Achilles Tendon Treatments - Pittsburgh Area
If you have pain after walking or working out in the back of your heel, you may have Achilles Tendinitis.
The Achilles tendon is the strongest tendon in the body. As such, it takes on a lot of stress. Overusing this tendon is what causes wear and tear and eventually leads to Achilles tendon injury or inflammation- Achilles Tendinitis. where is the achilles heel located
Digital Xray of Foot
At Beaver Valley Foot Clinic the first thing we do to treat Achilles tendonitis is determine if it is irritated vs really torn. Some injuries actually require surgery, so it is important to see where you injury falls before you get an Achilles Tendon rupture. The good news is that very few people actually go on to need achilles surgery.
Achilles tendon treatment (achillidynia)
We have some state-of-the-art treatments available you can not find for 150 miles!
Quick clinics are fine if you want to receive an Xray and an Ibuprofen. However, neither of these address the issue. Achilles Tendonitis is a soft tissue injury and an Xray wont show the whole story.
If there is suspicion of an Achilles tear or achilles tendon rupture, We have the cabability to do an immediate ultrasound that can assess the extent of soft tissue injuries.
Immobilization is required for tissue healing. At Beaver Valley Foot Clinic all of your needs are considered when choosing the best treatment option-your age, your job, your activity level, your pain level…there are always options.
If your Achilles Tendinitis has become chronic-that is been present 6 months or more – and has been resistant to other treatments, there is still hope!
ESWT is available and helps heal even long term achilles tendonitis.
FDA approved to treat Chronic Plantar Fasciitis, it has long been known that these two structures are very similar in both structure and function. Although an off abel use, we have had great success treating the achilles tendon with a single 20 minute ESWT procedure. The key is using a high intensity ultrasound guided machine. This allows us to jump start your healing process in one treatment.
Call today to start your “heel healing” process! To schedule an appointment call 878-313-3338
Click Here to E-mail Dr. Christina Teimouri
Emergency and same day appointments available even for new patients or new problems!
Before school and before work appointments and emergency weekend appts
- Specializing in heel pain treatments since 2002, general podiatry since 1995
- Beaver, Ambridge, Coraopolis and Cranberry foot care locations
- American Board of Foot and Ankle Surgeons ( ABFAS) Certified
- Surgical and Nonsurgical procedures available
- Caring competent staff who get to love our patients!
If you were wondering, "what is the largest human body tendon? " Achilles would be the answer. Where is the Achilles tendon located? The insertional Achilles tendon heel location is behind the foot, at the back of the heel. The "calf" is made up of the Gastrocnemius muscle belly and the Soleus muscle. The muscles end toward the bottom of the leg in the back, and become tendons. These two muscles' tendons combine to form the Achilles tendon, which inserts into the back of the calcaneal bone (heel bone). So if you ask," where is it achilles heel location?' The akele tendon is between the calf muscle and the heel bone.
What is achilles injury?- Pain in the heel of my foot. Treatment is determined by the location and extent , and also the age of the injury. The back of heel pain treatment can range from simple heel pain treatment at home, like icing, heel pain treatment home remedies and heel pain treatment exercises; to more involved treatment for heel pain, like injections or orthotic heel inserts. Treatment for plantar fasciitis heel pain and achilles heel pain treatment is very similar. The basis for treatment for plantar fasciitis heel pain and achilles heel pain treatment starts with ways to reduce the inflammation, immobilize and rest the area, then promote healing. Here at Beaver Valley Foot Clinic, we attack heel pain treatment from many angles all at once.
Achilles Heel pain causes and treatments:
Achilles tendinitis can be caused in severl different ways. Some you can control, and others you can't. See your Podiatrist at the first sign of injury to prevent worsening of symptoms and making some changes that can remove the causes you can control.
Younger active people, runners, marathoners often suffer from Noninsertional Achilles tendinitis. This is often characterized by a soft tissue "lump" on the back of the heel, several centimeters proximal to (above) the heel bone (calcaneous). The fibers in the substance, or middle of the tendon can get small micro tears from overuse, as they start to tear and break down they swell and thicken, forming that oh so familiar painful lump. Pain can range from sore achilles tendon in the morning to a full rupture of the tendon.
The Achilles tendon begins below the calf muscle and runs down the back of the lower leg. Pain where the lower portion of the tendon inserts into the calcaneous bone is called Insertional Achilles tendinitis which is not necessarily activity related. It can be found in sedentary and overweight persons, often with biomechanical or shoe related factors.
Controllable causes of Achilles tendonitis include:
- Fluoroquinolone antibiotic use like Cipro,Levaquin, gemifloxacin, Baxdela, Factive, Avelox
- Steroid use
- Improper warm up prior to exercise
- Running in worn out or the wrong shoes for the activity
- Running on uneven ground
- Improper training intensity increments (doing too much too soon)
- Too many squats with too much weight
- Running too many Pittsburgh hills, or too great an incline on the treadmill
- Tight calf muscles
- Shoes that rub on the back of the heel
Noncontrollable causes of Achilles tendonitis include:
- Haglunds deformity (pump bump)
- Bony spurs or calcifications where the tendon joins the bone
- Fallen arches or flat feet
- Limb length discrepency
- Sudden intense physical activity or trauma
- knee misalignment
Treatment of Achilles tendonitis
Our goal is to get you comfortable and back to your normal activities ASAP!
The initial treatment is geared toward reducing swelling, which will decrease the pain. Although pro athletes and couch potatoes may choose different treatments, everyone wants it to stop hurting! Insertional Achilles tendinitis is also treated much differently than noninsertional Achilles tendinitis.
Your Podiatrist will suggest a combination of different therapies based on your goals and abilities and physical condition.
Achilles tendonitis home treatments
- Rest: This gives the tissue time to heal. The type of rest needed depends on the severity of the symptoms. In mild cases, it may mean reducing the intensity of a workout, but severe cases might require complete rest for days or weeks.
- Ice packs: Applying these to the tendon, when in pain or after exercising, can alleviate pain and inflammation
- Compression devices: Ankle supports and elastic wraps can aid recovery by taking the pull off the tendon.
- Elevating the foot: Keeping the foot raised above the level of the heart can reduce swelling.
- Achilles tendon exercises
- Arch supports
Nonsurgical methods of treating Achilles tendinitis:
- Heel lifts- help insertional achilles tendonitis by lifting the foot away from the shoe back
- Pain relief: NSAIDS- Nonsteroidal anti-inflammatory drugs like Naproxyn, Alleve, Duexis, or ibuprofen, can take down pain and swelling.
- Achilles tendinitis brace
- Oral steroids for achilles tendonitis like Prednisone tablets- Rayos or medrol dose pack
- Injectible steroids: Usually not recommended into the Achilles tendon because research has shown an increased chance of tendon rupture with injected Cortisone shot for achilles bursitis.
- Ultrasound guided injections - can decrease risk of injury to surrounding tissues
- Giving the injection while scanning the area with ultrasound scan reduce this risk. It is an achilles tendon injection technique
- Traumheel injections
- custom orthotics
- PRP injection
- ESWT (see section below ) Extracorporeal shockwave therapy : High-energy shockwaves are used to stimulate the healing process. Results have not been consistent, but if other measures do not work, it might be worth trying before opting for surgery.
It usually takes weeks for tendinitis to heal. Achilles tendon recovery
ESWT for Achilles
saves you from surgery!ESWT is used internationally for conditions all over the body. In the United States, an FDA study was performed for patients who suffer from chronic plantar fasciitis with or without the presence of a heel spur. The results were an amazing average reduction in pain of 92% with only one treatment. (This data reflects the results of the patients who participated in a one-year follow-up study with the Dornier EPOS Ultra machine.)
Paratendonitis definition, achilles paratenon