Featured Speaker

Dr. Alastair Younger

MB, Ch.B, M.Sc, Ch.M, F.R.C.S.(C), Foot and Ankle Orthopaedic Surgeon Vancouver, BC

Achilles Tendon Repair - Non-Surgical Techniques

Debra Treloar, BSR, FCAMPT, Physiotherapist, discusses breathing & physiotherapy.

People can rupture their tendons after playing a sport or if they have a fall. And some people are at risk of rupturing tendons because tendons all degenerate as we get older.

The common ones are broken around the ankle area is the Achilles tendon, which is the common one that everyone knows about, the heel cord. On occasion, people can rupture other tendons around the back of the foot. Some of them maintain your arch and some of them push your foot out to the side when your ankle becomes unstable.

The main ways to treat these ruptures is to start off with non-operative treatment, so a lot of the time after tendon rupture people are observed to see if we can get the tendon to heal. And it’s quite common now in particular for the Achilles tendon to try and see if the Achilles tendon will heal in a cast in a toes-down position.

But it’s important if that’s the case to make sure that you remain non-weight bearing according to the instructions of your physician.

These tendon ruptures can be complex. They’re much harder to fix later than earlier, and the results get worse in time because the muscles get de-conditioned and it’s harder to make them work if you leave it a long time. So if you think that your tendons are not working properly and something needs to be done about it, it may be a good idea to talk to your family doctor and see if you can be sent onto somebody who can look after that problem for you. Local Orthopedic Surgeon

Presenter: Dr. Alastair Younger, Orthopaedic Surgeon, Vancouver, BC

Local Practitioners: Orthopaedic Surgeon

BIO: Orthopedics Now

Dr. Alastair Younger was born in Scotland and grew up close to St. Andrew’s in Scotland. This, unfortunately, has not resulted in a genetic ability to play golf. Instead, Dr. Younger grew up with an avid interest in skiing because this sport was inaccessible to a large part in the area that he grew up in, in Scotland.

After attending a school with a large interest in outdoor sports, Dr. Younger attended medical school in Aberdeen, graduating in 1985.

After working for three years in the National Health Service, Dr. Younger moved to Vancouver to study Kinesiology at Simon Fraser University. After finishing a Master’s Degree, studying Limb Lengthening in Children, he trained in Orthopaedic Surgery at the University of British Columbia, finishing both the Residency Program and further studies on Limb Lengthening in 1995.

He received a further degree from the University of Aberdeen for his work in Limb Lengthening. After doing a short fellowship and locum at Vancouver General Hospital in Joint Replacement, Dr. Younger moved to Boston in Massachusetts to study at Harvard in the area of Arthritis Surgery. He then trained in Foot and Ankle at the University of Washington in Seattle, finishing his training in 1997 and returning to be on staff at the University of British Columbia and begin his practice at St. Paul’s Hospital.

At that time, Dr. Younger was the sole surgeon practicing Foot and Ankle at the university. He was instrumental in developing British Columbia’s Foot and Ankle Clinic and lobbied hard for this clinic to be created at Providence Health Care. As a result, he is presently the Director of British Columbia’s Foot and Ankle Clinic and has been able to hire other orthopaedic surgeons in the group, as well as operative podiatrists to try and address the need for foot and ankle care in British Columbia.

Dr. Younger is the past president of the Canadian Orthopaedic Foot and Ankle Society and a founding member. He has been active on many committees of the Canadian Orthopaedic Association. He is a member of the American Foot and Ankle Society, the Arthroscopy Association of North America, the American Academy of Orthopaedic Surgeons, as well as the Canadian organizations mentioned above.

Dr. Younger has chaired a local meeting for a foot and ankle symposium for the Canadian Orthopaedic Foot and Ankle Society for the last six years, every other year. He has also given talks nationally and internationally for foot and ankle conditions. He has lectured for the American Academy of Orthopaedic Surgeons, the Arthroscopy Association of North America and has coordinated courses for them. He has been a Master Instructor for the Arthroscopy Association of North America at their Learning Centre in Chicago. He has been a visiting professor in Calgary, Winnipeg, Northwestern University and the University of Montreal.

Dr. Younger has been recognized by the Canadian Orthopaedic Association, by being awarded the North American Traveling Fellowship in 1997 and the American/British/Canadian Traveling Fellowship in 2007.

Dr. Younger presently enjoys camping, cycling, and skiing. He also still tries to match his cultural heritage of being able to play golf, but still to a very poor level.

( Dr. Alastair Younger, Orthopaedic Surgeon, Vancouver, BC ) is in good standing with the College of Physicians and Surgeons. Now health Network

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