Achilles Debridement

What is Achilles debridement?

Achilles debridement is a surgical procedure designed to address chronic issues related to the Achilles tendon, the strong band of tissue connecting the calf muscles to the heel bone. The procedure involves the removal of damaged or degenerated tissue from the tendon to promote healing and restore function. This approach is typically considered when conservative treatments, such as physical therapy and medication, have failed to alleviate symptoms.

 

Achilles debridement symptoms

Patients who may benefit from Achilles debridement often experience:

  • Chronic pain: Persistent pain in the back of the heel, which may worsen with activity or pressure.
  • Swelling: Ongoing swelling or inflammation in the Achilles tendon area.
  • Tenderness: Sensitivity and tenderness along the tendon, especially when touched or during movement.
  • Stiffness: Difficulty in moving the ankle, particularly after periods of rest.
  • Reduced mobility: Limited ability to perform activities that require ankle movement, such as walking or running.
  • Tendon thickening: Noticeable thickening of the tendon, which can be observed through physical examination or imaging studies.

 

How does Dr Abramson treat Achilles debridement?

Dr Michael Abramson treats Achilles tendon issues through a personalized and comprehensive approach to Achilles debridement. He begins with a thorough assessment of the patient’s symptoms, performing a detailed history, physical examination, and often utilizing diagnostic imaging like ultrasound or MRI to assess the extent of tendon damage. During the debridement procedure, Dr Abramson makes a small incision over the affected area to access the damaged tendon and carefully removes degenerated or scarred tissue to relieve pain and improve function.

He often employs minimally invasive techniques when possible, using smaller incisions to reduce recovery time and minimize post-operative discomfort. After surgery, Dr Abramson provides a clear post-operative care plan, which includes pain management, wound care, and a tailored rehabilitation program to restore strength and flexibility in the tendon. He schedules regular follow-up appointments to monitor the patient’s progress and make any necessary adjustments to the treatment plan, ensuring the best possible outcome for each individual.

FAQ’s

What should I expect during recovery?

Recovery from Achilles debridement typically involves:

  • Resting and protecting the tendon
  • Following a physical therapy regimen to restore strength and flexibility
  • Regular follow-up appointments with Dr Abramson to monitor the healing
  • Gradual return to normal activities based on your progress
What are the potential risks of Achilles debridement?
As with any surgical procedure, Achilles debridement carries some risks, including infection, bleeding, or adverse reactions to anaesthesia. Other risks include persistent pain, incomplete healing, or the potential for re-injury. Dr Abramson will discuss these risks and take measures to minimize them. ( 12 % risk of wound issues)
How long does it take to recover from Achilles' debridement?
Recovery time can vary depending on the extent of the surgery and the individual’s overall health. Typically, patients may require several weeks to months for full recovery, during which physical therapy and a gradual return to activities are essential.