How to completely cure Achilles tendonitis?

The treatment of Achilles tendonitis cannot be blind, otherwise the disease cannot be effectively controlled and becomes more serious. Therefore, thorough treatment is the key. The common method is Chinese medicine conditioning, which can effectively relieve pain, reduce exercise resistance, and perform surgical treatment if necessary.

1. Educate patients: Doctors must patiently explain the pathological changes and possible consequences of tendinopathy to patients and coaches. Collagen lesions are very difficult to treat. In addition to pain and interference with movement, the brittleness of the tendon increases, and the possibility of rupture increases several times. Therefore, a period of rest is necessary and athletes who continue to participate in sports after warming up are warned.

2. Biomechanical unloading: This disease is often related to local overload of tendons and training errors. Therefore, it is very important to check the equipment used, such as running shoes, rackets, etc., check the mechanics of the movements, such as running, throwing, and force posture, and diagnose and correct possible muscle imbalances.

3. Chinese medicine conditioning: Achilles tendonitis patients can choose anti-inflammatory and analgesic drugs [Achilles tendon | ancient prescription | world | medical patch] conditioning treatment, the effect is significant.

4. Reduce exercise load: Using a brace or protective gear can reduce the mechanical load on tendon collagen fibers and help treatment. There are many proven effective protective gear such as knee and elbow braces, heel pads, and Achilles and patellar tendon braces that deserve further research.

5. Physical therapy and sports therapy: It is very important to communicate with physical therapists and rehabilitation therapists. Tell them the pathological changes of the disease and reach an agreement on the possible recovery time. According to literature reports, the average treatment time is 2 to 3 months before returning to the game for the first attack; for patients with chronic symptoms, it may take 4 to 6 months to achieve the treatment effect. The actual time varies from person to person.

6. Appropriate strength training: Eccentric strength training has been proven to be effective. It may be that special eccentric gymnastics can stimulate the mechanical receptors of tendon cells, produce collagen, help reverse the cycle of tendinopathy, and achieve the treatment goal. Animal experiments have confirmed that appropriate tendon load helps collagen arrangement and stimulates the formation of collagen cross-connections, both of which promote the tensile strength of collagen.

7. Surgery: As the last option for tendinopathy treatment, resection of the diseased tissue can be performed with a success rate of 75% to 85%, or better. It may take 4 to 6 months to recover after surgery.