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Doctor insights on: Bilateral Insertional Achilles

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25 y/o gymnast with bilateral insertional Achilles tendinosis. Pt for 6 months has failed. What can bring my Achilles back to their healthy state?

25 y/o gymnast with bilateral insertional Achilles tendinosis. Pt for 6 months has failed. What can bring my Achilles back to their healthy state?

Tendon lengthening: If 6 months of physical therapy has not helped, then it is time to discuss surgical intervention. I assume you have had xrays and or mri? If not, then you need to be evaluated by a surgical and/or sports medicine trained podiatrist. You may need to have a lengthening procedure performed on the achilles tendon. ...Read more

Achilles Tendon (Definition)

Your achilles tendon attaches from your calf muscle to the ...Read more


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Gymnast with bilateral insertional Achilles tendinosis. Many months of physicsal therapy have failed. Seeking previous level of function. What's next?

Gymnast with bilateral insertional Achilles tendinosis. Many months of physicsal therapy have failed. Seeking previous level of function. What's next?

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. ...Read more

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25 y/o gymnast w/bilateral insertional Achilles pain for 15 months after levaquin (levofloxacin) therapy. 6 months of pt failed. Seeking recovery/return to function.

25 y/o gymnast w/bilateral insertional Achilles pain for 15 months after levaquin (levofloxacin) therapy. 6 months of pt failed. Seeking recovery/return to function.

Tough question: This is a tough question to answer on this. That type of medication for a young person can cause damage to tendons. I would suggest a visit to podiatric surgeon for full work-up and evaluation. ...Read more

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How would I be able to tell when Achilles insertional tendonitis has started to heal?

See below: The pain and swelling will start to go away and you will be able to walk with comfort. ...Read more

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How do you get rid of insertional Achilles tendon pain that you battle for over a year?

How do you get rid of insertional Achilles tendon pain that you battle for over a year?

Achilles tendonitis: You need to be evaluated by a podiatrist or orthopedist. X-rays should be taken to evaluate the area. Often times a simple 1/8 to 1/4 inch heel lift will help, but remember if you lift one side you should lift both unless you have a diagnosed limb length discrepancy. Physical therapy can often times be beneficial with achilles tendonitis. ...Read more

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Why would a cyst form on back of heel by insertion of achilles?

Inflammation: Cysts and bursa are fluid filled pockets that occur due to irritation and inflammation. ...Read more

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What is calcification at the insertion site of the Achilles tendon

Calcifications: Bone is living tissue and responds to stress esp. At the areas where tendon attaches to bone. Over time the bone reacts to the pull of the tendon and lays down bone...These are often called spurs by many. The spurs are not by themselves a problem...But if they break they can be difficult to quite down. So if there is no pain, make sure the joint has normal range of movement and just watch it. ...Read more

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What does enthesopathy of the calcaneus at the insertion of the planter aponeurosis and achilles tendon mean?

Inflammation: Enthesopathies is typically associated with inflammation or a calcium deposit where a tendon inserts or connects to the a bone. Achilles enthesopathies can be seen as part of other arthritic conditions such as Ankylosing Spondylitis or psoriatic arthritis. It could also could be a localized issue such as plantar fasciitis which is inflammation of tissue and tendons of the bottom of the foot ...Read more

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When in seated position and fully extend my leg at knee, it feels like pulling from middle calf through Achilles insert. No injuries. Causes?

When in seated position and fully extend my leg at knee, it feels like pulling from middle calf through Achilles insert. No injuries. Causes?

Tight muscles.: What you are describing is typical of tight muscles from a lack of stretching of the gastrocnemius and soleus muscles (called the triceps surae). You can learn to stretch these muscles. If stretching does not help, consider seeing your doctor for further evaluation and treatment, which may include a referral to a physical therapist. ...Read more

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Prof. Athlete out for 18 months due to Achilles pain at tendon insertion probably caused by a levaquin (levofloxacin) rx. Recent MRI shows nothing. What's next step?

Prof. Athlete out for 18 months due to Achilles pain at tendon insertion probably caused by a levaquin (levofloxacin) rx. Recent MRI shows nothing. What's next step?

Physio and lift: Specific physical therapy modalities (ultrasound with iontophoresis) stretching and gradual eccentric strengthening with a heel lift can be helpful, also lots of cross-training. ...Read more

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Can enthesopathy (on bone scan) at the achilles' tendon insertion; indicate both an old allusion injury and "new" rejury in the same spot.

Can enthesopathy (on bone scan) at the achilles' tendon insertion; indicate both an old allusion injury and "new" rejury in the same spot.

Yes and no: Bone scintigraphy is a very sensitive way to detect this type of enthesopathy. However, the lesion can be seen for several months and sometimes many years after the initial inflammation. It depends on several factors such as repeated trauma or overuse of the lower limbs. The intensity of radiotracer uptake may also vary. If it is mild, it is likely to be an "old" injury. Good luck. ...Read more

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Debilitating heel/achilles pain at insertion point for 2 years. Popping felt at heel, cold feeling at times, MRI shows healthy tendon, No walk/stairs?

Debilitating heel/achilles pain at insertion point for 2 years. Popping felt at heel, cold feeling at times, MRI shows healthy tendon, No walk/stairs?

Plantar fasciitis: Plantar fasciitis can cause severe pain from the first step you take in AM and can ache all day. The only reliable long-term solution is weight loss to normal body weight. High-quality OTC or prescribed orthotics, night splints and NSAIDS can help, but may have minimal effect for someone who is obese. Pain relief is great motivation for weight loss. It's important to continue walking. ...Read more

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I saw this from an X-ray results my foot. Don't understand: noted is a bony exostosis on the calcaneus at the site of insertion of the Achilles tendon?

I saw this from an X-ray results my foot. Don't understand: noted is a bony exostosis on the calcaneus at the site of insertion of the Achilles tendon?

Heel spur: Exostosis or spur is projection of bone coming off inferior part calcaneous that can occur at insertion of tendon. Caused by strains on foot muscles and ligaments and increasing age. Although heel spurs are often painless, they can cause heel pain. They are frequently associated with plantar fasciitis.Treatments include exercise, custom-made orthotics, anti-inflamm agents etc ...Read more

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Can feel pulse in bottom of heel and along Achilles insertion without palpation. Arterial? Request ultrasound? There is no swelling or spur.

A pulsation type of: Feeling may be vascular in origin but doesn't always have to be. A bad ache can feel like pulsation so can inflammation of a part of the body as it may be pressing close to a vessel. I would visit the foot doc and lets them give you an opinoin. They see heel pain everyday. ...Read more

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I'm a young olympian who had to quit training 16 months ago due to bilateral Achilles damage after levaquin (levofloxacin) use. Pt for 1 yr failed. Seeking recovery.

?: What is the? / tendon damage is a known problem with rx using Cipro (ciprofloxacin) and Levaquin

further rx for you would depend on many variables further study by physical exam and ultrasound and or MRI may be of use surg is a possibility also prp or stem cell rx is growing in popularity

good luck this recovery will most likely be a long road. ...Read more

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I have bilateral pain in my calves and achilles' tendons. Waves of pain in my calves 1-8 on pain scale. Tendons are tender to touch. Ideas?

I have bilateral pain in my calves and achilles' tendons. Waves of pain in my calves 1-8 on pain scale. Tendons are tender to touch. Ideas?

Tendinitis: You are describing achilles tendinitis. You may have been over training without properly stretching your achilles. The achilles area can get inflamed from short or tight achilles or the gastrosoleus complex. See a podiatrist. Epat may help you too and a stretching program with heel lifts added to orthotics. ...Read more

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Can bilateral Achilles tendinosis pain move up into the calves as the tendons heal? The tendon pain has improved but high calf pain has worsened.

No, that's very unli-: Kely. You probably developed some other problem, depending how you were treated for tendinosis.
Possibilities include muscle tears (unlikely that you have it on both sides); clots (again very rarely do they occur on both sides); weakened muscles in the calves, if you have been treated by resting them for more than a few days ; now they are hurting, as you start getting around.
See an orthopod. ...Read more

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My 6 year old son just had casts removed after a bilateral achilles lengthening. Doctor said no therapy required. Does this seem right?

My 6 year old son just had casts removed after a bilateral achilles lengthening. Doctor said no therapy required. Does this seem right?

Clarify with doctor: Kids are very active, most of the time no special physical therapy is needed, but find out from his surgeon, if you are not happy with explanation seek a second opinion. ...Read more

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Can topical steroid ointments for eczema have any affect whatsoever on tendon disorders? Recovering from levaquin-induced bilateral Achilles damage.

Can topical steroid ointments for eczema have any affect whatsoever on tendon disorders? Recovering from levaquin-induced bilateral Achilles damage.

No direct linkage: Topical steroids act locally for the most part. Ask your physician who prescribed the specific medication to make sure there is no known tendon-related side effects, especially since you have already had Levaquin (levofloxacin) induced tendon trouble in the past. ...Read more

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I have levaquin (levofloxacin) induced bilateral Achilles tendinopathy. Tendon pain fluctuates while medial side calf pain and tenderness is constant. Is this normal?

Just make sure you: Don't have a DVT at the sametime. You would not want the achilles tendonopathy to mask a possible dvt.
I would obviously avoid any physical exertion as well as you would not want the achilles to completely rupture. This is a big problem witht he quinolone drugs. ...Read more

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Tibial torsion. 5 years ago at the age of 29 I had bilateral tib/fib derotational osteotomy. IM Nail insertion. Persistent pain do the rods need out?

Where is the pain: If the fixation is the cause of the pain and the osteotomies are well healed then the rod could be remove. If the pain is do to position of the foot and ankle then a revision all surgery should be then considered ...Read more

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