WELLS & ASSOCIATES,

SURGICAL TREATMENT
LLP
Noninsertional Achilles Tendinopathy

WELLS & ASSOCIATES, LLP surgery is to stimulate tendon healing, low-

grade trauma, and expand the Achilles
200 PROSPECT ST.
tendon with grafts. Insertional Achilles
EAST STROUDSBURG, PA 18301
Phone: (570) 422-3382
Tendinopathy is the removal of the

Fax: (570) 422-3383 degenerative tendon, and reattachment of

Email: INFO@WELLSLLP.COM the insertion.

 Basic Information & Treatments
INTRODUCTION

Achilles Tendinopathy is an ankle and foot overuse injury. This disorder is mostly found in people who run or jump.
The two categories that they are under are insertional (inflammation at the point where the Achilles tendon inserts
into the heel bone) and noninsertional (activity causes pain). 20% - 25% of patients who have Achilles have
insertional disorder and 66% of them have noninsertional disorder.
Information will help to prevent
injuries
RECEPTORS IN TENDON TREATMENT CAUSE

 Pressure receptor  Low Level Laser Therapy  Physical activity

o Ruffini corpuscles
 Movement receptor  Ultrasound  Less active
o Vater-Pacinian
 Corticosteroid Injections
corpuscles  Overweight
 Mechanoreceptor  Cryotherapy
o Golgi tendon organs  Common in Elderly
 Pain receptors  Deep Friction Massage
o Free nerve endings
 Prolotherapy


INTRINSIC FACTOR EXTRINSIC FACTOR PHASES OF NATURAL

SYMPTOMS
 Deformity of forefoot  Overload and training
HEALING
errors
 Diabetes
Pain Stiffness Swelling
 Abrupt changes in
 Hypertension
workout
 Gout
 Training on hard
 Limited mobility surfaces
 Hyperostotic  Poor shock absorption
conditions