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A member asked:
Gymnast with bilateral insertional achilles tendinosis. many months of physicsal therapy have failed. seeking previous level of function. whats next?
7 doctors weighed in across 3 answers
Workup: Usually result of overuse (high impact) activity. It also can be associated with having an underlying autoimmune disease that activity brings it out certain antibiotics have also caused it to occur (cipro/levoquin).See a rheumatologist to ruleout. If rest and pt has not helped, bracing, prp (platelet rich plasma) injection can help, shock wave treatment and ultimately surgery as last resort.
Answered 5/22/2013
5.1k views
Achilles' tendon : There are several avenues of thoughts after physical therapy having not reached your desired potential. One is possible prp (platelet rich plasma) injection, and another is eswt (electroshock wave treatments) treatments. There may be doctors in your area that offer these services, but they are usually not covered by insurances. Although not proven, some patients (tiger woods, ex) swear by them.
Answered 5/17/2013
5.1k views
Achilles : Try the rice method of rest, ice, compression and elevation. You might need immobilization for a while and walk in a cam waker. Try nsaids as well.
Answered 2/1/2015
5.1k views
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