Successful Treatment Of Persistent Post-operative Achilles Tendon Pain

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Successful Treatment Of Persistent Post-operative Achilles Tendon Pain - Page #1

Author: Michael Stiller, MD Co Author #1: Michael Baria, MD, MBA Patient Presentation: The patient is a 35-year-old male two years status-post left Achilles tendon debridement and repair that was performed for Achilles tendinopathy without tendon rupture. He experienced persistent post-operative pain and presented to the clinic for further evaluation and treatment. History: His pain was located in the proximal half of the Achilles tendon region, was non-radiating, described as a constant ache, rated 5/10 in intensity, and was provoked by any load-bearing activity. Physical therapy, including eccentric strengthening, topical diclofenac, and dry needling failed to improve his symptoms. There were no fevers, chills, night sweats, erythema, or focal neurologic deficits. Physical Exam: Ankle and foot alignment was normal. A well-healed incision without erythema or dehiscence was noted. The Achilles tendon had a moderate amount of swelling from the gastroc-soleus musculotendinous transition down to the calcaneal insertion. The tendon was diffusely tender to palpation, with maximum tenderness at the site of the musculotendinous junction. Palpation of Kager's fat pad was non-tender. The Thompson calf squeeze test produced normal plantarflexion. Resting tone of the Achilles was symmetric. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC