8 doctors weighed in:
Best treatment for inflammed Achilles tendonitis that has become acute for over 18 months?
8 doctors weighed in

Dr. LUIS IRIZARRY
Family Medicine
3 doctors agree
In brief: Achilles tendonitis
Persistent discomfort more than 6 weeks is consider chronic.
In your case you may need physical therapy, x-ray or mri, maybe referral to ortho. We want to avoid rupture, and gradually improve your symptoms.

In brief: Achilles tendonitis
Persistent discomfort more than 6 weeks is consider chronic.
In your case you may need physical therapy, x-ray or mri, maybe referral to ortho. We want to avoid rupture, and gradually improve your symptoms.
Dr. LUIS IRIZARRY
Dr. LUIS IRIZARRY
Thank
Dr. Eric L. Weiss
Travel Medicine
3 doctors agree
In brief: Rest and Ice Therapy
Achilles tendonitis can be frustrating! rest, avoid aggravating activity, use aggressive ice therapy, gentle stretching and anti-inflammatory rx.
Consider a podiatry visit / orthotics / even immobilization. Consider physical therapy and ultrasound. Lastly, note that certain medications can be harmful to the tendon such as quinolone antibiotics (eg: cipro) and steroids.

In brief: Rest and Ice Therapy
Achilles tendonitis can be frustrating! rest, avoid aggravating activity, use aggressive ice therapy, gentle stretching and anti-inflammatory rx.
Consider a podiatry visit / orthotics / even immobilization. Consider physical therapy and ultrasound. Lastly, note that certain medications can be harmful to the tendon such as quinolone antibiotics (eg: cipro) and steroids.
Dr. Eric L. Weiss
Dr. Eric L. Weiss
Thank
Dr. Michael Thorpe
Orthopedic Surgery
2 doctors agree
In brief: It Depends!
First, one has to differentiate between insertional and noninsertional achilles tendonitis, ie is the problem in the midsubstance of the tendon or where in attatches to the heel? The treatment is different depending on the type other than both need modification of activities to avoid overuse, heel lift, icing, anti-inflammatories and comfortable shoewear that doesn't rub the affected area.
Ortho.

In brief: It Depends!
First, one has to differentiate between insertional and noninsertional achilles tendonitis, ie is the problem in the midsubstance of the tendon or where in attatches to the heel? The treatment is different depending on the type other than both need modification of activities to avoid overuse, heel lift, icing, anti-inflammatories and comfortable shoewear that doesn't rub the affected area.
Ortho.
Dr. Michael Thorpe
Dr. Michael Thorpe
Thank
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