Achilles tendonitis is a common yet painful condition that affects the tendon connecting the calf muscles to the heel bone. It often occurs due to overuse, improper footwear, or inadequate stretching. Without timely treatment, it can lead to severe complications that may require surgical intervention. If you are experiencing persistent heel pain, swelling, or stiffness, seeking professional consultation with an orthopaedic doctor for achilles tendonitis treatment is crucial.
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Understanding Achilles Tendonitis
Achilles tendonitis is an inflammation of the Achilles tendon, usually resulting from repetitive stress. It is prevalent among runners, athletes, and individuals who suddenly increase their physical activity levels. The symptoms include:
- Pain and stiffness along the back of the heel, especially in the morning.
- Swelling in the affected area.
- Tenderness that worsens with activity.
- Limited range of motion in the ankle.
Early diagnosis and intervention can prevent further deterioration and facilitate a quicker recovery.
Diagnosis of Achilles Tendonitis
A proper diagnosis is essential to determine the severity of Achilles tendonitis and to develop an effective treatment plan. An orthopaedic doctor may perform the following assessments:
- Physical Examination – The doctor will check for tenderness, swelling, and range of motion in the affected area.
- Medical History – Discussing past injuries, physical activities, and symptoms to identify potential causes.
- Imaging Tests:
- Ultrasound – Provides a real-time image of the tendon’s condition, showing inflammation or micro-tears.
- MRI Scan – Used for severe cases to detect more significant tendon damage or degeneration.
- X-ray – Helps rule out other conditions such as bone spurs or fractures.
Achilles Tendonitis Treatment Options
1. Rest and Activity Modification
One of the primary treatments for Achilles tendonitis is reducing activities that strain the tendon. Avoid running, jumping, or prolonged standing until the pain subsides. Low-impact exercises such as swimming or cycling may help maintain fitness without exacerbating the condition.
2. Ice Therapy
Applying ice packs to the affected area can help reduce swelling and pain. It is recommended to use ice for 15 to 20 minutes several times a day, especially after physical activity.
3. Stretching and Strengthening Exercises
Performing targeted exercises can enhance flexibility and strengthen the Achilles tendon. Some effective exercises include:
- Calf stretches to maintain flexibility.
- Eccentric heel drops to gradually strengthen the tendon.
- Toe-to-wall stretches for improved mobility.
A physiotherapist can design a personalised exercise programme based on your condition and recovery goals.
4. Supportive Footwear and Orthotics
Wearing well-cushioned shoes with proper arch support can alleviate stress on the Achilles tendon. Custom orthotic insoles may also help distribute pressure evenly and improve foot alignment.
5. Medication and Pain Management
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help manage pain and inflammation. However, these should be used under medical supervision to avoid potential side effects.
6. Extracorporeal Shockwave Therapy (ESWT)
This non-invasive treatment uses sound waves to stimulate healing in the affected tendon. It is particularly beneficial for individuals with chronic Achilles tendonitis who do not respond to conventional treatments.
7. Platelet-Rich Plasma (PRP) Injections
PRP therapy involves injecting concentrated platelets from the patient’s blood into the injured tendon. This treatment accelerates healing by promoting tissue regeneration.
8. Surgery for Severe Cases
If conservative treatments fail and the pain persists for several months, surgery may be necessary. Surgical procedures involve removing damaged tissue and repairing the tendon to restore function and mobility.
When to See an Orthopaedic Doctor
While mild cases of Achilles tendonitis may improve with home care, consulting an orthopaedic doctor is essential if:
- Pain persists for more than a few weeks despite treatment.
- You experience difficulty walking or standing.
- Swelling and stiffness worsen over time.
- A snapping or popping sensation occurs in the tendon.
An orthopaedic specialist can provide a comprehensive assessment, recommend advanced treatment options, and guide you through a personalised recovery plan.
Get Professional Achilles Tendonitis Treatment Today
Do not let Achilles tendonitis hinder your mobility and quality of life. Seeking timely treatment from a qualified orthopaedic doctor can prevent long-term complications and ensure a swift recovery. Contact us to schedule an appointment with a trusted orthopaedic specialist today.
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This article is informative only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.