American Academy of Orthopaedic Surgeons. You may need to avoid exercise for several days or switch to an activity that doesn't strain the Achilles tendon, such as swimming. A physical therapist might suggest some of the following treatment options: Exercises. The procedure generally involves making an incision in the back of your lower leg and stitching the torn tendon together. Recent studies, however, have shown fairly equal effectiveness of both surgical and nonsurgical management. Journal of Orthopaedic Surgery and Research. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. During the physical exam, your doctor will gently press on the affected area to determine the location of pain, tenderness or swelling. He or she might refer you to a doctor specializing in sports medicine or physical and rehabilitative medicine (physiatrist). Journal of Bone and Joint Surgery. I performed a few and they have helped tremendously with my foot pain. If the condition has progressed to tendonosis, eccentric exercises over a course of three to four months are one of the most effective treatments. Written By: Chloe Wilson - BSc(Hons) PhysiotherapyReviewed By: FPE Medical Review Board. There are different levels of Achilles injury. This content does not have an Arabic version. A single copy of these materials may be reprinted for noncommercial personal use only. Make a donation. The muscle fibres run down the back of the calf, twist round through ninety degrees and then insert into the heel. Well described and clearly explained. If altered foot biomechanics is thought to be contributing to your problem, an Orthotist can give you appropriate insoles to help correct the problem. Complications can include infection and nerve damage. is a trading name of Wilson Health Ltd. All rights reserved. Zhang H, et al. The achilles tendon is the largest and strongest tendon in the body but it is prone to damage by overuse, inflammation and degeneration. "Cindy, US, "3 days ago I thought I was going to need foot surgery. See our safe care and visitor guidelines, plus trusted coronavirus information. Nonoperative dynamic treatment of acute Achilles tendon rupture: The influence of early weight-bearing on clinical outcome. Tendonitis is the most common cause of achilles heel pain. One review study concluded that if you have access to functional rehabilitation, you might do just as well with nonsurgical treatment as with surgery. 2014;96:1497. These painless procedures create images of the tissues of your body. I have had good success with patients using this. An x-ray may be performed if a calcaneal bone spur is suspected. The tendon is approximately six inches long. Conventional Treatment Because inflammation and overuse are commonly tied to Achilles pain, Achilles tendonitis treatment normally includes a combination of: Rest (usually including stopping exercise for a … Try as much as possible to avoid activities which provoke your symptoms. Achilles tendinitis. If there's a question about the extent of your Achilles tendon injury — whether it's completely or only partially ruptured — your doctor might order an ultrasound or MRI scan. It may be followed by ultrasound treatment. Are symptoms worse at certain times of day or after certain activities? It has an hour-glass type shape being wider at the top and bottom than in the middle. Comparing Non-operative Treatment Pathways for Achilles Tendon Rupture Cast immobilization with prolonged non-weight-bearing has traditionally been used to manage patients with a first-time acute Achilles tendon rupture. 2015;94:1. Tried a few stretches, already feels good. American Academy of Orthopaedic Surgeons. here should be designed to support, not replace, the relationship that exists Non-steroidal anti-inflammatories such as ibuprofen and naproxen can help reduce achilles pain, but will not reduce the thickening in the tendon caused by degeneration so this achilles tendonitis treatment must be carried out in conjunction with others. Have you recently made changes to your exercise routine, or have you recently started participating in a new sport? Wearing simple heel pads in your shoes can reduce the tension on the tendon - a simple yet effective Achilles tendonitis treatment. If this is painful, it indicates tendonitis. Visit the calf workout section for a whole range of exercises to strengthen the calf muscles as part of your achilles tendonitis treatment. : 1. Ham P, et al. 4th ed. But if your signs and symptoms are severe or persistent, your doctor might suggest other treatment options. Tendonitis can occur in a number of locations around the foot. terms of use in the commenting policy section. There are numerous treatments involved with treating Achilles tendon pain, including activity modification, medication, physical therapy, and possibly, surgery. Using ice can help to reduce the pain and inflammation associated with tendonitis. Mayo Clinic is a not-for-profit organization. Rich, US, This site complies with the HONcode standard for trustworthy 3. Most people return to their former level of activity within four to six months. Achilles tendinopathy and tendon rupture. Common causes of achilles tendonitis include: Achilles tendonitis can develop in two places: Effective achilles tendonitis treatment should target the specific location of the problem. Achilles tendonitis treatment should be started as soon as possible to prevent the condition getting worse. Both help to improve blood flow to the area and realign the damaged fibres to promote healing. The doctor may ask you some of the following questions: Mayo Clinic does not endorse companies or products. Li Q, et al. People with an Achilles tendon rupture commonly seek immediate treatment at a hospital's emergency department. There are a number of different achilles tendonitis If the calf muscles are tight, stretches will help to reduce the tension on the tendon. occasionally and posteriorly by our editorial team. Accessed July 9, 2015. Minimally invasive procedures reduce infection rates over those of open procedures. If several months of more-conservative treatments don't work or if the tendon has torn, your doctor may suggest surgery to repair your Achilles tendon. He or she will also evaluate the flexibility, alignment, range of motion and reflexes of your foot and ankle. This content does not have an English version. This helpful video from the American Academy of Orthopedic Surgeons looks at what happens if the tendon does completely rupture. "Mayo," "Mayo Clinic," "," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. To decrease pain or swelling, apply an ice pack to the tendon for about 15 minutes after exercising or when you experience pain. Stretches should always be a part of achilles tendonitis treatment. The key to healing and recovering well is to keep on top of your care and follow your therapy regimen from start to finish. You might also need to consult with doctors specializing in sports medicine or orthopedic surgery. After either treatment, you'll have physical therapy exercises to strengthen your leg muscles and Achilles tendon. Studies are ongoing in this area also. This is because the blood supply to the tendon is poor, reducing the circulation of the necessary oxygen and Advertising revenue supports our not-for-profit mission. Treatment for a ruptured Achilles tendon often depends on your age, activity level and the severity of your injury. Minimally invasive versus open surgery for acute Achilles tendon rupture: A systematic review of overlapping meta-analyses. This content does not have an English version. The steroid tends to be peppered around the tendon, rather than inserted directly into the tendon to reduce the risk of the tendon rupturing.