What Is the Fastest Way to Heal Achilles Tendonitis?

To speed up the recovery time from Achilles tendonitis, utilize the RICE protocol (rest, ice, compress, and elevate), as well as seek help from your doctor.

Achilles tendinopathy is a better term for an inflamed Achilles tendon and should be used instead of Achilles tendonitis. Essentially, the tendon is weak and dysfunctional, and, as a result, it is prone to microinjury due to repeated use.

Here are some options for alleviating and managing pain and difficulties you may experience while running and in everyday life. Always consult your doctor before beginning any medical treatments, and never attempt or self-administer treatments.

• Relative rest and modifying exercise:
  • At first, avoid hill walking/running and other activities that aggravate the Achilles. It is critical to adapt your training program and specific exercises.
• Pain relief:
  • Nonsteroidal anti-inflammatory drugs such as acetaminophen and ibuprofen, as well as gels, may help you manage pain, so you can continue running and training, and some people find ice to be effective in reducing pain.
  • Apply ice to the affected area for 10 to 15 minutes at a time, every few hours if necessary. Please consult your doctor before taking any medications.
• Footwear:
  • Make sure you're wearing supportive, shock-absorbing footwear. You can try a heel lift in the back of your shoe that will increase plantarflexion and, thus, offload the Achilles tendon.
• Massage or foam rolling:
  • Work your way up the calf to relax the muscle and relieve tension on the Achilles tendon. Tissue elasticity can be improved with deep friction massage and tendon mobilization.
• Kinesiology tape:
  • Apply kinesiology tape to the calf and Achilles tendon to relieve tension. Kinesiology tape helps stabilize the injured area by lightly adhering to the skin and applying pressure to the tissues wrapped around it.
  • This tape allows the connective tissue surrounding the affected muscle or tendon to move in sync with the rest of the body.
• Eccentric exercises:
  • Eccentric exercises can aid in the treatment of Achilles tendonitis in its early stages.
  • Eccentric calf-strengthening exercises stiffen and lengthen the myotendinous unit, reducing neovascularization in the tendon.
    • Straight leg and bent-knee heel drop: Perform three sets of 15 reps two times a day for 12 weeks. Once you can complete these exercises without pain or discomfort, you can increase the load.

Moreover, you can try the following if you have access to sports massage therapists and medical professionals:

• Therapeutic ultrasound:
  • In people with chronic tendon pathologies, therapeutic ultrasound reduces swelling in acute inflammatory stages of soft tissue disorders, relieves pain, and improves function. Additionally, it stimulates collagen synthesis.
• Extracorporeal shockwave therapy (ESWT):
  • ESWT aids in the initiation of tendon regeneration, and there is strong evidence that it is effective in the treatment of chronic Achilles tendonitis. The most effective doses and duration, however, are still unknown.
• Corticosteroid injections:
  • Corticosteroid injections can reduce pain and swelling, but they can have negative side effects and reduce tendon strength.
• Platelet-rich plasma (PRP):
  • PRP injected at the site of injury can speed up healing and appears to increase collagen types I and III.

Surgery options for Achilles tendinopathy

If your pain does not improve after six months of nonsurgical treatment, surgery to repair your Achilles tendon may be considered. The type of surgery is determined by the location and extent of tendon damage. It may be affected by other factors such as the severity of the tendonitis.

Procedure:

• A surgical procedure to repair a completely ruptured Achilles tendon typically entails making an incision in the back of your lower leg and stitching the torn tendon together. If the condition of the torn tendon is severe, it may be reinforced with other tendons.
• Surgery to remove the thickened fibrous tissue from the healthy Achilles tendon can be used to treat Achilles tendonitis.
• You may need to do physical therapy exercises after surgery to strengthen your Achilles tendon and leg muscles.

Surgical methods include:

• Debridement and repair:
  • When less than half of the tendon is damaged, this procedure is used.
  • The goal of this procedure is to remove the damaged portion of the Achilles tendon and repair the remaining tendon with sutures or stitches.
  • Bone spurs may be removed at the same time depending on the type of Achilles tendonitis.
• Debridement with tendon transfer:
  • When more than half of the tendon is damaged, this procedure is used.
  • To strengthen the damaged tendon, the tendon that helps the big toe point down is moved to the heel bone.
  • Some people may be unable to return to competitive sports or running depending on the extent of tendon damage.
• Gastrocnemius recession:
  • This is a surgical procedure for lengthening the gastrocnemius muscles (calf muscles). Because tight calf muscles put additional strain on the Achilles tendon, this procedure is beneficial for people who still have difficulty flexing their feet after stretching the muscle regularly.
  • During this procedure, one of the two calf muscles is lengthened to increase ankle motion.

Although rare, complications from surgery may occur, which include:

• Infection
• Slow wound healing
• Damage to nerves and soft tissues
• Bleeding

Recent advances in treating Achilles tendonitis include:

Therapeutic laser therapy:

• Light energy is delivered to damaged cells, stimulating intercellular activity. In a painless and time-efficient manner, the laser increases circulation and draws oxygen and nutrients to the damaged area.
• The laser aids in the creation of an optimal healing environment by lowering inflammation, swelling, muscle spasms, stiffness, and pain.
• One of the most significant advantages of laser therapy is that it does not require the use of drugs or surgery, and there are no side effects or risks associated with other forms of treatment.
• Therapeutic laser therapy is an excellent supplement to traditional physical therapy treatment for Achilles tendonitis. It addresses the most common symptoms of Achilles tendonitis, including pain, swelling, and inflammation.

The majority of people have positive outcomes from surgery, and recovery usually lasts about a year. The more tendons involved, the longer the recovery period and the less likely a person will be able to resume sports activity.

Physical therapy post-surgery will be necessary to ensure complete recovery.