Achilles Tendonitis , Achilles Tendinoses or Achilles Tendonopathy.
First, the correct diagnoses needs to be made. Second, the cause needs to be found. Third, the correct Achilles Tendonitis treatment needs to be prescribed.
The term Achilles Tendonitis should be used to refer to inflammation of the Achilles tendon. Inflammation is most often an acute change (the result of a sudden injury or prolonged strain). This problem is characterized by swelling, redness, warmth, and pain. When seen under the microscope, inflammatory conditions have specific cells that the body brings to that area of the body to help control the inflammation and heal the injured tendon
Achilles Tendinosis or Achilles Tendonopathy is a very different condition that is not characterized by inflammation. Rather, these patients have thickening or a breakdown of the tendon. There is usually no redness or warmth of the surrounding tissue, although the area can be painful to touch. The painful area is usually around the back of the heel, along the bony prominence.
Achilles Tendinosis is a chronic problem, meaning it develops gradually and lasts a long time. When seen under a microscope, inflammatory cells are not present, although chronic damage and microscopic tears of the tendon may be seen. We have seen people come to us who have been prescribed anti-inflammatory drugs which are not going to work when there is no inflammation.
We have a good understanding of the fundamental differences and are competent in diagnosing the condition. We conduct a thorough bio-mechanical assessment to find out why it occured in the first place. We have great success treating this condition, Achilles Tendonitis or Achilles Tendonopathy.