native Advertising

first_imgIf we needed an event to wake people up to the power of native advertising, it’s surely Yahoo’s $1.1-billion purchase of Tumblr.We’ll be talking about this a lot at AdNatively, a one-day conference I’m emceeing in New York on Thursday, May 23.So what is native advertising? A quick, simple definition: It’s an ad whose form and delivery is identical to the content environment in which it is served.The opposite, in other words, of interruptive advertising: billboards, takeovers, and big banners that take up space on the page but don’t otherwise relate.Tumblr’s Real ValueSo why did Yahoo buy Tumblr? People talk about the hip, cool vibe of Tumblr’s network of millions of blogs. Or the younger demographic Tumblr has attracted, which Yahoo desperately needs.But Yahoo doesn’t need blogs and young’uns for their own sake: It needs them because marketers need them. And the only way marketers can reach Tumblr users is through Tumblr posts, which advertisers will pay to feature on Tumblr users’ “dashboards” – the stream of posts from accounts they follow.That’s more theory than practice at this point. Yahoo hopes to turbocharge Tumblr’s revenues through its large sales force, which has been itching to have more native advertising formats to sell. Tumblr investor Fred Wilson of Union Square Ventures is delivering a keynote address at AdNatively. I’m keenly interested in what he’ll have to say.Wilson is also an investor in Twitter, which has a similar native model: Advertisers can pay to promote a tweet so it’s seen by more people, or on Facebook, where sponsored posts get more prominent play in users’ News Feeds.Fuck Yeah, Native AdsNative advertising is not without its controversies. A big one is the learning curve: Marketers must master each potential advertising environment and learn its intricacies, from Tumblr users’ love for animated GIFs and the phrase “fuck yeah,” to Twitter’s peculiar language of retweets and replies to Facebook’s maddening algorithms.It’s no wonder that some give up and just buy banner ads, which can be bought and sold by machine, almost like stocks. Native-ad environments are catching up, opening up their ads to automated buying and selling through application programming interfaces, but there’s no question that native ads add complexity.Native ads seem inevitable, though, as content consumption goes mobile and social. Back in 1994, when Wired’s HotWired website sold the first banner ad, that little rectangle was arguably a native format adapted to the new medium of the Web. But Web browsing has evolved. If we’re changing how we design interactive experiences for touch interfaces and screens of all sizes, shouldn’t we change how marketers fit in, too?Full disclosure: ReadWrite and its owner and publisher, Say Media, are actively thinking about the native-advertising question. ReadWrite runs ad formats, like sponsored posts, which some observers include in the native-advertising mix. So we’re not just curious bystanders. But I promise you that ReadWrite will do its best to cover native advertising objectively and disclose when we have a stake in the game.The conversation at AdNatively promises to be a rousing debate. If you’re in New York for Internet Week, please join me, Fred Wilson, and others – ReadWrite readers get a 50% discount on attendance.Image courtesy of Shutterstock. owen thomas Guide to Performing Bulk Email Verification A Comprehensive Guide to a Content Audit The Dos and Don’ts of Brand Awareness Videoscenter_img Related Posts Facebook is Becoming Less Personal and More Pro… Tags:#AdNatively#advertising#Fred Wilson#native advertising#Tumblr#Yahoo last_img read more

Frustrated Knights focused on own bid amid 3-way tie for no. 4

first_imgNadal makes Shanghai semis, ties Agassi for wins in Open Era The Knights had the chance to lock up the fourth seed but Napa’s team faltered in the end game against the defending champions.San Beda went on an 11-2 game-closing run to take the victory and deflate Letran’s hopes of an easier path to the semifinals.“Of course we’re frustrated because the players gave it all,” said Napa. “But we’re still positive and we have to win against Benilde.”ADVERTISEMENT Don’t miss out on the latest news and information. Trending Articles PLAY LIST 00:50Trending Articles00:59Sports venues to be ready in time for SEA Games01:27Filipino athletes get grand send-off ahead of SEA Games01:37Protesters burn down Iran consulate in Najaf01:47Panelo casts doubts on Robredo’s drug war ‘discoveries’01:29Police teams find crossbows, bows in HK university01:35Panelo suggests discounted SEA Games tickets for students02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games Nonong Araneta re-elected as PFF president BSP sees higher prices in November, but expects stronger peso, low rice costs to put up fight For the complete collegiate sports coverage including scores, schedules and stories, visit Inquirer Varsity. LATEST STORIES Frontrow holds fun run to raise funds for young cancer patients  Photo by Tristan Tamayo/INQUIRER.netLetran is in a precarious predicament heading into the Final Four of the NCAA Season 93 men’s basketball tournament.After their loss to San Beda, the Knights failed to get a precious edge in the race for a spot in the semifinals as they dropped to 8-9 and tied with Arellano and San Sebastian at the fourth spot.ADVERTISEMENT And in the event that all three teams win their respective final matches in the eliminations, they would be relegated to playoff games to figure out who gets the last semifinals spot.Knights head coach Jeff Napa, though, is not focusing on the fate of the Chiefs and the Golden Stags.FEATURED STORIESSPORTSWATCH: Drones light up sky in final leg of SEA Games torch runSPORTSSEA Games: Philippines picks up 1st win in men’s water poloSPORTSMalditas save PH from shutout“We don’t care what the other teams will do,” said Napa in Filipino Friday after the 73-68 setback at Filoil Flying V Centre.“All we care about right now is the must win on Tuesday against College of St. Benilde. So let’s see what happens.” Fire hits houses in Mandaluyong City View comments Brace for potentially devastating typhoon approaching PH – NDRRMC Read Next Typhoon Kammuri accelerates, gains strength en route to PH LOOK: Loisa Andalio, Ronnie Alonte unwind in Amanpulo for 3rd anniversary MOST READ Kammuri turning to super typhoon less likely but possible — Pagasalast_img read more

Achilles tendinitis

first_imgDefinitionAchilles tendinitis is when the tendon that connects the back of your leg to your heelbecomes swollen and painful near the bottom of the foot. This tendon is called theAchilles tendon. It is used for walking, running, and jumping.Alternative NamesTendinitis of the heelCauses, incidence, and risk factorsThere are two large muscles in the calf. These muscles are important for walking. They create the power needed to push off with the foot or go up on the toes. The large Achilles tendon connects these muscles to the heel.Heel pain is most often due to overuse of the foot. Rarely it is caused by an injury.Tendinitis due to overuse is most common in younger people. It can occur in walkers, runners, or other athletes.Achilles tendinitis may be more likely to occur if:Suddenlyincrease the amount or intensity of an activityYour calf muscles are very tight (not stretched out)You run on hard surfaces such as concreteYou run too oftenYou jump a lot (such as when playing basketball)You do not have shoes with proper supportYour foot suddenly turns in or outTendinitis from arthritis is more common in middle-aged and elderly people. A bone spur or growth may form in the back of the heel bone. This may irritate the Achilles tendon and cause pain and swelling.SymptomsSymptoms include pain in the heel and along the tendon when walking or running. The area may feel painful and stiff in the morning.The tendon may be painful to touch or move. The area may be swollen and warm. You may have trouble standing up on one toe.advertisementSigns and testsThe doctor will perform a physical exam. The doctor will look for tenderness along the tendon and pain in the area of the tendon when you stand on your toes.X-rays can help diagnose bone problems.An MRI scan may be done if your doctor is thinking about surgery or is worried about the tear in the Achilles tendon.TreatmentThe main treatments for Achilles tendinitis do not involve surgery. It is important to remember that it may take at least 2 to 3 months for the pain to go away.Try putting ice over the Achilles tendon for 15 to 20 minutes, two to three times per day. Remove the ice if the area gets numb.Changes in activity may help manage the symptoms:Decrease or stop any activity that causes you pain.Run or walk on smoother and softer surfaces.Switch to biking, swimming, or other activities that put less stress on the Achilles tendon.Your health care provider or physical therapist can show you stretching exercises for the Achilles tendon.They may also suggest the following changes in your footwear:A brace or boot or cast to keep the heel and tendon still and allow the swelling to go downHeel lifts placed in the shoe under the heelShoes that are softer in the areas over and under the heel cushionNonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen can help with pain or swelling. Talk with your health care provider.If these treatments do not improve symptoms, you may need surgery to remove inflamed tissue and abnormal areas of the tendon. Surgery also can be used to remove the bone spur that is irritating the tendon.Extracorporeal shock wave therapy (ESWT) may be an alternative to surgery for people who have not responded to other treatments. This treatment uses low-dose sound waves.Expectations (prognosis)Lifestyle changes usually help improve symptoms. However, symptoms may return if you do not limit activities that cause pain, or if you do not maintain the strength and flexibility of the tendon.ComplicationsAchilles tendinitis may make you more likely to have an Achilles rupture. This condition usually causes a sharp pain, like someone hit you in the back of the heel with a stick. Surgical repair is necessary, but difficult because the tendon is not normal.Calling your health care providerIf you have pain in the heel around the Achilles tendon that is worse with activity, contact your health care provider for evaluation and possible treatment for tendinitis.PreventionMaintaining strength and flexibility in the muscles of the calf will help reduce the risk of tendinitis. Overusing a weak or tight Achilles tendon makes you more likely to develop tendinitis.ReferencesGollwitzer H, Diehl P, von Korff A, Rahlfs VW, Gerdesmeyer L. Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the efficacy of a new electromagnetic shock wave device. J Foot Ankle Surg. 2007;46:348-357.advertisementBaer GS, Keene JS. Tendon injuries of the foot and ankle. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Drezs Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:section D.Review Date:8/11/2012Reviewed By:David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc., and C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery.last_img read more