Our Summary

This research paper discusses various treatments for Achilles tendinitis, a common condition often seen in runners and older adults. The treatments range from conservative approaches to minimally invasive procedures, and even surgery. The paper also explores the use of biologics - substances made from living organisms - to enhance the healing process of the Achilles tendon when regular treatments don’t work. These biologics include things like platelet-rich plasma and stem cells. The researchers are investigating a few of these biologics to see if they can improve patient outcomes.

FAQs

  1. What are the various treatment options for Achilles tendinitis?
  2. How do biologics enhance the healing potential of the Achilles tendon?
  3. What are the biologics currently being investigated for improved outcomes in Achilles tendon repair?

Doctor’s Tip

One helpful tip a doctor might tell a patient about tendon repair is to follow a personalized rehabilitation program to help strengthen the tendon and prevent re-injury. This program may include specific exercises, stretches, and activities to gradually increase the strength and flexibility of the tendon. It is important to follow the program consistently and communicate any pain or discomfort to your healthcare provider to ensure proper healing. Additionally, maintaining a healthy lifestyle with proper nutrition, hydration, and rest can also support the healing process.

Suitable For

Patients who are typically recommended tendon repair include those with chronic tendon injuries that have not responded to conservative treatments such as rest, physical therapy, and medication. These patients may experience persistent pain, swelling, and limited mobility in the affected tendon. Additionally, athletes and individuals with high physical demands on their tendons may benefit from tendon repair to regain full function and prevent further injury. Patients with severe tendon tears or ruptures may also be candidates for tendon repair surgery to restore function and prevent long-term complications.

Timeline

Before tendon repair:

  1. Patient experiences pain, swelling, and limited range of motion in the affected tendon.
  2. Patient may try conservative treatments such as rest, ice, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate symptoms.
  3. If conservative treatments fail to improve the condition, patient may consider minimally invasive treatments such as platelet-rich plasma (PRP) injections or stem cell therapy to promote healing.
  4. If minimally invasive treatments do not provide relief, patient may undergo surgery to repair the damaged tendon.

After tendon repair:

  1. Patient undergoes tendon repair surgery, which may involve suturing the torn tendon back together or using a graft to reinforce the tendon.
  2. Patient undergoes a period of recovery, which may include immobilization, physical therapy, and gradual return to normal activities.
  3. Patient may experience pain, swelling, and stiffness in the immediate post-operative period, which gradually improves as the tendon heals.
  4. Patient may require ongoing physical therapy and rehabilitation to regain strength and flexibility in the repaired tendon.
  5. Patient may gradually return to normal activities and sports, with regular follow-up appointments to monitor the healing process and prevent re-injury.

What to Ask Your Doctor

  1. What are the risks and benefits of tendon repair surgery compared to conservative treatment options for my Achilles tendinitis?
  2. Can biologics such as platelet-rich plasma or stem cells be used in conjunction with tendon repair surgery to enhance healing and improve outcomes?
  3. How successful have biologics been in treating Achilles tendinitis in other patients?
  4. What is the recovery process like after tendon repair surgery with the use of biologics?
  5. Are there any potential side effects or complications associated with using biologics in tendon repair surgery?
  6. How long does it typically take to see results from using biologics in tendon repair surgery?
  7. Are there any alternative treatments or therapies that may be beneficial for my Achilles tendinitis in addition to or instead of biologics?
  8. How will the use of biologics impact the overall success rate of my tendon repair surgery?
  9. Will insurance cover the use of biologics in tendon repair surgery, or will there be additional out-of-pocket costs?
  10. Are there any ongoing research studies or clinical trials investigating the use of biologics in tendon repair that I may be eligible to participate in?

Reference

Authors: DeCarbo WT. Journal: Clin Podiatr Med Surg. 2021 Apr;38(2):235-244. doi: 10.1016/j.cpm.2020.12.008. Epub 2021 Feb 13. PMID: 33745654