Brief Answer:
It is not so simple sir, need elaborate work

Detailed Answer:
Hello XXXXXXX and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help.

My name is Dr. Shoaib Khan and I belong to the Orthopedic and Traumatology department. I should rightfully start by saying that your symptoms are indeed rare and are more commonly seen in individuals who are above the age of 50 years, or those who have had severe kidney, heart or lung abnormalities. It is also seen in those individuals who have either previously been on steroids or are currently on steroids.

Either way, I am sorry and surprised to hear that you have experienced these side effects sir. Let me start by explaining what has to be done:

-First of all, your tendons and the extent of injury will have to be accessed. Without this, advising treatment like bed rest, pain management medications, physiotherapy, etc; would all be pointless/blind treatment

-If at all your tendons are weak or severely injured (especially the Achilles tendon, which is more commonly seen in case of ciprofloxacin side effects), then immediate surgical management may be required. In such a scenario, the usual corticosteroid injections (which are the first-line of tendonitis management) will only make the tendons weaker and more prone to rupturing, so please make note of this

-An ultrasound, x-ray and physical examination are mandatory sir. Please do not depend entirely on an online consultation, I would have personally examined you, but as we are not located in the same time zone, it is unfortunate that I cannot do so

-Exercises: Please make sure you consult only an orthopedician who would recommend a physical therapist who he/she would know. The right type of exercises to help strengthening, lengthening and contraction of your tendons and the muscles they are attached to are vital

-Surgery: Depending on the assessment of your tendons, the doctor may or may not choose surgery. The surgeon, chooses to either provide implants to strengthen the existing tendon or conduct a tendon grafting procedure

For now sir, please apply a cold pack on the affected region and avoid weight-bearing at all times till you can meet your doctor. I hope and pray you experience a complete recovery. Do not let these things affect your mental strength and will power sir, everyone has ups and downs. I am sure you will come out of this a stronger person.

I hope you find my response helpful sir. Please feel free to write back to me for any further clarifications, I would be more than happy to help and guide you.

Best wishes.

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