Achilles Tendonitis

Achilles Tendonitis

Both of these pathologies affect the achilles’ tendon. The distinction between the two is location. Insertional occurs where the Achilles’ tendon attaches to the heel bone (calcaneus) and non-insertional achilles’ tendinopathy occurs in the mid-substance, watershed zone of the tendon (approximal 3-5 centimeters above the heel bone). Both are treated similarly and includes physical therapy, stretching, PRP injections, amnion injections and EPAT. Surgical management involves debridement of the tendon and possible lengthening of the tendon through a gastrocnemius recession procedure. In severe cases of tendon destruction, anancillary procedure called a FHL transfer may need to be performed (the tendon that moves your big toe down is attached to your heel bone to take over function of the achilles’ tendon)