Achilles Tendonosis/Tendonopathy is a newly recognized disorder. It is common in runners and other athletes. The condition is not understood by most and is very confusing to the patient. The achilles tendon has poor regenerative capability which is why achilles tendonitis can turn into achilles tendonosis/tendonopathy.
Tendonosis is characterized by disorganized collagen fibers (scar tissue) and irregular cellularity (abnormal tissue). Put simply, tendonosis results in abnormal weak and paiful scar tissue. Inflammation is not present in this chronic condition which is why things like antiinflammatories and ice are ineffective. There are no “quick fixes” for achilles tendonosis/tendonopathy but there is hope. A long term stretching and eccentric strengthening program has been show in the sports medical research to be effective. However, it is a long term endeavor and requires the patient to be dutiful, diligent and consistent with the program. There are also effective treatments that can be employed to slowly break down the scar tissue and help the new tissue be made in a strong and organized manner.
Our running specialists can provide you with more information on your condition and they may refer you to Dr. Victor Runco. Dr. Runco is an ultrarunner and foot/ankle specialist. He has helped hundreds of runners and non-runners with chronic achilles tendonitis and achilles tendonosis. If you prefer to just schedule an appointment with Dr. Runco call (858) 268-8525.