A member asked:

Have a small tear in achilles have done radio ablation, pt, astym and am still in pain all doctors say the surgical lengthening is my only hope. true?

5 doctors weighed in across 2 answers
Dr. John Michalski answered

Specializes in Orthopedic Surgery

Achilles: Not sure of all the details, but a lengthening is generally reserved for a contracted, tight achilles, not just a partial tear.

Answered 10/13/2012

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Orthotics: Achilles tendon pathology is linked to your foot structure. If you pronate your feet, chances are you are putting more strain on your achilles tendon. You need a very contoured orthotic to support your achilles tendon. Try this before lengthening your tendon.

Answered 12/25/2014

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