Minimally Invasive Surgery for Chronic Achilles Tendinitis (Zadek Osteotomy)
The Achilles Tendon Insertion and the Inflamed Heel: What is it?
The Achilles tendon attaches to the heel bone (the calcaneus) over a very broad area. Although the
tendon is only approximately one centimeter thick, it's attachment spreads over a
three-and-a-half-centimeter area on the calcaneus.
Recurrent stress on the tendon where it attaches (the insertion) leads to inflammation,
microscopic tearing of the tendon, swelling, and pain.
This swelling can be associated with inflammation of the space between the tendon and the
calcaneus, called the retrocalcaneal bursa. At times the back of the heel can begin to
enlarge and get quite thick.
Treatment of the insertion of Achilles tendonitis commences with rest, elevation of the heel on
the sole of the shoe, and physical therapy treatments. All of these are designed to decrease
inflammation on the tendon that occurs when walking since this stretches the Achilles tendon.
Achilles Tendonitis Surgery Recovery - General Facts
The surgery is performed as an outpatient procedure
The procedure is minimally invasive through 2 small incisions
Following surgery, you will need to use crutches for two weeks
Driving is permitted for one week if it is on the left foot, and at about 1 month if the right
At the first office visit, you will be able to start walking in a removable walking boot
The boot is worn for 6 weeks, and then you can wear a shoe
The shoe should have an open back to prevent rubbing on the heel and tendon. You will be better
with this shoe for about one month.
Physical therapy is an important part of your recovery and starts at 2-4 weeks
You can expect swelling and tenderness at the back of the heel for about 6-12 months after
surgery
Achilles Tendonitis Surgery - Specific Post-Operative Course
