The Achilles tendon plays a vital role in mobility and everyday function. There are a number of conditions that can negatively impact this tendon’s ability to do its job, including Achilles tendinitis, Achilles tendon rupture, and Achilles bursitis. Fortunately, there are also a number of treatment options for conditions affecting the Achilles tendon. Keep reading for a detailed breakdown of Achilles tendon conditions and how to treat them with expert Achilles tendon repair in Fort Worth & Weatherford, TX.
Achilles Tendon Anatomy
Tendons are the soft tissues connecting muscle to bone. The Achilles tendon is the longest tendon in the body and is present behind the ankle, joining the calf muscles with the heel bone. Contraction of the calf muscles tightens the Achilles tendon and pulls the heel, enabling the foot and toe movements necessary for walking, running, and jumping.
Achilles Tendinitis
Inflammation of the Achilles tendon is known as Achilles tendinitis. This condition is characterized by stiffness, pain, and swelling in the Achilles tendon, which can limit mobility and interfere with daily activities.
Types of Achilles Tendinitis
Based on which part of the tendon is affected, Achilles tendinitis can be differentiated into:
- Insertional Achilles Tendinitis: In this type, the lower portion of the tendon, where it attaches to the heel bone, becomes inflamed.
- Non-insertional Achilles Tendinitis: In this type, the middle portion of the tendon becomes inflamed. This is more commonly seen in younger people who lead active lifestyles.
Treatment of Achilles Tendinitis
Treatment for Achilles tendonitis ranges from home remedies to non-surgical therapy or surgery.
As a home remedy, you may be advised to use the RICE protocol: Rest, Ice, Compression (with a bandage), and Elevation, which is usually effective in treating Achilles tendinitis.
Afterward, you may be given non-steroidal anti-inflammatory drugs (NSAIDs) or steroid or PRP injections. You may also be told to wear a brace and undergo physical therapy involving certain exercises.
If the pain does not improve after 6 months of non-surgical treatment, surgery may be considered to treat your Achilles tendon. The specific type of surgery depends on the amount of damage to the tendon and the location of the tendinitis. One of the surgical procedures that may be recommended is Achilles release. Achilles release is a surgical procedure that helps relieve tightness in the Achilles tendon. It involves portions of the tendon being cut so that it lengthens, relieving tension and reducing discomfort.
Achilles Tendon Rupture
An Achilles tendon rupture is when the Achilles tendon tears completely, detaching from its insertion point in the heel or tearing above the heel. This injury occurs most often in athletes participating in sports that involve running, pivoting, and jumping. When your Achilles tendon ruptures, you will experience severe pain in the back of your leg above your heel and may hear a popping or snapping sound.
Treatment of an Achilles Tendon Rupture
An Achilles tendon rupture is treated using non-surgical methods or surgery. Non-surgical treatment involves wearing a cast or special brace that lifts your heel and allows the tendon to heal.
Surgical treatment involves opening the skin and suturing the torn tendon together. Surgery helps to lower the risk of recurrence. One of the surgical procedures that may be recommended is percutaneous Achilles tendon repair. Here is what you can expect during the procedure:
- You will be placed on an operating table in a face-down position with the foot to be treated hanging over the end to allow access to the back of the ankle.
- You will be administered local or general anesthesia.
- Your surgeon will make three small incisions at the back of the ankle along the Achilles tendon to expose the tear.
- Care will be taken to avoid any harm to surrounding structures, such as nerves and veins.
- Your surgeon will make stitches in a crisscross fashion, capturing the proximal and distal aspects of the tendon and cinching them together.
- If the tendon has avulsed or pulled off the heel bone, your surgeon will reattach the tendon to the heel bone.
- Your surgeon may reinforce the Achilles tendon with other tendons depending on the extent of the tear.
- Finally, the incisions will be closed with sutures, and the ankle will be immobilized in a cast to facilitate healing.
Percutaneous Achilles repair is a relatively safe procedure; however, as with any surgery, there are some risks and complications, including infection, bleeding, blood clots, loss of foot function, muscle weakness, and wound dehiscence.
With surgical and non-surgical treatment, physical therapy is recommended to improve the strength and flexibility of the leg muscles and the Achilles tendon.
Achilles Tendon Bursitis
Achilles tendon bursitis, also known as retrocalcaneal bursitis, is a condition that commonly occurs in athletes. It is a painful condition caused by the swelling of the bursae, fluid-filled sacs that are located at the back of the heel under the Achilles tendon. Bursae contain a lubricating fluid that acts as a cushion to reduce friction between muscles and bones. When the bursae around the heel and Achilles tendon become inflamed, it can result in reduced mobility and discomfort. In some cases, the skin at the back of the heel may become warm and red.
Treatment of Achilles Tendon Bursitis
The initial treatment for Achilles tendon bursitis includes:
- Restricting the activities that cause pain.
- Applying ice on the affected area, which will help to reduce the swelling. Ice should be wrapped in a cloth when applied, instead of placing it directly on the skin.
- Using non-steroidal anti-inflammatory medications to reduce inflammation and pain.
- Using custom heel wedges to reduce stress on the heel.
- Undergoing physical therapy to restore and improve the flexibility and strength of the muscles, tendons, and joints around the ankle.
- Injecting corticosteroids into the bursae to reduce swelling and pain.
If Achilles tendon bursitis is associated with Achilles tendonitis, it may be necessary to immobilize the ankle for several weeks until the conditions have healed. This can be done by applying a cast to the ankle, which limits ankle movement and allows the tendon to rest. Surgery is considered only when all non-surgical treatment fails to resolve pain and inflammation. Bursectomy is a surgical procedure performed to remove inflamed or infected bursae.
Common Causes of Achilles Tendon Conditions
Excessive physical activity that places repeated pressure on the feet and ankles can lead to the development of Achilles tendon conditions and injuries. As the muscles and tendons weaken with age, they become more susceptible to damage, meaning that the older you become, the more likely you are to experience an Achilles tendon injury. Certain medical conditions, such as arthritis, increase the likelihood of developing Achilles tendon bursitis, while certain antibiotics, such as ciprofloxacin, increase the likelihood of developing Achilles tendinitis.
Diagnosing Achilles Tendon Conditions
To diagnose your condition, your doctor will ask about your symptoms, medical history, and lifestyle. They will then perform a physical examination of your calf, ankle, and foot. During the physical examination, they may apply pressure to the affected area to check for pain or discomfort. Next, they may perform imaging tests to confirm their diagnosis. These tests may include:
- X-rays: For images of the bones in the feet (to check for bone calcification)
- MRI scans: To detect tendon ruptures or tissue degeneration
- Ultrasounds: To check for tendon damage or inflammation
Preventing Achilles Tendon Conditions and Injuries
To help prevent Achilles tendon injuries and conditions, it is a good practice to perform stretches and warm-up exercises before participating in sports activities or performing workouts. Gradually increase the intensity and duration of your training routine to avoid overstimulating your muscles and tendons. Muscle conditioning can help to strengthen your muscles and stabilize your ankles, decreasing the likelihood of Achilles tendon injuries.
Why Choose Dr. Gary Driver for Achilles Tendon Treatment in Fort Worth and Weatherford, TX?
Dr. Gary Driver is a fellowship-trained foot and ankle surgeon with extensive experience treating Achilles tendon conditions and injuries. Here’s why Dr. Gary Driver should be your first choice for Achilles tendon treatment in Fort Worth & Weatherford, TX:
Advanced Treatment Techniques
Dr. Gary Driver is one of the few providers to perform minimally invasive calcaneal spur resections and Achilles tendon repair. These procedures promote an earlier return to activity and an optimal cosmetic outcome.
Patient-Centered Care
With Dr. Gary Driver, your needs and concerns surrounding surgery will be addressed properly. Providing personalized treatment that takes into account your individual preferences while ensuring your well-being is Dr. Gary Driver’s number one priority.
Convenient Locations
Patients have easy access to treatment at Dr. Gary Driver’s clinics located in Fort Worth and Weatherford, TX. You can book an appointment at whichever location is closest to you.
Award-Winning Foot and Ankle Specialist
Dr. Gary Driver has been awarded the status of top doctor in Fort Worth multiple times since he started working in the DFW area in 2021. His experience and expertise enable him to provide outstanding medical care.
Make an Appointment Today
Dr. Gary Driver provides personalized care to address issues related to the Achilles tendon. He offers surgical and non-surgical treatment to improve your mobility and alleviate pain. Contact Dr. Gary Driver’s clinic for an initial consultation on how you can get back to living an active and fulfilling life with expert Achilles tendon release surgery in Fort Worth & Weatherford, TX.
Frequently Asked Questions
How much does Achilles release surgery cost in Fort Worth and Weatherford, TX?
Here are some of the factors that determine the cost of Achilles release surgery in Fort Worth and Weatherford, TX:
- Insurance coverage
- The severity of your condition
For a precise cost estimate, you can contact Dr. Gary Driver’s clinic.
Does insurance cover Achilles release surgery?
Your insurance plan may cover Achilles release surgery if it is medically necessary. You should contact your insurance provider to find out whether or not the procedure is covered.
How long does the recovery process take for Achilles release surgery?
The recovery time for Achilles release surgery varies depending on the patient’s condition. Most patients will need to wear a cast or a walking boot for a couple of months after surgery. Full recovery can take several months, depending on your rehabilitation progress, post-op instructions and individual health situation.
Is Achilles release surgery painful?
This procedure is performed with anesthesia, so you won’t feel any pain while it is happening. However, after the procedure, it is normal to experience some discomfort. Dr. Gary Driver will do everything he can to ensure you make a quick recovery with as little pain as possible.
Will I regain full mobility after Achilles release surgery?
The primary goal of Achilles release surgery is to help you regain significant, if not full, mobility. To maximize the likelihood of regaining full mobility, Dr. Gary Driver will provide you with a personalized recovery plan.
Are there non-surgical alternatives to Achilles release?
Yes, there are some non-surgical alternatives to Achilles release that can be used to ease tension in the Achilles tendon, such as physical therapy and custom orthotics. However, if these treatment methods are unable to provide you with relief, surgery may be necessary.
How do I know if I need surgery for Achilles tendinitis?
If Achilles tendinitis leads to a tendon rupture, you may need tendon repair surgery.
What is the recovery time for Achilles tendinitis surgery?
Patients can expect to wear a walking boot for several weeks after surgery. Full recovery can take several months or up to a year in some cases.
Does insurance typically cover Achilles tendinitis surgery?
Some insurance providers may cover Achilles tendinitis surgery. Get in touch with your insurance provider to find out whether or not you have coverage.
Can Achilles tendinitis recur after surgery?
Yes, however, maintaining your flexibility and avoiding overuse of your Achilles tendon can help prevent Achilles tendinitis from coming back. Athletes and runners are at a higher risk of recurrence because of the strain they place on the Achilles tendon.
What if Achilles Tendinitis is left untreated?
If Achilles tendinitis is left untreated, it may cause:
- Severe pain
- Trouble walking or exercising
- Deformation of the tendon or heel bone
- Total tear or rupture of the Achilles tendon
How much does Achilles tendinitis surgery cost in Fort Worth and Weatherford, TX?
The cost of Achilles tendinitis surgery in Fort Worth and Weatherford depends on the severity of the condition, the need for pain medication, and the amount of post-surgical treatment required. Dr. Gary Driver can provide you with an estimate during your initial consultation.
How do I know if I need Achilles tendon repair?
Surgery may be recommended for competitive athletes, those who perform physical labor, or in instances where the tendon re-ruptures.
What are the signs I may need Achilles Release Surgery?
A tight Achilles tendon can cause discomfort and make it difficult to perform everyday activities such as standing, walking, and running. Here are some common signs that may indicate you need Achilles release surgery:
- Chronic Tension - If your Achilles tendon is always tight, it can significantly reduce the mobility of your ankle and foot. When left untreated, this tension can worsen over time and make it difficult to perform everyday tasks.
- Chronic Spasticity - Involuntary twitches in the Achilles tendon can occur as a result of various medical conditions. Achilles release surgery can put an end to chronic spasticity by easing muscle tension.
- Equinus Deformity - Equinus deformity is a condition that limits your ability to bend your foot towards your shin. This condition can be caused by tension in the Achilles tendon and force patients to walk on their toes.
What conditions are treated with Achilles Release Surgery?
Achilles release surgery is a reliable way of treating a tight Achilles tendon. Here are some conditions that can be treated with Achilles release:
- Cerebral Palsy-Related Contractures - Achilles release surgery can ease tightness in the Achilles tendon for reduced discomfort and improved range of motion.
- Clubfoot - Clubfoot is a congenital condition in which the foot twists down and inward. Achilles release surgery can correct the deformity by lengthening the Achilles tendon and allowing the foot to be moved into a normal position.
- Flatfoot - Flatfoot causes the arch of the foot to collapse when pressure is placed on it, sometimes causing pain and difficulty walking. Achilles release surgery can be used to treat this condition and relieve tension and discomfort.
- Toe Walking - When the Achilles tendon becomes overly tight, it can prevent the foot from flexing toward the shin and force you to walk on your toes. Achilles release surgery lengthens the tendon and corrects gait abnormalities.