Achilles tendinitis is a common condition that affects the Achilles tendon, the band of tissue connecting the calf muscles to the heel. It often results from overuse, particularly in athletes, but it can also affect individuals who engage in repetitive activities such as running, jumping, or climbing. Left untreated, Achilles tendinitis can lead to further complications and long-term pain. With expert care from Mr. Ziad Harb, an experienced orthopaedic consultant in Surrey, you can expect a personalised treatment plan aimed at relieving pain, improving mobility, and restoring your quality of life. This guide will explain the causes, symptoms, treatment options, and recovery process for Achilles tendinitis.

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What is Achilles Tendinitis?

Achilles tendinitis is an inflammation of the Achilles tendon, often caused by repetitive stress or overuse. The condition is common in athletes, particularly runners, but it can affect anyone who regularly participates in activities that put strain on the tendon. There are two types of Achilles tendinitis:

• Non-insertional Achilles tendinitis: The fibres in the middle of the tendon become swollen, and microtears occur.
• Insertional Achilles tendinitis: The lower part of the tendon where it attaches to the heel bone becomes irritated and inflamed.

Common symptoms of Achilles tendinitis include:

• Pain and swelling at the back of the heel.
• Stiffness and limited range of motion, particularly in the morning.
• Tenderness or soreness when pressing on the tendon.
• Pain that worsens with activity or prolonged standing.

With appropriate treatment, Achilles tendinitis can be managed effectively, allowing you to recover fully and resume your usual activities.

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Who Can Benefit from Achilles Tendinitis Treatment?

Anyone experiencing persistent pain or swelling in the Achilles tendon may benefit from treatment for Achilles tendinitis. The condition is particularly common in:

• Runners and athletes who engage in high-impact activities.
• Older adults whose tendons may become weakened or degenerate over time.
• Individuals who increase the intensity or duration of their physical activities too quickly.

If you are experiencing ongoing discomfort in your Achilles tendon, it’s important to consult with Mr. Harb, who will evaluate your condition and recommend the most appropriate treatment plan for your needs.

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Achilles Tendinitis Treatment in Surrey: The Procedure

Pre-Operative Preparation

Before starting treatment, Mr. Harb will conduct a thorough evaluation, which may include:

• A detailed consultation to assess your symptoms and medical history.
• Physical examination to check for tenderness, swelling, and movement restrictions.
• Imaging tests such as ultrasound or MRI to assess the extent of the damage and rule out other potential causes.

Based on the severity of your condition, Mr. Harb will discuss non-surgical and surgical treatment options.

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Non-Surgical Treatment

For most cases of Achilles tendinitis, non-surgical treatments are effective. These treatments focus on reducing pain and inflammation and promoting healing. Non-surgical options include:

• Rest and Activity Modification: Avoiding activities that exacerbate pain, such as running or jumping.
• Ice Therapy: Applying ice packs to reduce swelling and alleviate pain.
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Medications to reduce pain and inflammation.
• Physical Therapy: Stretching and strengthening exercises to improve flexibility and build tendon strength. Eccentric loading exercises, which involve lengthening the tendon while it is under load, are particularly effective for treating tendinitis.
• Heel Lifts or Orthotics: Using heel lifts or custom insoles to reduce strain on the Achilles tendon during walking and running.

In many cases, these conservative treatments can significantly reduce pain and allow for a full recovery without the need for surgery. Mr. Harb will tailor a treatment plan to address the specific needs of each patient.

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Surgical Treatment

If non-surgical treatments are ineffective and pain persists, or if there is significant damage to the tendon, surgery may be required. Surgical options include:

• Debridement: Removal of damaged tissue from the tendon to promote healing.
• Tendon Repair: If the tendon has become severely damaged or frayed, surgery may be necessary to repair the tendon.
• Tendon Transfer: In extreme cases, a tendon transfer may be required if the Achilles tendon has become severely compromised.

Surgical procedures are generally performed under general anaesthesia, and recovery can take several months. Mr. Harb will discuss the benefits and risks of surgery, ensuring that you are fully informed before making a decision.

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Duration and Post-Op Care

For patients undergoing surgery, the recovery process includes:

• Post-Operative Care: Patients will typically wear a cast, brace, or boot to immobilise the tendon and protect it during the early stages of healing.
• Pain Management: Prescribed medications will help manage pain during the recovery period.
• Physical Therapy: A key component of recovery, physical therapy helps restore mobility, strength, and flexibility. Rehabilitation exercises are crucial for regaining function and avoiding long-term stiffness.

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Recovery Timeline:

• First Few Days: Rest and pain management, with limited weight-bearing activity.
• First Few Weeks: Gradual increase in mobility, using crutches or a walking boot.
• 3-6 Months: Full recovery, with many patients returning to normal activities and sports following a structured rehabilitation programme.

Mr. Harb ensures close follow-up care to monitor progress and adjust the rehabilitation plan as necessary.

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Risks and Complications

As with any treatment, there are some risks associated with Achilles tendinitis management, particularly if surgery is required. Possible risks include:

• Infection at the surgical site.
• Nerve or blood vessel injury.
• Tendon re-rupture, particularly if recovery guidelines are not followed.
• Scar tissue formation leading to restricted movement.

Mr. Harb uses advanced techniques and ensures careful monitoring throughout your recovery to minimise these risks and help you achieve the best outcome.

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Why Choose Mr. Ziad Harb for Achilles Tendinitis Treatment in Surrey?

Mr. Ziad Harb is a leading orthopaedic consultant with extensive expertise in the treatment of Achilles tendinitis. Whether you require conservative treatment or surgical intervention, his personalised approach ensures that you receive the most effective care. Benefits of choosing Mr. Harb include:

• Access to state-of-the-art facilities like Nuffield Health Guildford Hospital and Runnymede Hospital.
• A tailored treatment plan designed to address your specific needs and recovery goals.
• Compassionate care that prioritises your comfort and long-term health.

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FAQs

How long does it take to recover from Achilles tendinitis?
Recovery time varies depending on the severity of the tendinitis. Non-surgical treatment can take several weeks to months, while surgery may require 3-6 months for a full recovery.

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Will I need surgery for Achilles tendinitis?
Most cases of Achilles tendinitis can be managed without surgery. Surgery is usually only considered if conservative treatments are unsuccessful or if there is significant damage to the tendon.

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Can I return to sports after treatment?
With proper treatment and rehabilitation, most patients can return to sports. However, it is important to follow your rehabilitation plan and get clearance from Mr. Harb before resuming activities.

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Is physical therapy necessary for Achilles tendinitis?
Yes, physical therapy plays a crucial role in treating Achilles tendinitis. It helps restore strength, flexibility, and mobility, ensuring a successful recovery.

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Contact us today to learn more about how Mr. Ziad Harb can help you recover from Achilles tendinitis and regain your mobility.