Achilles Tendonitis or Tendonosis and Haglund’s Deformity Treatment in Orange County
Help from your Achilles tendonitis and Haglund’s deformity surgeon in Orange County
Achilles tendonitis is a very common condition that causes pain along the back of the leg and at the insertion of the Achilles into the calcaneus or heel bone.
The Achilles tendon is the largest tendon in the body. It is made of the Gastrocnemius and Soleus Muscles.
Some physicians will use the terms tendonitis and tendonosis interchangeably. To make things simple, we could say that tendonosis is a long standing problem that has been bothering the patient for over 4 months.
The Achilles tendon can withstand great stresses from running and jumping. Tendinitis occurs secondary to overuse and degeneration.
Definition of Achilles Tendonitis
Tendonitis is an inflammation process of a tendon.
Inflammation is the body’s natural way to heal an injury. The process often results in edema, pain, and erythema.
Cause of Achilles Tendonosis
Most commonly occurs secondary to an overuse injury. Symptoms can also start after a strain of the tendon.
Things that can exacerbate symptoms
Increase of exercise intensity or frequency
Insufficient rest between exercise
Very tight calf muscles or Equinus
Posterior heel spur or Haglund’s Deformity pain
Achilles Tendon Exam
A thorough History and Physical is imperative.
X-ray will evaluate the osseous structures of the rearfoot to evaluate for a Haglund’s deformity.
Sometimes an MRI will be helpful to evaluate the extent of the Achilles tendonitis or tendonosis.
Treatment of Achilles Tendonosis and Tendonitis and Haglund’s in Orange County
It is important to identify the factors that initially started the achilles tendonitis or tendonosis.
First line of treatment for tendonitis consists of the Rest, Ice, Compression, and Elevation. Medications like NSAID’s play a vital role to decrease inflammation.
It is very important to rest the achilles tendon. Rest is done with a heel lift or wearing a shoe with an elevated heel.
Once the initial inflammation is decreased, strengthening and stretching exercises can begin to treat the achilles tendon.
Most studies have shown that the best way to treat Achilles Tendonitis and Tendonosis is via Eccentric Exercises.
A good Physical Therapist can speed up the recovery process.
Caution should be taken when thinking about cortisone injections into any tendon especially with tendonosis. The patient must understand that there is a very high risk of complete achilles tendon rupture with injecting cortisone into a tendon.
Orthotics can help by keeping the foot and ankle in an ideal position during exercise. This work especially well with an equinus deformity.
Studies have shown that Extracorporeal shockwave therapy (ESWT) is no better than doing the eccentric exercises.
Surgery for Achilles Tendonosis and Haglund’s in Orange County
If after 2 months of therapy the pain is still the same, surgery should be considered.
Surgery consists of removing the thickened portion of achilles tendon and fixing the tendon.
For a Haglund’s Deformity the bump is surgically removed to decrease size.
Call Dr. Kolodenker, your Orange County Achilles and Haglund’s Specialist for an exam.
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