Your guide to Achilles tendinopathy
Written by:The Achilles tendon will be familiar to anyone who plays or follows sports like football. When injured, it can prevent athletes from participating, and can even hinder mobility in everyday life. How does the Achilles tendon get injured, how serious is it, and can it be treated? Top Doctors’ resident expert Mr Paul Hamilton gives us the facts.
Why do I have pain in my Achilles tendon?
While there probably isn’t an arrow stuck in your heel, you may have found your heel to be a weak spot. Achilles tendinopathy is pain at the back of the heel either where the Achilles inserts (insertional) or just above this area (non-insertional).
The pain is often worse first thing in the morning and may be associated with a lump and swelling. Heel pain can also be caused by plantar fasciitis, rather than Achilles tendinopathy.
How do you get rid of Achilles tendonitis?
It is always best to tailor treatment to each specific patient. Physiotherapy is a common option, and may be used in conjunction with other treatments, such as insoles, gait analysis, podiatric assessment, extra-corporeal shockwave therapy and sometimes even surgical procedures.
How is Achilles tendinopathy treated surgically?
If the above treatments fail, then surgical treatment directly to the Achilles may be an option that can be discussed during the consultation. This may involve stripping the Achilles, removing damaged Achilles tendon or transferring another tendon to help in the healing process and improve function. Recovery may take several months and will require a period of immobilisation in a cast or a boot.
If you would like to make an appointment with Mr Paul Hamilton, visit his Top Doctors profile today.
