ACHILLES TENDINOSIS

Achilles Tendinosis PRP Treatment

The Achilles tendon is a strong band of connective tissue that joins our calf muscles to the heel bone. Biomechanically, the human body is dependent on the Achilles to assist in walking and running by lifting the heel off the ground. Despite the fact that it is the largest tendon in the body that is designed to endure great force, it is still susceptible to injury. Unfortunately, activities that involve repetitive pounding and stress on the feet of an athlete or common man while running or jumping can lead to injuries, such as Achilles tendonitis and lead to degenerative conditions like Achilles tendinosis.

To be clear, Achilles tendinosis is a degenerative condition affecting the tendon that develops following a long-time avoidance of inflammation from Achilles tendinitis, which refers to inflammation of the tendon. Over time as micro-tearing occurs within the tendon fibers, the Achilles can present pain from its origin on the foot up to two-thirds of the way down the back of the lower leg. Overall, this condition is common in runners and patients with calf tightness. Achilles tendinosis occurs behind the ankle at the point where the tendon connects to the heel bone or in the middle of the tendon itself.

Symptoms of Achilles Tendinosis

Achilles tendinosis is generally known as an overuse injury of the tendon, and often times we meet with patients whose case involves making sudden movements that strain the Achilles, or wearing improper footwear. However, most of the time patients proclaim there is no trauma or injury that they can recall, but the injury is rather a slow progression of pain.

Symptoms of Achilles tendinosis may include:

  • Scar tissue thickening the tendon
  • Pain and soreness around the Achilles
  • Reduced motion of the ankle
  • Stiffness and creaking
  • Swelling
  • Weakness or pain while pushing off the foot

Causes of Achilles Tendinosis

Like all other overuse disorders, Achilles tendinosis is usually caused by a sudden increase of repetitive activities that place too much stress on the Achilles tendon. The continued stresses that a patient puts on the tendon causes an increase of tearing tendon fibers, and this decreases the body’s ability to repair the injured tissue. Over time, the repeated stress causes degeneration of the tendon and likely cause the patient encounter a significant injury.

The most common contributing factors of Achilles tendinosis include:

  • Sudden increase in training
  • Excessive hill running
  • Overuse of the tendon (Constant jumping, pivoting, running and pushing off the toes)
  • Unsupportive footwear (Shoes with high arches)
  • Hyperpronation – too much impact on the heel

Achilles Tendinosis PRP Treatment

Treating a patient for Achilles tendinosis depends on the length and severity of symptoms, but a formal physical examination from a board certified podiatrist and foot surgeon will determine if platelet rich plasma treatment is the best solution. Dr. Kamran Jamshidinia, DPM has treated thousands of patients in the past for this disorder and successfully reduced pain and inflammation with safe regenerative therapy injections.

PRP treatment begins with extracting blood from the patient and harnesses platelets at our outpatient facility in Los Angeles. Once blood is harvested, it is placed in our centrifugal system to separate the platelets from the red and white blood cells. After the PRP cells are separated, the goal is to successfully raise the concentration of platelets from 200,000 per microliter to 1 million platelets per microliter. Once this goal is met, the injection can be made into the damaged scar tissue in the Achilles tendon. The injection will facilitate the process of regeneration, remodel the surrounding tissues and slowly eliminate pain and swelling.

Get Your PRP Treatment for Achilles Tendinosis with Dr. Jamshidinia

PRP treatment has been promoted to treat non-healing Achilles tendon injuries, acute tendon injuries and ligament strains in previous patients who have not been able to achieve relief from other methods of repair. It typically requires a few weeks in order for the Achilles tendon to achieve significant relief after surgical repair, but with PRP treatment patients could experience rapid relief in as little as 7 to 10 days. If Achilles tendinosis limits physical activities and scar tissue is not capable of healing with rest then you may need to contact our doctor to discuss your options for platelet rich plasma treatment at our facility at Tower Foot and Ankle Surgery Inc.