Information for Patients
From the American Academy of Orthopaedic Surgeons
Midsubstance Achilles Tendinopathy
Midsubstance Achilles tendinopathy is a chronic painful condition that can cause considerable mobility. An MRI scan is helpful in detecting the areas of the tendon that are affected by inflammation and degeneration so that these areas can be adequately excised. If nonsurgical treatment of 6 months or longer is not successful, flexor hallucis longus tendon transfer may be indicated.
Dr. Den Hartog illustrates this surgical procedure in a narrated step-by-step surgical techniques video. A case study of a patient with midportion Achilles tendinopathy is presented.
Keywords: foot tendonitis, ankle tendonitis, foot tendinosis, ankle tendinosis, paratenonitis, tendinopathy, Achilles tendonitis, Achilles tendinopathy, Achilles tendon rupture, Achilles tendon injuries, MRI, cross-training, cryotherapy, nonsteroidal anti-inflammatory drugs, topical clyceryl trinitrate, ultrasound-guided injections, brisement, excision of degenerative tendon, percutaneous longitudinal tenotomies, augmentation of the debrided Achilles segment, flexor hallucis longus tendon transfer