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?

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

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.