Achilles Tendinopathy Surgery

Insertional Achilles Tendinopathy

The goal of surgery is to establish a pain free stable Achilles tendon insertion.  A series of steps are required, including removal of the painful heel spurs,  trimming the inflamed tendon which has calcified thickenings, and then reinserting the tendon.

A strong fixation technique is utilised to reattach the Achilles tendon. To allow the tendon to heal with minimal inflammation a 6 week period of no-weight bearing is required. This is followed by a progressive weight bearing and strengthening.

Mid Substance Achilles Tendinopathy

The goal of surgery is to treat the factors causing the painful swelling in the Achilles. This involves a small incision, a release of the plantaris muscle and a scraping of the inflamed tissue in front of the Achilles.

This technique allows early rehabilitation, as the achilles remains intact. An initial 2 week rest period is followed by a gentle stretching program. A good result is seen inn over 90% of cases.


The risks and complications will be assessed and discussed with you. There is  a small risk of infection, deep vein thrombosis, and wound issues. There is a small chance of recurrence of thickening of the tendon. A good outcome is achieved in more than 90% of cases.

Achilles Tendinopathy Surgery

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