Radiotherapy for Achilles tendinopathy: how does it work?

You may often think of radiotherapy as treatment traditionally used for cancer, but did you realise it can be used for a multitude of treatments? One condition it can be used for is Achilles tendinopathy. Renowned radiotherapy specialist and clinical oncologist Dr Richard Shaffer explains everything you need to know about radiotherapy for Achilles tendinopathy.

What is Achilles tendinopathy?

Achilles tendinopathy is a condition where the Achilles tendon, located at the back of the ankle, can become irritated, inflamed, or degenerate. With Achilles tendon, you may experience symptoms such as pain and stiffness in the back of the ankle, especially after physical activities.

Over time, the pain may increase gradually and may lead to thickening of the Achilles tendon.

How does radiotherapy help Achilles Tendinopathy?

Radiation therapy is a helpful and non-invasive method for reducing pain and improving function related to Achilles tendinopathy.

In around 80% of patients, pain and symptoms respond well to radiotherapy. This option is often considered for individuals who haven't found relief through conservative treatments and are aiming to avoid more invasive or surgical procedures.

Are there any age or health restrictions for individuals seeking radiotherapy for Achilles tendinopathy?

In our clinic, we tend to offer radiotherapy to two groups of patients with this condition, in the following circumstances:

1. In people where it is critical that they can continue with vigorous activities (e.g. sportspeople). early on in the disease course.
2. Later on in the disease course, where there have been at least 3 months of conservative treatment (e.g. resting, stretching, exercises) and the pain has persisted.

There are no restrictions on the use of this treatment for patients with other health conditions. The only rare exception is if you are known to be hypersensitive to radiotherapy treatment.

What is the typical duration of the radiotherapy sessions, and how many sessions are usually recommended?

In our clinic, you’ll have six treatments over two to three weeks. The radiographer will help you get in the right position underneath the X-ray machine. The radiotherapy treatment is painless and takes less than one minute. It is important that you keep still so that it is accurate. Each appointment takes around 10 minutes in total.

Radiotherapy does not cause drowsiness or dizziness, meaning that you can leave straight after the treatment, and can even drive yourself home if needed.

Three months after your first radiotherapy course, you will have a follow-up appointment with your consultant again, in order to assess how you have responded to treatment. The majority of patients require another six sessions for full relief, but if your symptoms have already gone, you can choose to finish treatment after just one course.

If you would like to book a consultation with Dr Shaffer, simply visit his Top Doctors profile today.