Achilles tendonitis is inflammation along the Achilles tendon. The Achilles tendon is the largest tendon in the body and is, therefore, susceptible to overuse injuries from running and jumping type exercises. It is responsible for plantarflexion of the ankle (causing the front of the foot to lower and lift the heel off the ground).
Achilles Tendonitis is usually due to excessive repetitive stress to the tendon. Typically, this condition is not related to a specific injury but rather due to over exertion of the Achilles tendon in specific situations including:
At Gotham Footcare, your doctor will conduct a thorough physical exam of your foot and ankle. Your doctor will determine the location of your pain, tenderness or swelling, and evaluate the flexibility, alignment, range of motion, and reflexes of your foot and ankle.
Your doctor may order one or more of the following tests to assess your condition:
X-rays. Our in-office digital X-ray system will provide your doctor with clear images of your foot bones. Radiographic evaluation can demonstrate whether the lower part of your Achilles tendon has calcified, or become hardened, indicating insertional Achilles tendinitis.
Ultrasound: This in-office device uses sound waves to visualize soft tissues like tendons. Ultrasound can also produce real-time images of the Achilles tendon in motion, which may allow for visualization of inter-tendinous tearing and inflammation of the tendon.
Magnetic resonance imaging (MRI): An MRI may be prescribed if further evaluation is warranted. An MRI uses radio waves and a very strong magnet to produce more detailed images of the Achilles tendon.
Most cases of Achilles Tendonitis can be treated conservatively with nonsurgical treatments, although it may take several months for symptoms to completely subside. This involves a number of modalities including:
Gotham Footcare prides itself on offering the latest minimally invasive surgical treatments. Two of the latest and most effective surgical management techniques are Tenex and Platelet Rich Plasma (PRP) or Amniotic Injections.
Platelet Rich Plasma PRP is derived from a patient’s own blood, which has been processed to concentrate the platelets. These concentrated platelets contain powerful growth factors that can jumpstart the healing of injured tendons and ligaments by stimulating tissue repair and regeneration. This procedure is done in conjunction with Tenex to maximize healing and repair of the Achilles Tendon.