I have just been informed that my MRI confirmed that I have a partial tear in my achilles tendon. I have been having serious pain for the past three months. I have an appointment with an orthopedic in the next couple to discuss my options. I'm leaning towards surgery myself due to the fact that there is a large bone spur near where all of my pain is. Is surgery the best option and what type of rehab am I looking at? I was supposed to have surgery on the same achilles for the same thing about four years ago.
Partial achilles tendon tears or chronic tendonosis can be very challenging. Depending on the severity of the problem, rest, physical therapy, and non-steroidal antifalmmatories can be very effective. Corticosteroid injections are used, but are controversial. Other modalities such as shock wave therapy have also been effective. Recent studies have reported 80 to 85% success rate with injections of platelet rich plasma (PRP). Again, the success of any of these treatment modalities depends on the severity and chronicity of the problem.
When surgery is necessary, there is a spectrum of procedures that may be attempted. The range from simple debridement (cleaning and removing damaged tissue), to detachment of the tendon fromthe calcaneus and reattachment with anchors and sutures. Recovery from this procedure can take as long as a year.
I would recommend evaluation with an orthopedist who specializes in foot and ankle.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.