Conservative Approaches for Achilles Tendonitis
When it comes to managing Achilles tendonitis, medical professionals often suggest conservative treatment options. These methods aim to alleviate symptoms and promote healing without the need for surgical intervention. Rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and the use of adaptive footwear are commonly recommended by doctors.
An effective technique for reducing pain associated with Achilles tendonitis is eccentric stretching exercises. Unlike traditional exercises that shorten the tendon, eccentric stretching exercises focus on lengthening it. Studies have shown that individuals who incorporate these exercises into their treatment routine experience a significant 40 percent reduction in pain.
Another conservative approach that can provide relief is extracorporeal shock wave therapy. This therapy involves the delivery of shockwaves to the soft tissue, which can result in a remarkable pain reduction of up to 60 percent.
Surgical Treatment for Achilles Tendinitis
In cases where nonsurgical treatments for Achilles tendinitis prove ineffective and the pain persists for six months, surgical intervention may be required. The type of surgical procedure will depend on the location and severity of the injury. There are several options available to address this condition.
One approach involves lengthening the calf muscle or utilizing a technique that utilizes high-velocity saline and ultrasound to break up scar tissue along the tendon. This technique aims to remove unhealthy tissue and promote healing.
If a significant portion of the tendon remains intact, the surgeon may opt to remove the damaged areas and suture together the remaining healthy sections. However, in cases where the damage is extensive and affects more than half of the tendon, a tendon from the big toe may need to be transferred to repair the Achilles tendon.