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Treatment options for Achilles Insertional Calcific Tendinopathy

Discussion in 'Biomechanics, Sports and Foot orthoses' started by podesh, Mar 3, 2011.

  1. podesh

    podesh Active Member


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    Hi I'm looking for help and treatment strategies for the above. I have a 45 yr old woman with the largest bony spurs?? calcified achilles insertion?? I have ever seen. She's had this condition for approx 2yrs and is suffering greatly. There is a large amount of swelling and pain, she finds it difficult to wear shoes.

    I have just started in private practice after many years in the public sector, specialising in wounds!! so feeling slightly out of my depth. I sent her away with heel lifts, taping. I also suggested very gentle calf stretches as she also has very tight gast and soleus. But to my horror, I read that you shouldn't get the patient to stretch. She's coming back in today, I'm looking forward to seeing how she is going.

    We did talk about surgery as a last resort, but she's really not keen, any more ideas on what I should be suggesting would be much appreciated.

    Many Thanks
    Esher
     
  2. Esher:

    Try open back clogs or clog style Z-coil shoes, icing therapy 20 minutes twice a day, avoidance of wearing enclosed-heel shoes or barefoot, and topical Voltaren Gel three times a day. If these conservative measures don't relieve the pain sufficiently, then surgical removal of the posterior spurs does work well for these patients.
     
  3. G Flanagan

    G Flanagan Active Member

  4. lucycool

    lucycool Active Member

    thank you very much!! I was just about to ask about this as a pt came in yesterday with a similar problem!!
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Use of a Central Splitting Approach and Near Complete Detachment for Insertional Calcific Achilles Tendinopathy Repaired With an Achilles Bridging Suture
    Craig T. Gillis, DO, Jason S. Lin, MD
    JFAS; Article in Press
     
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