The achilles tendon Treatments Non-operative treatments are often not successful. These involve ensuring shoes do not impinge upon the tendon or bony lump. This is either by altering shoe wear or (rarely) by repositioning the heel with an orthotic insole. The latter may help really only with a fairly flat foot, which also has an insertional problem. Operative management is often required. This involves removing the bony prominence, and debriding the tendon insertion if this is also affected. This may necessitate the Achilles tendon being partially detached, to gain access to the deformity. If this is the case a plaster cast is likely to be required post operatively for 6 weeks, followed by an Aircast Achilles boot and finally an in-shoe heel raise. The chance of success
Successful in 75% of cases Complications
See Achilles tendon debridement.
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