Both athletes and non-athletes can benefit from specialist attention to aches and pains around this region. Achilles disorders and tendinitis (tendinopathy) frequently causes pain over the back of the heel. The pain can be at the bottom of the Achilles tendon as it inserts onto the heel bone (insertional type) or over the tendon itself (non-insertional). Swelling and tenderness in and around the Achilles will accompany the pain. For insertional tendinopathy, a common occurrence will be a bony hard type of swelling over the heel’s rear at the Achilles insertion (Haglund deformity or Achilles heel spur).

What is involved in tendinitis treatment?

The treatment approach would be to modify activity to reduce stress on the tendon. Physiotherapy and also a heel lift can be useful measures to give pain relief. Anti-inflammatory medications can also be used.

When symptoms have persisted, surgical removal of inflamed tissues surrounding the tendon or removal of the bone spur (calcaneoplasty) may be needed. Advances in minimally invasive techniques and reconstructive methods have allowed reliable relief of pain and a more rapid recovery after treatment.

Providing qualified treatment for people across the city

Led by the capable Doctor Tan Ken Jin, our clinic has helped thousands of people across Singapore receive the assistance they need to live their best life. Providing consultation for a wide variety of conditions across all age groups, Doctor Tan can assist with the diagnosis and treatment of children’s flatfeet, knee sports injuries and Achilles tendon tears.

Make an appointment today to discuss your issue with our doctor. Contact our clinic via email at email@footandankledoctor.com.sg or call our practice directly on 6734 8168. We are happy to answer any questions you may have, and our staff will assist you in every possible way to ensure you receive the help you need.

Surgery for chronic tears

Chronic or missed Achilles tears are not that infrequent. In many cases, the original tear may have not been diagnosed immediately due to a variety of reasons. Many patients end up with a tendon that is torn and a relatively large gap between the ends. This would traditionally require a fairly complicated reconstruction involving a significant wound/incision and use of local tendon flaps or a nearby tendon transfer eg, flexor hallucis longus [FHL] transfer to bridge the gap. Recently, Dr Tan has been using an arthroscopic technique to perform a minimally invasive tendon reconstruction of chronic tears. This has the advantage of minimal wound complications and less concern for complications.

For more information on our minimally invasive surgery or to book a consultation, call on 6734 8168 or email us at email@footandankledoctor.com.sg.

Xray of a heel bone showing an Achilles spur and Haglund deformity causing heel pain