Fast Track to Recovery: Top Achilles Tendonitis Therapies

Treating Achilles Tendonitis

If you're looking to treat Achilles tendonitis and alleviate its symptoms, there are various approaches you can take. The treatment options range from self-care measures to over-the-counter medications. It's important to note that for more severe cases that lead to tendon tears, surgical repair may be required (Mayo Clinic).

Self-Care Measures

Self-care measures play a crucial role in the management of Achilles tendonitis. These measures are often the first line of treatment and can help relieve pain and promote healing. Here are some self-care strategies you can try:

1. Rest: Resting the affected foot is essential to allow the inflamed tendon to heal. Avoid activities that exacerbate the pain and put excessive strain on the Achilles tendon.
2. Ice: Applying ice to the affected area can help reduce pain and inflammation. Use an ice pack wrapped in a thin cloth for about 15-20 minutes at a time, several times a day.
3. Compression: Wrapping the affected foot with a compression bandage can provide support and reduce swelling. Make sure the bandage is snug but not too tight to restrict blood flow.
4. Elevation: Elevating the foot above heart level whenever possible can help reduce swelling and promote better blood circulation.

These self-care measures, collectively known as the RICE method (Rest, Ice, Compression, Elevation), can be effective in managing mild to moderate Achilles tendonitis (Cleveland Clinic). However, it's important to consult with a healthcare professional for proper diagnosis and guidance.

Over-the-Counter Medications

Over-the-counter (OTC) medications can be used to manage pain and reduce inflammation associated with Achilles tendonitis.

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help relieve pain and reduce swelling. These medications are available without a prescription and can be taken orally according to the instructions on the packaging.

It's important to follow the recommended dosage and consult with a healthcare professional if you have any underlying medical conditions or are taking other medications. Your healthcare provider can guide you on the appropriate use of OTC medications for Achilles tendonitis.

Advanced Treatment Options

When it comes to treating Achilles tendonitis, there are advanced treatment options available beyond self-care measures and over-the-counter medications. These options can be particularly helpful if your signs and symptoms are severe or persistent.

Corticosteroid Injections

Corticosteroid injections have traditionally been used to treat various inflammatory conditions, but their use for Achilles tendonitis is controversial. While they can provide short-term pain relief, there are potential risks associated with corticosteroid injections for Achilles tendonitis.

These injections have been linked to an increased risk of Achilles tendon rupture (OrthoInfo). Research has shown that corticosteroid injections can result in decreased tendon strength and increased risk of tendon rupture. Due to these risks, corticosteroid injections into the Achilles tendon are generally not recommended for Achilles tendonitis.

Platelet-Rich Plasma Therapy

Platelet-rich plasma (PRP) therapy has shown promising results in improving pain associated with Achilles tendonitis.

PRP is derived from your own blood and contains a concentrated amount of platelets, growth factors, and other beneficial components that can aid in the healing process. It is believed that the high concentration of platelets in PRP can help stimulate tissue repair and regeneration.

While PRP therapy has shown improvements in pain for Achilles tendonitis, it is important to note that more research is needed to fully determine its effectiveness for this condition (OrthoInfo). If you are considering PRP therapy, it is best to consult with a healthcare professional who can assess your specific situation and provide guidance.

Extracorporeal Shock Wave Therapy

Extracorporeal shock wave therapy (ESWT) is another advanced treatment option for Achilles tendonitis. ESWT involves the delivery of shock waves to the affected area, which stimulates neovascularization and promotes tissue healing. This therapy can be particularly beneficial for Achilles tendinosis, a degenerative condition of the tendon.

During ESWT, a device delivers shock waves to the Achilles tendon. The shock waves can be high-energy or low-energy, depending on the specific treatment approach. High-energy ESWT has shown more successful results compared to traditional nonoperative treatments in some studies. However, it is important to note that there are conflicting results regarding the efficacy of ESWT for Achilles tendonitis (NCBI).

Seek RELIEF®

More research has linked the importance of fascia health for the recovery and managing symptoms of Achilles tendonitis. Fascia, a connective tissue surrounding muscles, bones, and joints, provides essential structural support and stability to the Achilles tendon. Fascial tightness or adhesions can contribute to inflammation and pain in the Achilles tendon region, exacerbating the injury. (SageJournals)

RELIEF® is a minimally invasive procedure that may aid in managing chronic pain and inflammation of Achilles tendonitis by targeting the surrounding fascia; enhancing tendon healing, reducing inflammation and improving mobility around the injured tendon. (ScienceDirect)‍

Physical Therapy Exercises

Physical therapy is an essential component of the recovery process for Achilles tendonitis, particularly for individuals who have undergone surgery or are experiencing persistent symptoms. Physical therapy programs are customized to meet your specific needs and may include a variety of exercises aimed at rebuilding strength, flexibility, and range of motion in the foot and ankle.

These exercises are typically designed to gradually add weight-bearing activities as the Achilles tendon heals. The duration of a physical therapy program for Achilles tendonitis is typically around four to six weeks. It's important to closely follow the guidance of your physical therapist and consistently perform the recommended exercises to optimize your recovery.

By considering advanced treatment options like prescription medications and physical therapy exercises, you can enhance your recovery from Achilles tendonitis and find relief from symptoms. Remember to consult with a healthcare professional to determine the most suitable treatment plan for your specific condition.

Surgical Interventions

When other treatment options fail to provide relief, surgical interventions may be considered for the management of Achilles tendonitis. Two common surgical approaches are percutaneous surgery and open surgery.

Percutaneous Surgery

In cases where Achilles tendinopathy is severe, percutaneous surgery may be necessary. This surgical procedure involves making small incisions and using specialized instruments to remove damaged areas of the tendon and repair what remains. It aims to address the underlying issues and promote healing in the affected tendon (The Feet People).

Although percutaneous surgery can be effective in some cases, it's important to note that the recovery process may vary from person to person. Following surgery, it may take time for the tendon to heal, and some patients may not be able to engage in high-impact sports again, even after successful surgery.

Open Surgery

Open surgery is another option for the treatment of Achilles tendonitis. This procedure involves making a larger incision to gain direct access to the affected tendon. Various techniques can be employed during open surgery, such as percutaneous longitudinal tenotomy, minimally invasive tendon stripping, endoscopic tendon debridement, and open tendon debridement and repair with or without augmentation (NCBI).

The specific technique used during open surgery depends on the severity and location of the tendon damage. The goal of open surgery is to remove abnormal tissues, fenestrate the tendon, and stimulate viable cells to initiate an inflammatory response for healing. Recovery from open surgery may take longer compared to percutaneous surgery, and rehabilitation under the guidance of a healthcare professional is typically necessary.

Surgical interventions should be considered as a last resort when conservative treatments have been exhausted and symptoms persist. It's important to consult with a qualified healthcare professional to determine the most appropriate surgical approach based on individual circumstances. Understanding the potential risks, benefits, and recovery process associated with each surgical intervention is crucial in making an informed decision.

Preventing Achilles Tendonitis

Taking preventive measures can help reduce the risk of developing Achilles tendonitis. By understanding the risk factors associated with this condition and implementing appropriate precautions, you can protect your Achilles tendon and maintain overall foot health.

Risk Factors

Several factors can increase the risk of Achilles tendonitis. These include:

• Repetitive or Intense Strain: Achilles tendonitis is often caused by repetitive or intense strain on the Achilles tendon. This strain weakens the tendon, making it more susceptible to injury. This condition is common in individuals who suddenly increase the intensity of their running programs or participate in sports activities only on weekends (Mayo Clinic).
• Age and Weakening: The structure of the Achilles tendon weakens with age, making it more prone to injury and inflammation. Older individuals may be at a higher risk of developing Achilles tendonitis.
• Sports and Exercise: Participation in high-impact sports or activities that involve repetitive jumping, running, or sudden changes in direction can increase the risk of Achilles tendonitis. This includes sports like basketball, tennis, soccer, and high-impact aerobics.

Preventive Measures

To prevent Achilles tendonitis, consider the following preventive measures:

• Gradual Increase in Activity: When engaging in new or strenuous activities, gradually increase the intensity and duration to allow your body to adjust to the demands placed on the Achilles tendon.
• Build Up Calf Muscles: Strengthening and stretching the calf muscles can help support the Achilles tendon. Incorporate exercises such as calf raises and heel drops into your fitness routine.
• Proper Footwear: Choose appropriate footwear that provides adequate support and cushioning for your feet. Opt for shoes that are designed for the specific activities you engage in and ensure a proper fit.
• Stretching: Prior to exercise or physical activity, perform stretching exercises that target the calf muscles and Achilles tendon. This helps to improve flexibility and reduce the risk of tendon strain.
• Rest and Recovery: Allow your body sufficient time to rest and recover between workouts. Overtraining and inadequate recovery can increase the risk of Achilles tendonitis.
• Consult a Medical Professional: If you are starting a new exercise program or have concerns about your Achilles tendon health, it's advisable to consult with a medical professional. They can provide guidance tailored to your specific circumstances and help you prevent potential injuries.

Remember that prevention is key when it comes to Achilles tendonitis. By incorporating these preventive measures into your regular routine, you can minimize the risk of developing this condition and maintain the health of your Achilles tendon.

If you’re seeking RELIEF® for yourself or a loved one dealing with Achilles tendonitis symptoms, without the need for surgery, steroids or sedation, contact us to learn more.