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How is Achilles tendonitis treated?

Most answers here and information on the web focus on treatments to decrease the inflammation/pain (medications like Advil or Aleve, ice, electrical stim, rest from aggravating activities, etc.), stretching the inflamed tissue, and strengthening the muscles and tendon. While these are often effective and are typical first-line treatments for Achilles tendonitis, some patients find their tendonitis very difficult to treat and long-lasting. Usually this means the tendon has become stiff, "scarred" or fibrotic and not very functional. We refer to this as tendonosis. The treatment for tendonosis is often very different, involving aggressive therapy, needling/injections, medicated patches or even rarely surgery. While effective in almost all cases, these treatments need to be administered by a trained and experienced physician such as a sports medicine specialist.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.