Doctor insights on:
Achilles Tendon Scar Tissue
What can I do about scar tissue (a raised bump) on my Achilles tendon, which causes pain and interferes with footwear?
Couple of things: A cortisone injection into the scar may help, or possible topical verapamil. ...Read more
The body is composed of tissue that are classically described as beiing derived from three basic embyonic layers known as the endoderm, mesoderm and ectoderm that then differentiate into the structures that compose the body such as skin, soft tissues, bone, muscle, organs, etc. Stem cells are not differentiated and have the potential to ...Read more
Possibly yes: Signs of inflammation such as swelling, warmth, and pain occur in a person with achilles' tendonitis. Damaged tendons can become calcified (get deposits of calcium), thicker than normal, less elastic (not as stretchable), and fibrotic (form scar tissue fibers). Tendon rupture occurs when a sudden shear stress force is applied to an already inflamed or damaged tendon. ...Read more
Ineffective healing: When scar builds up in a torn or ruptured tendon, it is often not quality strength and will reinjure easily. The body tried to heal the tendon, but microtraumas continue to happen, cause inflammation and scar not lined up in the long axis of the tendon. Best treatments are often use of undifferentiated cells plus platelet concentrates injected into the tendon to heal with tendon, not scarring. ...Read more
Have it treated: Tears in the Achilles or chronic inflammation can result in scarring, which is not as oriented or as strong as the natural tendon. Many are using fat-derived stem/stromal cells plus platelet-rich plasma to be placed (via guided ultrasound) within the shealth of the tendon. New tendon often results which is stronger and flexible like original tendon tissues. ...Read more
I am going to disney world and I have a keloid scar in my Achilles tendon. Are there ways to cure this?
Steroid Injections: If this is a true keloid scar, you can get improvement in the appearance of the scarring by flattening it out with serial steroid injections. I like to use kenalog (triamcinolone) 10 and have the patients come in at monthly intervals, usually about 3, for injections. Your scarring may be a hypertrophic scar instead of a keloid because it is in a location of motion. See your doctor for options. ...Read more
Hello doctor, I have a soft tissue bulge that protrude when I run in my Achilles tendon and disappear when I don't. Hurts at times. Assist please.
Side of ankle stepped on w/cleats in early Nov. Don't know if it's tendons, ligaments or scar tissue. Hurts if pressed & looks little swollen at times?
Get an xray: You're still having pain from an injury sustained 2-3mo ago? It's time to see your Family Doc who can order an xray. If negative, s/he may order bone scan then MRI. Or just send you to Sports Med doc or Orthopedic surgeon. In meantime, ask for physical therapy & avoid those activities that aggravate area. ...Read more
Just found out my son had a tendon wrapped around his perennial nerve after a nerve transfer also some scar tissue will that impair movement in foot?
Is it possible to surgically remove scar tissue on the Achilles (a year after surgery) with a more minor (maybe laparoscopic) procedure?
I have had 3 ankle surgeries and suffer numbness and chronic pain. I have significant scar tissue by my ankle and achillies. Is the pain caused by the scar tissue?
Pain: A full achille's tendon tear causes severe pain in the back of your leg, difficulty walking on the affected leg and possibly a "snapping" sound at the time of injury. A partial tear will cause pain and weakness in the affected leg. You need to see a doctor for further evaluation and treatment if you have these symptoms. ...Read more
Ice: I tell my patients up to 4 times a day for about 15-20 min. Do not apply directly on skin. Wrap ice in a small towel to prevent burns. ...Read more
Ice, rest and heel l: Achilles tendons have poor blood supply. Therefore they tend to heal from injury slowly. It is important to rest the tendon. Apply ice and use a heel lift to reduce pressure on the tendon. Also use of a running shoe, with good heel support may be beneficial. If ipain does not improve, see a sports podiatrist. ...Read more
Stretch!: Make sure you do your warm-up and cool down stretches consistently. Check your shoes and make sure they are not wore out. Adding an arch support or heel pad may be beneficial. Temporarily hold back on your exercise intensity or duration. Ice, use of antiinflammatory medication such as ibuprofen can help. If these things do not work, of there is swelling and difficulty walking see a podiatrist. ...Read more
Multiple treatments: First, discontinue any optional activity causing pain (sports, running). If your symptoms are acute, then anti-inflammatories and icing can help. Aleve (naproxen) or advil are options. For those patients limping, we often use a tall walking boot with a possible heel lift. Diagnostically, an MRI or ultrasound can help determine whether a tear is present or not. Pt is helpful for most. No cortisone injections. ...Read more
See a doctor: This is often a sign of a partial tear, but certainly some sort of damage to the area. Get it healed up before it gets worse. ...Read more
See below: It assists in pulling the foot downward or plantar flexion of the foot. ...Read more
Achilles: Without examining you it is impossible to say definitively. See your treating physician for an evaluation and advice. ...Read more
See a doctor: Seeing a podiatrist or orthopedic surgeon would be a start. A proper examination, with possibly other studies such as ultrasound or MRI can make the diagnosis and start you on appropriate treatment. Achilles tendon ruptures can take longer to heal, or get worse without proper treatment. Good luck. ...Read more
Bursitis: Popping of a tendon is usually either chronic dislocating or the tendon rubbing an adjacent structure. Since the achilles really can't dislocate, it is likely rubbing on a small, fluid-filled sac underneath called the retrocalcaneal bursa. If it is painful and avoiding irritating shoes doesn't improve things, see a podiatrist. Sometimes a steroid injection can help. ...Read more
If its truely: Mild you should be able to wak but be slow until you feel normal. ...Read more