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Treatment Options for Achilles Tendinosis

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10 Jun, 2024

Treatment Options for Achilles Tendinosis

Achilles tendinopathy is a condition characterized by pain, stiffness, and sometimes swelling in the Achilles tendon, which is the tough band of tissue connecting the calf muscles to the heel bone. This tendon is pivotal for walking, running, and jumping, making it susceptible to injury, especially in individuals engaged in rigorous physical activities or sports.

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Understanding the causes, symptoms, and treatment options for Achilles tendinopathy is fundamental for effective management and recovery. In this brief article brought to you by Mid Penn Foot & Ankle Specialists, we provide an abridged introduction to Achilles Tendinopathy and the treatment options available.

If you ever need a licensed podiatrist, feel free to call the specialists at Mid Penn Foot & Ankle Specialists. Our team is on standby to take your call or message today.

Causes and Risk Factors of Achilles Tendinopathy

Achilles tendinopathy happens due to overuse or repetitive strain on the Achilles tendon, which leads to microtears and degeneration of the tendon fibers. This condition is prevalent among athletes, particularly runners, dancers, and those involved in activities requiring sudden starts and stops. Several factors contribute to the development of Achilles tendinopathy:

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  • Excessive training without adequate rest can strain the tendon.
  • Flat feet, high arches, or improper gait can increase stress on the Achilles tendon.
  • Shoes lacking proper support or cushioning can exacerbate tendon strain.
  • Middle-aged men are more prone to Achilles tendinopathy due to decreased tendon elasticity and increased participation in high-intensity sports.
  • A history of tendon injuries can predispose individuals to recurrent issues.

In any case, everyone benefits from taking preventative measures and checking in on their feet and ankles. Periodic and routine foot care is essential, but keep your eyes and senses peeled for signs of trouble.

Symptoms of and Diagnosing Achilles Tendinopathy

The hallmark symptom of Achilles tendinopathy is pain along the tendon, typically near the heel, which may worsen with activity. Other symptoms include:

  • Stiffness, particularly in the morning or after periods of inactivity.
  • Swelling around the tendon, indicating inflammation.
  • Tenderness along the tendon, especially when pressed.
  • Limited range of motion and difficulty in flexing the foot or climbing stairs.

Diagnosing Achilles tendinopathy involves a thorough physical examination by a licensed foot doctor, who may palpate the tendon and assess the range of motion and strength. Imaging studies, such as ultrasound or MRI, can help confirm the diagnosis and evaluate the extent of tendon damage.

Treatment Options for Achilles Tendinopathy

Effective management requires a multilayered approach tailored to the severity of the condition and the individual’s health record. Treatment strategies typically include conservative measures, but surgical intervention may be necessary in severe or refractory cases.

Conservative treatments include:

  • Rest and activity modifications
  • Ice therapy
  • Non-steroidal anti-inflammatory drugs
  • Physical therapy
  • Orthotics and footwear adjustments

Advanced treatments sometimes recommended by a foot specialist include:

  • Extracorporeal shock wave therapy
  • Platelet-rich plasma injections
  • Corticosteroid injections

In rare cases, surgical intervention may be necessary. Debridement, or removing damaged tendon tissue to alleviate pain and facilitate healing, and tendon transfer, or using a tendon from another part of the foot to reinforce the Achilles tendon in severe cases, are two common surgical options.

Consult with a Licensed Foot Doctor

It is always advisable to seek a second opinion when surgery is recommended. Whether you need a second opinion or an initial consultation with a dependable podiatrist, then call Mid Penn Foot & Ankle Specialists to schedule a convenient appointment today.

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