Insertional Achilles tendinosis: pathogenesis and treatment

Foot Ankle Clin. 2009 Dec;14(4):639-50. doi: 10.1016/j.fcl.2009.08.005.


Insertional Achilles tendinopathy can be a painful debilitating condition that should initially be treated non-operatively. If pain becomes chronic and debilitating, despite appropriate conservative treatment, debridement of the diseased portion of the Achilles tendon and removal of the impinging calcaneal prominence and transfer of the flexor hallucis longus through a single incision can be a reliable pain relieving procedure with relatively high patient satisfaction.

MeSH terms

  • Achilles Tendon*
  • Cumulative Trauma Disorders / physiopathology
  • Debridement
  • Humans
  • Magnetic Resonance Imaging
  • Physical Examination
  • Postoperative Care
  • Tendinopathy / diagnosis
  • Tendinopathy / etiology*
  • Tendinopathy / physiopathology
  • Tendinopathy / therapy*