Nonoperative Management of the Achilles Tendon Insertion

Abstract

Insertional Achilles tendinopathy can be a very challenging clinical syndrome with various nonoperative measures typically attempted before surgical intervention. Associated complications are known with surgical repair and can be limb altering. Owing to the longevity of clinical symptoms before clinical presentation, changing the pathophysiologic process and halting the inflammatory changes becomes paramount. Here we discuss nonoperative techniques and updates in the foot and ankle literature.

Keywords: Calcaneal enthesophyte; Insertional Achilles; Nonoperative treatments; Orthotics; Physical therapy; Platelet-rich plasma; Regenerative medicine; Shockwave.