"V体育平台登录" Achilles Tendinitis

What is the best way to get rid of Achilles tendonitis?

Your healthcare provider will first recommend nonsurgical treatment. It may take a few months for the pain to get better — especially if you’ve already had symptoms for a few months.

Nonsurgical Achilles tendinitis treatments include the RICE method:

• Rest: Stop doing activities that stress your tendon. Switch to low-impact activities, such as swimming, that put less stress on your Achilles tendon.
• Ice: Put ice on your tendon for up to 20 minutes, as needed throughout the day.
• Compression: Compress, or put pressure on, your tendon using an athletic wrap or surgical tape.
• Elevation: To reduce swelling, lie down and raise your foot on pillows so it’s above your heart.

Protect your tendon. Avoid walking up steep inclines or overstretching your tendon, such as by standing on a ladder rung. Wear:

• Supportive shoes, heel lifts or custom orthotics. Don’t walk barefoot.
• A splint at night to help your Achilles tendon stay stretched while you sleep.
• A walking boot or walking cast if the pain is severe.

Other nonsurgical Achilles tendinitis therapies that can help include:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Don’t take the medication for more than one month without talking to your provider.
• Exercises you can do at home, such as calf stretches.
• Physical therapy, which uses strengthening exercises, massage, stretching and running reeducation to help you feel better and regain your strength.
• Shockwave therapy, which uses strong sound waves to reduce pain and promote healing.
• Brisement, which is a treatment option in the earlier stages of Achilles tendinitis, before it progresses to Achilles tendinosis. Providers inject an anesthetic into the space around your tendon to break up scar tissue. You may need to have this procedure a few times.

When does Achilles tendinitis need surgery?

If you’ve tried nonsurgical methods for six months and you’re still in pain, talk to your provider. You may need surgery. A foot and ankle surgeon can suggest options based on your injury, age, preferences and activity level.

Surgical options include:

• Gastrocnemius recession: A surgeon lengthens your calf (gastrocnemius) muscles.
• Debridement and repair: If most of your tendon is healthy, the surgeon removes just the damaged part and stitches together the remaining healthy tendon. After the procedure, you’ll wear a boot or cast for a few weeks.
• Debridement with tendon transfer: If more than half of your Achilles tendon has damage, then there’s not enough of a healthy part to function. You’ll need an Achilles tendon transfer. Your surgeon takes the tendon that helps your big toe point down and moves it to your heel bone. Treatment gives the damaged tendon enough strength to function. You’ll still be able to move your big toe, walk and even run. But you may not be able to play sports competitively after this procedure.
• Hydrocision TenJet®: This minimally invasive, ultrasound-guided technique uses high-velocity saline to break up scar tissue in your tendon. The pressurized saline acts as a blade to selectively remove unhealthy tissue.

Complications of Achilles tendinitis surgery

Some people still experience pain after surgery. The other complication that can occur is a wound infection. Infections can be challenging to treat because of the location of the Achilles tendon.