Minimally Invasive and Endoscopic Approach for the Treatment of Noninsertional Achilles Tendinopathy

Foot Ankle Clin. 2019 Sep;24(3):495-504. doi: 10.1016/j.fcl.2019.04.007. Epub 2019 May 21.


Minimally invasive treatment can offer an earlier recovery with less pain and scarring compared with traditional open surgeries. The goals of minimally invasive surgery are to debride degenerative tendon, stimulate healing, and, when appropriate, repair damaged tendon. Sclerotherapy and prolotherapy have been shown to reduce neovascularization and pain. Percutaneous stripping and endoscopic debridement are better options for diffuse tendinopathy. Plantaris release can be useful in diffuse disease in patients with primarily medial-sided Achilles pain. Overall, minimally invasive surgery provides similar benefits as open procedures with reduced complications and morbidity.

Keywords: Achilles stripping; Achilles tendinopathy; Endoscopy; Longitudinal tenotomy; Minimally invasive; Prolotherapy; Sclerotherapy.

Publication types

  • Review

MeSH terms

  • Achilles Tendon / surgery*
  • Debridement
  • Endoscopy / methods*
  • Humans
  • Minimally Invasive Surgical Procedures / methods*
  • Sclerosing Solutions / therapeutic use
  • Tendinopathy / surgery*
  • Tenotomy / methods*


  • Sclerosing Solutions