Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Mar;7(1):1-7.
doi: 10.4055/cios.2015.7.1.1. Epub 2015 Feb 10.

Achilles tendinosis: treatment options

Roberto Gabriel L Lopez  1 , Hong-Geun Jung  1
Affiliations
Review

Achilles tendinosis: treatment options

Roberto Gabriel L Lopez et al. Clin Orthop Surg. 2015 Mar.

Abstract

Athletes usually complain of an ongoing or chronic pain over the Achilles tendon, but recently even non-athletes are experiencing the same kind of pain which affects their daily activities. Achilles tendinosis refers to a degenerative process of the tendon without histologic or clinical signs of intratendinous inflammation. Treatment is based on whether to stimulate or prevent neovascularization. Thus, until now, there is no consensus as to the best treatment for this condition. This paper aims to review the common ways of treating this condition from the conservative to the surgical options.

Keywords: Achilles tendon; Pain management; Surgical procedures; Tendinopathy.

PubMed Disclaimer

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Use of extracorporeal shockwave therapy on Achilles tendinosis patient.
Fig. 2
Fig. 2
Platelet rich plasma prepared from autologous blood of the patient.
Fig. 3
Fig. 3
Schematic representation of a percutaneous longitudinal tenotomy using a no. 11 blade.
Fig. 4
Fig. 4
(A) Calcaneus with Haglund's deformity. (B) Haglund's deformity excised and the Achilles tendon re-attached with suture anchor.
Fig. 5
Fig. 5
Excision of diseased portion of the Achilles tendon with augmentation of the flexor hallucis longus.
See this image and copyright information in PMC

References

    1. Lake JE, Ishikawa SN. Conservative treatment of Achilles tendinopathy: emerging techniques. Foot Ankle Clin. 2009;14(4):663–674. - PubMed
    1. Leadbetter WB. Cell-matrix response in tendon injury. Clin Sports Med. 1992;11(3):533–578. - PubMed
    1. Kvist M. Achilles tendon injuries in athletes. Sports Med. 1994;18(3):173–201. - PubMed
    1. Holmes GB, Lin J. Etiologic factors associated with symptomatic Achilles tendinopathy. Foot Ankle Int. 2006;27(11):952–959. - PubMed
    1. Astrom M, Westlin N. No effect of piroxicam on Achilles tendinopathy: a randomized study of 70 patients. Acta Orthop Scand. 1992;63(6):631–634. - PubMed