How to definitively treat Achilles tendinitis
Disease description:
I have often experienced heel pain while walking over the past two or three days, which was originally caused by Achilles tendinitis. How can Achilles tendinitis be definitively treated?
Doctor's answer (1)
Dr. Xu Shuai
The treatment plan for Achilles tendinitis should be comprehensively determined according to the patient's specific condition and mainly includes the following aspects:
1. General Treatment:
- Acute phase: Immobilization in a neutral position, reduced activity, and controlled exercise to minimize strain on the Achilles tendon.
- Chronic phase: Ankle joint fixation with a brace and use of functional orthotic insoles to adjust foot posture and reduce stress on the Achilles tendon.
2. Physical Therapy:
- Cold therapy: Application of ice packs to reduce swelling.
- Extracorporeal shockwave therapy: Promotes tissue repair and alleviates pain.
3. Pharmacological Treatment:
- Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as celecoxib and diclofenac, as prescribed by a physician to reduce inflammation and pain.
- Corticosteroid injections, such as hydrocortisone and prednisone, to reduce inflammatory exudation.
4. Surgical Treatment:
Surgery may be considered if the condition is severe and the aforementioned treatments are ineffective.
Specific treatment plans should follow medical advice from a doctor.
