Achilles tendon surgery may be considered for a range of conditions affecting the tendon, including tendinopathy, insertional problems and rupture. The aim of surgery is to reduce pain and improve function where symptoms persist despite appropriate non-surgical treatment.
Mr Edward Dawe is a Consultant Foot & Ankle Surgeon specialising in Achilles tendon surgery, offering a range of techniques tailored to the underlying condition and individual patient factors. Clinics are available in Chichester, Worthing and Haywards Heath.
Surgery may be considered when symptoms persist despite appropriate non-surgical treatment or where there is a significant tendon injury such as rupture.
The decision to proceed with surgery depends on the nature of the condition, the severity of symptoms and individual patient goals.
Calf tightness is a common contributing factor in many Achilles tendon conditions. Proximal medial gastrocnemius release (PMGR) is a procedure used to reduce tension in the calf muscle and Achilles tendon.
This procedure may be considered in patients with persistent symptoms related to tendon overload and can be used as part of the surgical management of both mid-substance and insertional Achilles tendinopathy.
PMGR may be appropriate for a range of patients, including those who are active and wish to return to sport, as well as those with more general activity-related symptoms.
Compared to more extensive foot and ankle procedures, recovery is often more straightforward, although this varies between individuals and depends on the overall treatment plan.
As with all surgical procedures, there are risks associated with PMGR, although it is generally considered a lower-risk procedure when performed in appropriately selected patients.
For patients with more advanced or persistent mid-substance tendinopathy, surgery may involve removal of damaged tendon tissue and, in some cases, augmentation with a tendon transfer such as flexor hallucis longus (FHL).
The aim is to address areas of degeneration and improve tendon function.
Insertional Achilles conditions may require procedures to address both tendon and bone. These may include removal of damaged tendon tissue, treatment of bony prominence at the heel and procedures such as Zadek osteotomy in selected cases.
The choice of procedure depends on the pattern of disease and individual patient factors.
Surgical repair may be considered for Achilles tendon rupture depending on the nature of the injury and individual factors. Techniques may include open or minimally invasive repair.
Non-surgical treatment is appropriate in many cases, and the choice between surgical and non-surgical management is made following specialist assessment.
Both minimally invasive and open surgical techniques may be used depending on the condition and treatment approach. The choice of technique is guided by the specific problem and individual factors.
Recovery following Achilles tendon surgery is gradual and usually involves a structured rehabilitation programme.
The timeline for recovery varies between individuals and depends on the type of surgery performed and progress with rehabilitation.
If you have ongoing Achilles tendon pain, weakness or a suspected rupture, specialist assessment can help determine the cause and appropriate treatment options.
|
Goring Hall and
Nuffield Haywards Heath Private secretary: Nicole Murray Tel: 07856 521034 [email protected] |
Cookies on this website
We use essential cookies to make this website work. With your permission, we may also use analytics cookies to understand how the site is used and improve it. You can accept all cookies, reject non-essential cookies, or read more in our Privacy Policy.