What treatment usually involves

Posted: Sept. 1, 2004

• Rest, which may mean a total withdrawal from running or exercise for a week, or simply switching to another exercise, such as swimming, that does not stress the Achilles tendon
• Nonsteroidal anti-inflammatory medication
• Orthoses, which are devices to help support the muscle and relieve stress on the tendon such as a heel pad or shoe insert
• A bandage specifically designed to restrict motion of the tendon
• Stretching, massage, ultrasound and appropriate exercises to strengthen the weak muscle group in front of the leg and the upward foot flexors

Surgery is often an option of last resort. If friction between the tendon and its covering sheath makes the sheath thick and fibrous, surgery to remove the fibrous tissue and repair any tears may be the best treatment option. Recovery is slow, may require a temporary cast and includes a rehabilitation program to avoid weakness.

SOURCE: American Academy of Orthopaedic Surgeons

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