By Joshua Tucker

Achilles Tendonosis Surgery and Bone Spur Debridement, happy and ready to do it again

by Diane
(Iowa)

I suffered pain for years from achilles tendonosis and haglund's deformity. (reactive bone growth in my heal from all the inflammation in my tendon) Plus heel spurs added to the pain.

I had seen several orthopedic surgeons and 2 podiatrists who all recommended stretching, physical therapy and anti-inflammatories.

I've tried orthotics in my shoes until the bone growth didn't allow me to wear tennis shoes.

Walking barefoot or on uneven surfaces was literally impossible from the stabbing pain. I could only wear slip on shoes with a 1 to 2" heel to take the pressure off my heel pain. The pain was never-ending. i used to be an active tennis player and walker and now I could barely walk the dog.

I finally found a board certified foot and ankle orthopedic surgeon who gave me hope. January 2010 I had heel debridement surgery along with an achilles tendon transfer and lengthening. The surgery was outpatient -- it lasted 1 1/2 hours.

I can honestly say I have had NO pain since the surgery...today my calf muscle feels a little tight, and I'm still working on single toe raises to build up the muscle. The surgeon removed a golf ball sized bone from me heel and described my achilles tendon as "mush." He said my tendon was basically shredded and that he was shocked by all the inflammation and the size of the heel growth.

He took a tendon from my foot and reattached it to the achilles tendon and then further up my calf he put a small notch in the tendon to help lengthen it. Yes, rehab was long -- 8 weeks no weight bearing. A life saver was using a roll-about knee walker that gave me mobility and kept my hands free...crutches are so limiting.

1 week in a splint, 7 weeks in a cast, then I progressed to a boot. Once I was in the boot I started physical therapy -- stretching and re-learning the correct way to walk.



I am getting ready to have surgery on the other leg in a few weeks. While I don't relish crawling up the stairs at home and being dependent on others to drive me places, I am anxious to be pain free. I will never be a basketball player or marathon runner, but I anticipate being able to walk long distances and be able to wear shoes with backs in them again.



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Joshua Answers:

Hi Diane.

Thanks for sharing!

I'm glad the surgery's helped so far, so fast.

I'm curious how the new tendon grows/strengthens Achilles tendon. Definitely do keep stretching the muscle and connective tissue of the lower legs.

Did the doctors say anything about Achilles Tendonitis, or was it a specifically a case of Tendonosis?

It sounds like your structures, and the ecology of your structures, was pretty far along. Golf ball sized bone bone growth? Wow!


If you have the time and energy and inclination, please keep us updated as this goes along, I think that would be helpful and informative for a lot of people.







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Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert
www.TendonitisExpert.com
















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Comments for Achilles Tendonosis Surgery and Bone Spur Debridement, happy and ready to do it again

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Jul 27, 2014
Achilles Surgery on June 20 cast off July 25, pain and devastated
by: Denise

I had Achilles tendon surgery June 20, I had a large spur that had grew into my tendon. I came home with a splint and wrap for a week, he then put it in a hard cast for 4 weeks.

I went in on Friday July 25, excited to get my cast off and maybe able to start bearing weight.

He took the boot off and the staples out (one had broken and my wound is not healed completely) wrapped it out and put me in a walking boot that goes almost to my knee, he said I could start walking with the boot.

I got up out of the chair and tried and was devastated I can not walk, then pain and balance is unbearable. Please tell me it will get better. feeling hopeless at this point :(


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Joshua Comments:

Hi Denise.

Unfortunately I can't say anything as I know hardly anything about your specific scenario.

The wound wasn't fully sealed/healed after a month in the cast?

As far as still being in pain 5 weeks later, you just experienced a MAJOR wound from the surgery. Big cuts and grinding -bone- off.

That's going to hurt. And hurt for a while.


Have you been doing any nutritional self care to help yourself heal more optimally?

What self care are you doing now that the cast is off?




Jun 19, 2014
Debridement of Haglunds Deformity & Achilles tendon surgery
by: Heather

I'm so glad I found this, for years I thought I was the only one! I just had my 4th surgery on Tuesday, 6/17/14. I've had 2 previously on the left heel, and this was the second on the right. My sutures come out 6/30/14 & the doctor says I should walk out of there. I'll admit I find that hard to believe, the first two were 8 weeks each & the last one ended up being 16 weeks!

My pain is under control now & there appears to be little to no swelling. I will update.


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Joshua Comments:

Hi Heather.

Please do keep us updated!





May 28, 2014
can the bone spur grow back?
by: donna

They don't know how I got it don't even know if its a bone spur or not I was sitting down with sandals on and my heel turn beet red, the swelling and inflammation went away if I wore sandals.

Don't have much money so did not seek help. Can the bone spur grow back? On disability now just have Medicare limited funds, the pain in the heel is incredible. You are amazing story and sharing is very kind of you.

I was just concerned that or can the bone spur grow back? I am so happy for you please keep us posted. may god bless you.


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Joshua Comments:

Yes, bone spurs can grow back. All (or at least the majority of) the factors in play that caused growth in the first place are still in play.

Learn Process of Inflammation. Do that for a week or so and let me know what happens.

See: Bone Spur



Apr 27, 2014
Achilles Tendon Lengthening Surgery, hopeful for recovery
by: Angel

I just had this surgery done on april 21 waiting to see the outcome hopefully it helped.


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Joshua Comments:

Let us know how it went, and how it goes.

What are you doing for post-surgery self care?



Apr 23, 2014
Achilles tendon Graft
by: jane

Hi

I had an Achilles tendon Graft march 2013 and since then I have put in so much work into stretching the tendon out but it now has gotten to a point where I have been told I will not get any more Stretch out of my tendon it has shortened?

And I much as I try I lost movement in my foot due to the short Achilles and scar tissues that I have worked on so much to break it up and get the tendons moving again they now have make orthotics to got in my shoes that help me to walk better but I find now I have lost balance I have trouble with both tendons but only one did they repair (I would never have the other one done knowing what I do now).

Once your tendon has shortened is there anyway I can get them movement back ??


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Joshua Comments:

Hi Jane.

1. You don't want the tendon to stretch. Tendon is steel cable. Muscle is bungie corde.

The tendon was shortended due to surgery, and that's an issue. Now the entire structure has to readjust. And it's going to need some help.

But that help does not consist of 'stretching the tendon'.

The entire structure is tendon and the muscle and connective tissue it's attached to.

You need to LENGTHEN the muscle and connective tissue attached to the now shortened tendon..that muscle and connective tissue is now being PULLED ON, a lot, so it feels tight etc.

It needs to be relaxed, lengthened, and retrained to accomadate a new tensile arrangement.

Eccentric Heel Drops is one tool.

Effective massage and/or self massage is another.


You definitely do want to make the scar tissue and constriciton from the surgery and reattachment more mobile and healthy (that makes it stronger and less prone to tiny micro-tears that keep the body thinking there's an injury there).




Apr 23, 2014
Haglunds response
by: Dan C

I am on my 4th surgery and finally, 7 months after my last the pain is starting to die down. Takes time and a lot of self remediation.

Dan c


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Joshua Comments:

4th surgery? On the same spot?




Apr 23, 2014
How long will I have pain while walking after Haglund's Deformity surgery?
by: Tonya

I had surgery for a haglund's deformity 3 months ago (December, 2012) and was wondering if anyone could tell me when the pain of walking will go away.

The surgeon had to detatch part of the achilles tendon to remove the deformity. I was in a boot for five weeks and went through four weeks of PT (twice a week) after that. Wearing shoes that cover the heel is still painful and walking is extremely difficult despite doing stretches and exercises regularly. I still have sharp pains shoot through my heel a few times a day as the nerves regenerate.

I'm also curious to know when the daily swelling will stop. My heel looks pretty good in the morning, but by evening (I even have a desk job) it's pretty swollen.


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Joshua Comments:

Hi Tonya.

How'd your recovery go? How are things now?

There's no way to predict how long Haglunds deformity surgery side effects will last. It depends on how extensive and traumatic the surgery was (detaching your achilles tendon and carving off bone is a major trauma), it depends on your overall health and vitality, it depends on your nutritional status, it depends on how good of a healer you are.

The best way to deal with it is to combat all the predictable repercussions of surgery (inflammation, tightness, pain, etc) so recovery is as fast as possible.



Mar 09, 2014
2 years out after achilles tendon and heel debridement surgery on both feet
by: Anonymous

After Achilles' tendon and heel debridement surgery on both legs 2 years ago, I can honestly say I would do it again.

My quality of life had been suffering- constant searing heel pain. I couldn't walk on any even surfaces or be on my feet for any length of time. 2 golf ball sized heel hoes were removed; a small tendon was taken from bottom of foot to reattach my Achilles and a small notch was made half way up my calf to help lengthen the tendon.

My tendons still feel tight but no pain. One ankle still has some swelling and consequently some tingling sensations in my foot. After another MRI it was determined scar tissue was causing it. Surgeon said he could clean it up but I'm not excited for more surgery. I recommend a foot and ankle orthopedic surgeon who is board certified. This surgery is too complicated for a podiatrist. I will say I suffered for years before I had surgery.

I tried physical therapy, stretches, shoes, meds, massage .




Mar 04, 2014
Is the next step achilles tendon and bone spur debridement surgery?
by: ForMyWife

This is actually on my wife's behalf...she was told about 7 years ago she had chronic tendonitis....bump behind her heal was tearing her tendon..the healing process then calcified the bump and made it larger...causing further damage to her tendon which equaled pain.how it was explained to us..

1st doctor wanted to perform surgery asap..we opted for a 2nd opinion...second doctor had her wear a boot with wedges and progressivly removed the wedges over a period of about two months...afterwards told her to wear shoes with at least 1 1/2 inch heels, this worked for a few years and the pain was tolerable...well the pain returned.

Went to Dr. #3 basically told her there was nothing he could do...he empathetically discouraged surgery as did Dr. #2.

So here we are...my wife can't walk long distance or over a period of time without it being a painful exerience...a normal shopping trip of about an hour...and that is with pain medication...she is only 52....a little overweight....this is limiting her ability to perform daily taskes to allow for calorie burning and we are getting concerned for her quality of life....being held captive by her aching heels.

Any encouragement or guidance would be appreciated...thanks


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Joshua Comments:

Hi ForMyWife.

My primary guidance is to get Reversing Achilles Tendonitis ebook and get to work.

Doctors and surgeons will tell you that the bone growth is the primary problem, but almost certainly the proglem is the chronic muscle and connective tissue tightness that is pulling on the bone and causing it to grow (to become stronger).

So while I can't help you with the bone growth that's already there, it's absolutely worth a shot to do all the self care possible to take the tension off the bone, which reduces the bone's ability to 'fray the tendon' because the tendon will be loose and mobile istead of taut with tension and grinding against the bone.



Mar 04, 2014
A year after achilles debridement surgery, still in pain
by: Karen

Last March 2013, I started noticing pain in my right heel, esp after driving home from work.

First I thought it was my shoes so I bought new ones. Didn't help so I bought the mule type. Did help for about a week and then the pain returned. Somedays it was all I could do to walk from the car to the front door. I finally gave in and saw an orthopedic. He had me to wear a walking boot 24/7 for 12 weeks then PT. The pain was better but only for couple weeks then right back were it was.

My PT recommended that I see a different orthopedic. I finally give in again after several months and did see an ankle and foot specialist after begging for a MRI that supposely showed nothing but inflammation, just continue with PT.

I have been taking anti-inflammory for past 2 yrs for hip tendonitis, so how in the world could I still have all that inflammation!

Had my achilles tendon debridement with heel spur removed, which I was never told about one week after seeing the new doctor. It has now been 8 weeks and still having pain, swelling and limited ROM.

I'm starting to think I may have done more damage by waiting so long. I wonder if I will ever be able to return to my job as a nurse.


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Joshua Comments:

Hi Karen.

Anti-inflammatory drugs like Ibuprofen don't actually get rid of inflammation nor the causes of that inflammation.

So if you've been taking anti-inflammatories for 2 years, there was never a chance of it fixing your hip tendonitis.

The debridement is a signifigant injury to bone, as it's cutting/damaging bone. Bone does not like that, and it can hurt for a LONG time. Plus, bone spurs aren't usually an actual cause of pain with achilles tenodnitis scenarios, so the surgery didn't necessarily do anything to inmprove your achilles tendonitis.

Which is not a popular thing to tell surgeon, of course.



Dec 19, 2013
Achilles tendon Graft
by: jane

Hi
I have been have massage on it everyday day fight up my leg so on calf as well and Achilles I have been to physio and she has shown me thing to do to stretch the calf muscles and I have been doing them for months I go to the pool and walk up and down it this help me put my foot flat on the ground without so I walk as normal as I can also get all the muscles work in my calf.

but like I said I get pain where they attached the tendon back to my heel in the bone and not matter how much work I do in the day in the morning it is very stiff until I get it moving again feels like all the work I did each day has been for nothing when I wake up in the morning until I put my shoes on I limp badly.


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Joshua Comments:

1. If you're not ice dipping, start. See the link to the How To Reduce Inflammation page in this thread.

2. If your nutrition is not up to snuff, then your bone/tendon will have a harder and slower time healing (well).

3. That's good that you're massaging. Do that. Stretching may or may not be good, depending on what and how you're doing it.

4. I'm a big fan of my Reversing Achilles Tendonitis ebook, as it's all the same stuff for your scenario (and I can give you some fine points specific to your surgery.


Point being, surgery causes it's own problems, and in a perfect world you'd heal fast without any effort...but it's not a perfect world...

You are putting in effort, and, it's a matter of fine tuning what you're doing to help your body help itself, and so your body -can- help itself.




Dec 17, 2013
Achilles tendon graft
by: jane

Hi
Had an Achilles tendon Graft in march this year its been over 9 months now since I had it done and to be honest if I had Known what it would do to my foot and ankle would have just left it the same way it was and put up with the pain.

They took a bit of tendon from my big toe and make new tendon where it was shredded

Nine months on and lots and lots of work on it, it is still not that good when it comes to walking on it without no shoes on which have things inside them to help my Achilles but it hurts in the bone where screwed it back to my ankle and it also feel very stiff still cant do stuff I use to be able to do before to be honest it they asked me now knowing what I know now I would have said no thanks I will put up with it the way it is and still would have been able to do more they said (THE DOC)that it would take 12 months to heal and not limp but I doubt I ever get my foot back to the way it was I have done pool work on it had my calf worked on and the scar its self everyday

I work on it but I now seem to have hit a wall
think before Surgery if it is worth it...for me I would say no.

Has anyone else had this happen to them?? and any tips to what I can do to get my foot working 100% again

thanks

jane


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Joshua Comments:


What specifically have you been doing on it since surgery, self-care-wise?




Dec 07, 2013
Achilles Surgery Went Great, But No 50 Yard Sprints
by: Chris

I had my achilles repaired about 3 years ago, it was completely torn in half ( playing basketball) i fell down tried to get up and fell again, i just fell there was no pain when I did it or before I had surgery it just wouldnt work.

The surgery on other hand did have some pain of course like any surgery but not unbearable. The bad part about it is recovery time, probably a full year before I felt safe on it, it carries most of a persons weight.

I was scared of reinjuring it but all in all it is good now gives me no problems what so ever, so if you have to get it done get it done, it is not that bad at all just a lenghty recovery, now I feel great on it I can do anything on it although I wouldnt try and do a 50 yd dash I cant tell the difference or it was ever injured unlesss you look at it.

It has a hump on it, but trust me no one will ever notice. Good luck to all of you going to have it if you have any questions just reply to this blog I would love to be able to help you and ease your mind.


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Joshua Comments:

Hi Chris.

That's great recovery has gone well. No 50 yard sprints, but are you still playing basketball?


Nov 30, 2013
REMOVAL HEGLANDS DEFORMITY AND ACHILLES TENDON DEBRIDMENT
by: Anonymous

Had my surgery 10-28-13. Was in splint non-wt bearing 10/28-10/31. New splint applied 10/31-11/11 still non-wt bearing 11/11-11/25 hard cast non-wt bearing. Wahoo!! 11-25 hard cast off in cam walker x 2weeks. Starting therapy 12-2. A lot of pain and swelling tonight.

Hard relying on everyone and being on crutches. Ins wouldn't cover knee walker. I live on the 2nd floor so I needed crutches anyways. Glad I was able to ditch the crutches on Monday after my appointment cause I can be full weight bearing now! YEAH!!!!




Oct 14, 2013
Oh boy..the Pain!!
by: Ashley

I am two days post-op from a heel spur removal and resection of my achilles tendon. Lets just say Im on 2mg Dilaudid every two hours but the pain is still excruciating! Has anyone else had this problem? I expected some pain but not like this.

Between the nausea since surgery and this pain...I feel like death warmed up!!

The doctor said to not put ANY weight on my foot for 2 months and then he will do a second surgery after the two months to remove the screws and washer he used to reattach my tendon. Can anyone tell me if the second surgery is just as painful?


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Joshua Comments:

Hi Ashley.

Your experience is definitely not in the 'best results possible' category.

How's your pain tolerance usually? How does your body usually respond to stress and or injury? Some bodies deal with it better than other.

And when a body isn't nutritionally sufficient, it has a hard time dealiong with stressors (like the injury caused by surgery), and the drugs used, etc.

Let's hope it's that and not the doctor messing up somehow.

Having said that, it sounds like you had nuts and bolts forced into your body. That is insult and injury to the body, so it's not particularly surprising that you have pain (then again, some people have little problem with it [I probably would not be one of them]).

So you gotta give it at least a week to settle down. If it doesn't, or if you have other pain, talk to your doctor, not that there's anything in particular they can do but prescribe more drugs, but they need to know. And you need to know how they respond to that (professionally, helpful, tell you it's all in your head, etc).


Are you in a boot or a cast?





Sep 08, 2013
Achilles reattachment surgery after volleyball injury caused tear
by: Kori

I am someone who has always been active.Currently, I own and operate my own equine facility and also help coach my daughter in athletics. I have played sports all my life - even through college and I am active every day with the daily operations of my equine facility.

In a freak accident..... all of that was put on hold. The other volleyball coach stepped on the back of my tennis shoe as my body was moving forward. It felt as though the meat was pulled from my very bones.... very painfull! I held my tears back so all of the 9 year old kids wouldn't worry; but, I knew something was very wrong and it was definately not a sprain.

I went to an Urgent Care...they gave me a splint and an xray and sent me on my way. It wasn't until a Radiologist saw some fluid on the x-ray (4 weeks later) that I was asked to get an MRI. After the MRI... I heard absolutely nothing and I decided to see my primary care doctor because I knew if I had just a sprain...then surely I would be better by now.

Turns out that 90% of my tendon was ruptured and the 10% was hanging on barely !! I was rushed to an Ortho doctor and had surgery in 2 days.

The surgery turned out just fine and no other tendons were needed to bridge the gap that had now formed due to the length of time that had passed because of a mis-diagnosis as a "sprain". I just have a bigger scar than if I got surgery right after the accident, but I feel great and am doing exceptionally well.

In my opinion, the worst part was the nausia from anethesia and I didn't like the cast after a week (showering was a challege). I am happy with my decision to get surgery and I was lucky to have an excellent surgeon !


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Joshua Comments:

Hi Kori.

Surgery is definitely a good idea sometimes!



May 09, 2013
Had Achilles Graft, still hurts 2 months later, sure it was the right thing to do
by: jane

Hi
I have been having trouble with my right Achilles tendon for 2 years but in March this year they did an Achilles Graft have to say that its only 8 weeks in but I am happy that I had it done.

The Doctor that did it said my Achilles was a mess at the bottom and that it would have never heal up with by the way they did try for 16 months before this op so it not as if they rushed in to this op and I would say to anyone don't rush in to an operation unless you have just about done everything possible first.

With me it now up to me it work on my Achilles to get full movement back so I can walk again and they say that going to take 6 to 12 months work on it ....

Yes the operation was painful and yes it's painful now but I am 100% sure it was the right thing for me everyone is different.



May 07, 2013
Retrocalcaneal spur and achilles debridement
by: Anonymous

My levels if vitamin d and magnesium are sufficient and at optimum levels. I do not have any deficiencies in that regard. I have supplemented with both for years. The implants seem to not be sitting well in my calcaneous and it is definitely holding me back. I am in month 9 and feels like I did before the surgeries. Anyone have similar problems?

Dan C



May 04, 2013
Retrocalcaneal heel spur removal, 2 surgeries with continued pain and bone anchor problems
by: Dan C

Hi all.
I recently posted that I had 2 surgeries to remove a retrocalcaneal heel spur with Achilles debridement in August 2012 and removal of a lost suture excessive scar tissue And bone regrowth in feb 13. Since that time I have had increased pain in my heel bone which I believe is due to the four bone anchors that were and planted to hold the Achilles tendon down. The pain can be described as very ask you sharp stinging pains whenever the heel bone is tapped it vibrates into specific spots and my surgeon explained that those are the spots where the anchors are placed. He seems reluctant to remove the bone anchors since there is a possibility that he may have to cut the Achilles again however I cannot progress any further with therapy with the pain that I am feeling. Has anyone experienced this type of discomfort from implanted hardware. Also I was never given blood work to be analyzed to see if I was allergic to the alloy that was implanted.

Dan


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Joshua Comments:

Hi Dan.

Your message looks a little messed up. If it's good enough, no problem. If you want to correct it, just do a whole new comment and I'll delete the old one.

Having said that, get your vitamin d level checked and then get it up and take magnesium.

If you don't have enough of either of those two, you can't utilize your calcium optially and metal implants in bones can have problems healing/holding.

And it can't hurt anything to get a test to see if you're allergic to the implant materials...seems like they should have done that pre-implantation....





Feb 16, 2013
Retrocalcaneal spur exostosis and Achilles debridement
by: Dan C

I had this surgery done in August 2012 recovery for me was extremely long and painful and today I am still going to therapy I am unable to put pressure on my foot and just last week had to go in again to remove more calcification that was forming where the old bone was removed the doctor told me that my bone was so dense he needed assistance. Also one of the bone anchors stripped going in. I just had additional surgery feb 1, 13 to remove a suture and shave down more calcification that grew back only 5 months from initial surgery. I am still unable to walk without alot of pain and limping and I am very sore to the touch. I had no choice to have this done as the Achilles was calcifying and I couldn't walk at all. I am very frustrated with this.
I need my dr to just fix this!
Dan


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Joshua Comments:

Hi Dan.

It looks like your doctor can't fix it. He doesn't have an explanation for why the calcification is happening, why the stripping of the anchor happened, nor why you were hurting in the first place.

You may want to look into the connection between magnesium and bone density.

1. Learn How To Reduce Inflammation

2. Start with Magnesium For Tendonitis



Feb 04, 2013
my point too!!
by: Lucie

Hi that is my point too and when I asked why they said that the MRI showed bone that was not there the last time I had MRI to now and that is what is stopping me from walking and wearing shoes that they will not know about what damage its done to the tendon until they get in there but the bone need to be remove.

I have spend many a sleepless night thinking if this should be done or not but if I am to be honest with myself it has got worse not better and you can see the bone on the MIR that needs to be removed I am just so fearful of operation that I would like to think I do not need this one! but on saying that I am in pain a lot and it needs to be fixed.

And yes this is the only way it can be fixed I asked that question too.


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Joshua Comments:

Well...they don't know why the bone is growing. They don't know if it's actually causing any damage.
Surgery absolutely will cause damage. They say it's the only way the problem can be fixed, but it's their only tool and they offer no guarantee (moneyback or otherwise) that it will work.

They haven't suggested you try any nutrition, the lack of which can cause bone spurs to grow.

They haven't mentioned that it's possible to have bone spurs and no pain or other symptoms.

They haven't suggested relaxing the muscles attached to and pulling on the Achilles tendon, which cause bone spurs to grow.

They've been wrong so far about everything else they've prescribed. Perhaps they will be right about the surgery.





Feb 03, 2013
Achilles tendonosis
by: Luice

Hi in answer to your Question yes I did answer the questions that you put to me
they say that it will not get any better after 2 years of just about trying everything else But an Operation ..Physio pool work podiatry things in my shoes a cam boot for six weeks.

I have had Tendonosis in both Achilles for some time but it is the right one that has the bone bump and I cant wear shoes any more I want too cos it hurts so much also the bump is pressing on a never some where which sends stabbing pain into my heel also tingling too the op they will do is remove the bone bump and fix the tendon which they say is damage and show up on MIR.

It just I know this will take a long time to heal they also told me that 12 months before it really right and 6 weeks in cast ..They would not operate if they did not think they could fix this as they have like me put this off for as long as I have they now say that it will not fix it self no matter what I do.I just hate operations.


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Joshua Comments:

Hi Luice.

I hate operations too, except when they're A. necessary and B. effective.

Why do they think surgery will work when everything else they prescribed did NOT work? That's a pretty low success rate they've established.




Feb 01, 2013
Recent surgery to remove thumb sized bone spur on heel
by: Anonymoukathys

I had my surgery to remove a heel spur behind the Achilles' tendon on January 11, 2013. I am still in the boot cast and have been told to apply NO pressure to that foot for at least six weeks.

I am halfway thru that today, my 3 week anniversary, at this point there is only an occasional twinge of discomfort and I assume that must be the nerves reattaching.

The Achilles' tendon was severed and a piece of bone the size of my thumb was removed and the tendon reattached with four pins. Other than the fact that I can't get up and down by myself and the long recovery I am still very optimistic that this was the right thing to do, after all you can't dissolve bone any way that I know of!

Still praying that six weeks will put me back on my feet PAINFREE!!


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Joshua Comments:

Hi Anonymoukathys.

Wow, that's a big piece of bone (or you have small thumbs).

Did the doctor give you any self care suggestions while in the cast for nutrition or anything?

Keep us updated.




Jan 28, 2013
Achilles tendonosis surgery and bone spur
by: Lucie

Hi

I have had this problem for some time and am booked in to have an operation on it as they say now it will not get any better.

But I am not sure about having a operation on it as I am fearful they will make it worse not better maybe I heard to many stories but the closer it get the more I think I will just put up with it that. I could not stand it if they made this worse.

Yes it gives me a lot of pain I just feel very lost as to what to do next ??? please can anyone make sense of this and how I feel as I feel that I want to get rid of pain but do not want them to stuff it up doing so?


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Joshua Comments:

Hi Lucie.

1. How do they know it won't get better?

2. Clearly they don't have anything to offer that will make it better other than the promise of surgery. Which explains why they are sure it won't get better.

3. I appreciate your concerns about a surgery potentially making things worse. Let's investigate that:
A. Describe, in detail, your symptoms
B. Tell the story of how all this came about, and progressed.
C. What have you done for it, self care, to try to make it better?
D. Why do you call it Achilles Tendonosis?
E. What are they going to do during the surgery.
F. Did you ask any of the questions on this page? Quiz Your Doc





Jan 27, 2013
Achilles tendonsis Surgery and bone spur removal coming up in February
by: Lucie

Just want to thank everyone who shared there story on here as I have the same thing and am going into hospital on the 18Th Feb 2013 I am feeling very nervous about it but it is the pain and the fact that I can't ware shoes much anymore that Pushed me to get this fixed.

I get pins and needles in the heel too they say that it will go as it is the spur pressing on the nerves. I too am not look forwards to 6 week in a cast but I have put this off for 2 years now until I can no longer stand the pain they always tell you what can go wrong when they book you in

I know they have to do this but I wish they would not as I am not a great person for any kind of operation think if you don't have to have it don't!

again thank you to everyone who shared on here this makes me feel a bit better those I will not be happy til is over!



Jan 06, 2013
Fall post achilles tendonosis surgery concerned about pain and rerupture
by: Neil (uk)

Hello,

I have had the achilles surgically repaired 3 weeks ago and had the stitches out and new cast last Thursday. I had a fall hours after the new cast with all of my weight going onto my bad leg and had pain for a while after. Is there a chance of a re-rupture whilst in a cast or is the cast to prevent this?

Bit concerned as still have pain in the calf area?

Thanks.....Neil


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Joshua Comments:

Hi Neil.

It's certainly possible that the forces triggered in the lower leg by a sudden shifting of weight onto the 'bad' foot/leg could cause enough force to separate the tissue of a fresh surgery.

The foot still pressed down into the case, as if it would be pressing down into the floor. The cast just keeps the angle of the foot from changing, but doesn't keep the muscles from firing.

An MRI is the only way to tell for sure.

1. How bad does it hurt?

2. Does it hurt differently after the fall as before (post surgery)?

3. How exactly did you fall/what exactly did your body do, motion-wise?



Oct 31, 2012
How much is too much & When to call it quits?
by: Belinda

Not real sure where to start, so I guess with surgery #1. Had a bone spur removed from the back of my heel the achilles was wrapped in it so they had to do a complete detachment.

Reatachment meant 2 surgical titanium screws in the bone to suture back down to. Fast forward a year and a half still in extreme pain...went to an orthopaedic specialist this time only to discover through the MRI that my body was rejecting the metal implants.

Further testing revealed that I am allergic to metal. AWESOME! So revisionary surgery to remove the hardware that also included 6 procedures to try and fix some of the damage the metal had caused. I am now a year out from that operation and having the same issues all over again, MRI done again and facing the grim fate that the last MRI showed which is that my body is now rejecting the plastic implant device.

Wonder what is in store now? If they can't use metal and can't use plastic what then or just have them take it out and the tendon is not attatched at all anymore. can you go the rest of your life with the tendon detatched? So many questions just don't know if I am the only person that has been through this kind of ordeal and wanting some feedback.

When do I say enough and fold my hand and file for disability. I have not worked in over 3 years now because of all of this but haven't went the disability route thinking that I was going to get better. My husband cannot handle the financial responsibilty alone forever.

Any thoughts??


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Joshua Comments:

Hi Belinda.

Yikes, I'm sorry to hear that.

A couple thoughts:

1. Maybe you're allergic to metal (and plastic?) implants, I'd need to hear more about that.

I'd be more concerned about your Vitamin D level and Magneisum intake, as both of those are required for Calcium utilization. What I'm really saying here is that if you don't have enough of the right nutrients, you don't heal right/bone can have a hard time healing/accepting implants.

Did your doctors take ten seconds and test you/supplement you for either of those? Highly unlikely.

I don't really have an opinion about the whole disability thing, as I just don't know.

Assumably it's still attached right now with plastic?

I'd hit up the Vitamin D and Magnesium PRONTO and see what happens.

And I'd get The ARPwave System. If anything can set things right, the ARPwave (and nutrition) can.

Also, from a work perspective, I am a huge fan of having a website for income (like this one, only about a topic you're interested/passionate in). Email me re: that if you want.



Oct 15, 2012
One month post op achilles surgery
by: Anonymous

I had a bone spur removed with the Achilles reattached and lengthened at the calf. I was in a splint for 1 week with no weight bearing.

They removed that and put me in a boot with gradual weight bearing as tolerated and flexing exercises... No boot needed in bed. With the boot I have found it to be so incredibly uncomfortable with pressure points and a cutting feeling at the Achilles incision, so I felt better off just keeping my foot elevated and using the wheel about all the time.

I have found that I'm tolerating weight bearing quite well at 4 weeks - much better than with the boot on ... Around the house I quit wearing it all together and only put it on to go outdoors .

Am I causing any harm to the heel, Achilles repair or the calf lengthening by doing this?


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Joshua Comments:

Hi Anonymous.

Unfortunately, I have no idea if you're causing more harm than good by pushing it. There's a lot of factors involved.

The surgery caused injury. You've got to heal from that, and hope that immobilization and then adding activity to it has everything work out.

I would expect that you would feel pain and discomfort. The question is, is that sharp feeling 'too much' pull on the severed/injured tissues, or is it just getting pulled on and sending a pain signal but not making things worse.



Sep 22, 2012
Achilles heal
by: Della

Hi I had my surgery in march 19th I had bone spur removed and Achilles' tendon re attached and I was pain free straight after surgery I was six weeks in cast then one week none weight bearing then walking after that and I carnt believe how good it feels I hope my bone spur doesn't grow back and even my plantar factious has gone .


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Joshua Comments:
Sweet. Rock on!

Sep 16, 2012
achilles debridement
by: Anonymous

Hi. I had my surgery on Aug. 7, 2012. I was in a stint cast from surgery 1 wk, foot too swollen to put cast on, so put another stent on. Then in cast 3wks. Just got cast off and supposed to use walker with my blk boot. Cannot put weight on it it hurts so bad.

Will call pt tomorrow and am hoping that will help. So discouraged at this point.

Is it unusual not to be able to bear wt at this point after six wks post op?


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Joshua Comments:

Hi Anonymous.

It's not particularly unusual. It's also not a particularly good sign.

What are you doing for post surgery self care?

You should definitely learn How To Reduce Inflammation



Sep 06, 2012
How long before I have my other ankle done?
by: Linda

It's been two weeks since I had a bone spur removed and my Achilles tendon detached and reattached with bone anchors on my left ankle. I have to have the same thing done on my right ankle and was wondering if anyone else has had both ankles done. I am still non-weight bearing and will be until I'm at 4 weeks post surgery.
I was placed in a cam walking boot, but take it off at night and when I am not moving around. My doctor just told me to be careful. That seems a lot less conservative than other's stories I have read.

Has anyone else gone without the boot this much? I am using a knee walker and plan on returning to work next week.




May 11, 2012
troublesome foot ! More surgery required.
by: carol perry

i have had 3 operations so far on my right foot for achilles tendon repairs and calcium growths i have now been referred back to my surgeon as it is looking highly likely i will need yet a further op

i had my last op in november last year and have been in pain ever since my foot is very swollen all the time and i am having throbbing and burning in it all the time and now looks like the growths come back yet again my surgeon is now talking about taking a wedge like shape out of my heel but says its a much longer recovery period


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Joshua Comments:

Hi Carol.

Ouch, that doesn't sound fun.

Give me a more detailed account of the history and symptoms leading up to this, and description of overall health (digestion, energy levels, sicknesses, etc).

May 11, 2012
A Gilles heal bone spur operation
by: Willow

Well after having surgery on my Achilles heel bone spur I've been pain free had my cast removed after six weeks and it now been off 10 days started weight bearing with crutches but my foot and leg all way up to knee is going bright red swelling and burning hot as anyone else experienced this or should I go to see my consultant when I rest it calms down again


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Joshua Comments:

Yes, go ask why your surgeon why it's hurting like this, and make him/her give you some adequate self care/rehab to do.




Apr 30, 2012
BONE SPUR WITH ACHILLES TENDON
by: Long 2 years with achilles

I had a bone spur and slight rip in my achilles tendon on my right foot.It all started in Oct, 2010. I worked in a factory using a foot peddle for 8 hours. I used a walking cast for 3 1/2 months to try to correct the problem. Well I still had pain. So me and dr. decide to have surgery. My surgery was in Feburary 2011. Well I did 8 week in the cast, non weight bearing.

In the 9th week I got the walking cast. And was starting therpy. Well I had pain in my ankle. I could not flex my foot with out pain. I couldn't walk.

So my thepist looked at my scar, it was a keloid, and I had alot of scar tissue. So we decide to do the surgey again. I had the surgery on January 2012. The dr. debried the scar tissue,
cut out the keloid in a diamond shape cut.

Well, 5 week later, he took the stitches out. And the top half of my scar had not healed. So he cut that part of my skin out. He wanted to check for infection. Well no infection. So he suggest a skin graft. Well the skin didn't come for me. I had a aphligraf. Well to my suprise it is healing beautifully.

I'm 15 week in and I'm just having stiffness. I ging to theapy twice a week. I can move my foot up and down. I make a good decison. So hopefully I be back to normal in a few months. I wouldn't wish this pain on anyone.


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Joshua Comments:

That sounds like quite an adventure!

Keep us updated on your recovery!



Apr 30, 2012
Achilles heal bone spur removed
by: Willow

Well today I've has my cast of after six weeks I've has a bone spur removed and achilles tendon re attached my consultant had to take some of the tendon away but from day of operation I've has no pain I start phyiso on thurs my consultant reckons I will be back at work in three weeks which am surprised at am hoping this bone spur doesn't grow back and I can a last be pain free.


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Joshua Comments:

Hi Willow.

I hope so too.

See: Bone Spur



Apr 26, 2012
Achilles bone spur
by: Willow

Ive suffered 4 years with achilles tendinitis and a bone spur this year my only option was surgery as all my heal and bottom of foot has swollen and I couldn't weight bear at all I had surgery 19/3/12 and got one more week in cast left even straight after operation I've been pain free so hoping this continues will keep you updated


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Joshua Comments:

Please do keep us updated!





Jan 22, 2012
reply to joshua
by: carolperry

my surgeon didnt explain as to why i keep getting ruptures and calcium growths but said its highly likely they will return he did however say if the growth had been removed on the first operation i most probably would not have need the second one the only problem ime suffering

at the moment is stiffness around the tendon but this is probably due to scar tissue but now it is looking highly likeley that i will need surgery again on my right foot as it looks like the calcium deposit is growing back hense my tendon is very painfull once again


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It would be very useful for your doctor to know what is -causing- the bone spurs etc. If he could stop that, he could stop the need for future surgery.


Jan 22, 2012
3rd Time Luck With Achilles Tendonitis surgery and Bone Spur removal
by: carol perry

i have had three operations in total first was to repaire a ruptured tendon the second was to remove a calcium growth wich developed after the first operation and the third was to remove both a calcium growth and another rupture i now have anchors in place and a metal plate i had my operation on 23rd november 2011 and was back in my high heels by new years eve i only had a bandage on leg after the op and found it a much quicker recovery than the first time when i was put in a plaster cast.


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Joshua Comments:

Hi Carol.

I'm curious as to why exactly you keep having ruptures and bone spur growths.

Did the doctors give you an explanation as to why?

And also, why do you think your most recent surgery had a easier recovery? Are you just getting used to surgery :) or was it less invasive, or?



Jan 16, 2012
2 surgeries including bone spur removal, tendon reattached, and calcaneus cut
by: Anonymous

I had bone spur removal, tendon reattached and the calcaneus cut like you did, after I was finally in a walking boot ,then I fell off my knee walker and totally shredded my Achilles, i had surgery all over again, with a graft from a tendon in my foot and have been in the cast 6 weeks now. I don't recommend the knee walker if you have any inner ear problems or labyrrhinthitis or dizziness.

I totally pulled the tendon from the insertion and it was shredded about 6 cms, it was a difficult surgery. This week they put me in a boot and hopefully get the physical therapy started. It's been a long haul, I just pray I will be able to walk again.


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Joshua Comments:

Hi Anonymous.

If you have any inner ear issues, I HIGHLY recommend you greatly increase your Magnesium intake.

Sorry to hear about the fall and the shredding. Yeah, that's pretty bad news....

I HIGHLY suggest that you up your nutrition to give your body every chance to heal optimally.

And the only thing physically I can REALLy suggest, if you want to actually heal as optimally as possible and quicker than you might think possible is to check out The ARPwave System.




Sep 15, 2011
Similar surgery - Achilles Tendonosis Surgery and Bone Spur Debridement, happy and ready to do it again
by: Anonymous

I just had the same surgery on my left foot on 9/6. I started with plantar fascitis last January that I thought would get better but got worse by June and my painful walk and heel spurs caused tedonitis in my Achilles tendon.

I learned the hard way not to ignore foot pain. I have a post-op appt with my surgeon 9/19 and hope that I am healing properly (I have followed post ops instructions to the letter).

I was surprised to read the length of time of your healing process. I thought that I would be able to start putting weight on my foot next week. I am 64 and knew that I could not use crutches so have been using a walker and wheelchair.

I will look into the kneeling walker - I do not like to depend on a wheelchair. Thanks for sharing...Virginia



Jan 19, 2011
kentucky doctor
by: paulette bryan

I had surgery on my Acehilles and bone spur on Oct.21st.2010. I'm healing very well and will be going back to work soon. Dr Lawrence at UK sports Medicine Clinic did my surgery. He's great! Let me know how it goes. Good luck.

Jan 05, 2011
Information Please!
by: Mary

Your story and nightmare sound all too familiar. I have identical issues. I however have not found a surgeon....and after reading most of the stories I am very scared.

I live in Kentucky, Please send me your surgeons name and contact info.. I would like to contact him and ask if he could recommend someone in my state.

Thank you and best of luck.

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