A member asked:

R achilles pain for yr.(no specific injury) diagn=tendonosis tx=prp 6m later still bump and pain at bump, no fluid when aspirated tx=cortisone injection in bursa looking for best post injection plan? rest time? crutches?boot? heavy runner and cyclist

3 doctors weighed in across 2 answers
Dr. Rick Pospisil answered

Specializes in Orthopedic Surgery

Achilles tendonopath: Use. Boot and NSAID for one week , then advance with cycling only for a week , after which u can start up with treadmill or stair stepper . You should use half inch heel lifts in all of your shoes to reduce force going across your Achilles with each step. Monitor your progress . Reducing activity if pain is increased , stay on consistent use of NSAID for 4-6 weeks

Answered 4/13/2019

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Stop that running: You need to rest the tendon. You have had a lot of treatment but it seems no improvement. Better rest the Achilles. This is your only chance of a full recovery. Be careful for all that stressful exercise can rupture the tendon

Answered 7/13/2016

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