Chronic tendinopathy Achilles tendon surgical combing testimony

Clinical case

Patient, 58, sporting good level with chronic tendinitis of the Achilles tendon of the left.

Chronic Pain   the Achilles tendon   evolving for more than a year after a triathlon.

The patient has received medical treatment   (necessary before any surgical decision): rehabilitation, Stanish stretching,   shock wave, orthopedic soles.

Given the persistence of pain and failure of medical treatment the patient has an MRI which showed a corporeal tendinopathy extended with even cracking a central area of the tendon well explaining the painful symptoms.

Clinical examination   shows a thickened tendon to 5 cm from the calcaneal insertion with painful swelling zone: chronic tendinopathy area corporeal.

The indication for surgical treatment   therefore proposed with surgical combing of the tendon.

The postoperative need   12 hours hospitalization   (outpatient) and immobilisation in a boot for a month resin with partial support.

A work stoppage was needed between 1 and 2 months depending on the profession.

In the postoperative there must be at   least 4 to 6 months of therapy.

A replay of the race is possible after 6th   months (average 8 months)

The 6th   months postoperatively the patient had no sequel, no pain, and he had already resumed his regular sports activities   Jogging 1:15   2 to 3 times per week without difficulty,he had scheduled a resumption of competition 12 months.

Patient Message   after his first competition.  

One year after the removal of my cast after your intervention to combing my Achilles tendon …
I just participated in the triathlon of Aix-les-Bains with happiness and pain !!
I wanted to thank you again …

Doctor Nicolas LEFEVRE, Doctor Yoann BOHU, Doctor Antoine GEROMETTA, Doctor Serge HERMAN. – 27 septembre 2015.