Achilles Tendinitis
What are the treatments for the disease?
Achilles tendinitis will often respond to rest or changes in
activity, stretching, ice after activity. NSAIDs, which are nonsteroidal anti-
inflammatory drugs, such as ibuprofen
or naproxen
may also help. Physical therapy focusing on stretching and strengthening,
massage, alternating hot and cold baths, and ultrasound or sound waves
can also help with healing and comfort. The temporary use of a heel lift
or the insertion of an arch support, called an orthotic, into the shoe or
sneaker can also help. Although seldom necessary, the ankle may be
kept in a short leg cast or splint. Surgery is rarely needed
but can remove bone spurs or the bony prominence of the heel bone. The
injection of corticosteroids such as cortisone
into the area of the Achilles tendon is usually avoided due to the risk that it will
cause tendon rupture.
What are the side effects of the treatments?
NSAIDs may cause indigestion, ulcers, or gastrointestinal
bleeding. They may also affect the kidneys or liver. Surgery has a risk of
infection, tendon injury, or problems with skin healing in an area of poor
blood supply.
What happens after treatment for the disease?
Without protection, rupture of the tendon can
occur. After full recovery, a person is generally able to go back to
regular activities.
How is the disease monitored?
Pain and swelling should be monitored for any worsening.
Feeling a sudden "pop" usually means the tendon has ruptured,
which requires a cast or surgery to avoid permanent disability.
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