Doctor insights on:
Bilateral Insertional Achilles
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
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
Is quinolone (levaquin) -induced bilateral insertional Achilles tendinosis treated differently than more common causes of this illness?
After surgery for quinolone induced bilateral insertional Achilles tendinosis, can I expect to resume previous level of aggressive athletic activity?
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
What is the general recovery timeline following surgery for bilateral insertional Achilles tendinosis? Damage was caused by flouroquinolone therapy.
See below: The pain and swelling will start to go away and you will be able to walk with comfort. ...Read more
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
Sometimes: They are used very infrequently in this area. ...Read more
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
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
How can the lower left posterior leg from Achilles insertion up to gastroc look twice (thrice) as wide as right, but measure the same in circumference?
Shape and function: Because of their shape and functionGet a more detailed answer ›
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
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?
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
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
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
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
What is treatment for moderate insertional tendinosis of achillies at calcaneal insertion with interstitial tearing at insertion?
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
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
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