Achilles Repair

Achilles Repair

Surgical Treatment

Surgical reconstruction is indicated if discomfort persists beyond six months; options include removal of the offending bone (Haglund's) with tendon debridement and repair for insertional tendonitis, and tendon debridement and repair for mid-substance disease; tendon transfer may be recommended in both situations.

Recovery

  • Ice, elevate and take anti-inflammatories directly after surgery
  • Numbness for 4-12 hours following surgery is normal, followed by pain
  • No pressure on foot for 10-14 days
  • Crutches should be used for 2-6 weeks following surgery
  • Weight bearing on foot can begin at 6 weeks; a walking boot may be recommended
  • Mobility of the leg is a critical part of recovery; walking and moderate exercise is recommended
  • Physical therapy is essential and should be continued for at least two months.

Outcomes of Surgery

Surgery to repair the tendon makes the tendon stronger and less likely to tear. It allows for mostly normal activity much sooner than immobilization.

Possible risks: temporary nerve damage, minor pain, minor risk of deep vein thrombosis and permanent nerve damage. All surgical treatments have a slight risk for bleeding and infection.

 

Other treatments:

Regenerative Medicine Treatment Options (Coastal Orthopedics)

Amniotic Fluid Injection

Amniotic Fluid Injection

Platelet Rich Plasma Injection (PRP)

Platelet Rich Plasma Injection (PRP)

Regenerative Injection

Umbilical Cord Stem Cell Injection

Adipose Tissue Stem Cell Injection

Bone Marrow Stem Cell Injection

Bone Marrow Stem Cell Injection

Orthosis

Injections (Corticosteroid)

Injections (Corticosteroid)

High-energy ESWT

Immobilization

Medications

Physical Therapy