Possible Tendonosis following Achilies lengthening surgery

by Maureen Maher-Killelea
(Leominster, MA, US)

Hey there,

Back in late 2009 I was in a car accident and suffered crush injuries up to my knees, but primarily my right ankle. Torn ligaments and tendons, severe bone bruising and tons of soft tissue damage.

Following months of treatment, PT etc. the achilies was frozen and 2 specialists agreed that we needed to do a lengthening of that tendon to try and regain some range of motion.

I'm 5 months out of surgery and while I regained a TON of mobility I've got a thickening of the tendon that we think might be a combination of tendonosis and scar tissue...new MRI tomorrow night. While an FHL (flexor hallucis longus) transfer is possible if the damage is just too much, I'm wondering what other non-surgical options there might be to fight the scar tissue and tendonosis. Neither my surgeon or I are set on more surgery and are holding off until after the MRI, but I was trying to do a little research on my own as well.

Any ideas?


Joshua Answers:

Hi Maureen.


I'm glad you survived with as little trauma/damage as you did!

Ok, so.

In your situation, I'm not a fan of surgery, for a variety of reasons.

Also, while my usual suggestions would be helpful, including Magnesium for Tendonitis and the content of my Reversing Achilles Tendonitis ebook, my best suggestion for you is:

Work with an ARPwave unit.

I haven't built a page yet to explain it all, but basically, it's the device I used to fix my ruptured L5-S1 disc problem.

It will be worth a conversation with one of the ARP guys for some specifics, but I think you'll be REALLY pleasantly surprised at how effective the ARPwave system can be in your situation.

The ARPwave system:

* breaks up scar tissue
* increases cirulation (which is what your Tendonosis needs, if that's what it is)


* helps tendon and ligament repair itself (6-8 week for full recovery from things like partial/complete achilles tendon tear, partial/complete ACL tear, etc)

* turns on muscles that have stopped firing correctly due to injury (i.e. that frozen achilles)

* sets TOO TIGHT muscle to length (i.e. unfreezing that frozen achilles

It will run you approx $2,600 or $3,300 depending on which treatment plan would best fit your needs, but it very much has the ability to fix you back to 90%-100%. Again, you'd need to talk to the ARP guys for specifics, but until I hear otherwise from them I'm confident.

It would be shipped to your home, you'd get one free session with it and a therapist over a webcam. I wager you'll be impressed. If you don't want to continue, send it back
(absolutely no cost to you in that scenario). If you want to continue, then you continue.

A lot of what you're suffering from now is muscles locked TOO TIGHT that are causing pain issues. Due to your injury and scar tissue, etc, you have some electrical disturbances that keep your structures from operating properly. I'm still impressed how fast the ARPwave system can shift a long term, chronic/acute pain dynamic.

If that catches your interest, let me know and I'll put you in contact with the right guy. You'll have a conversation, describe your situation, get the low down on how the ARP works, get questions answered, etc.

If that doesn't catch your interest, then I suggest the Reversing Achilles Tendonitis ebook, because it has various tools in it that I can show you how to apply to your situation.

Technically, you have a Tendonitis dynamic, which means there's too much tightness of musdcle and connective tissue, and a chronic to acute Process of Inflammation. There's more to it than that, of course, with all the scar tissue etc, but essentially it's not that complex. I can help get you out of pain with the ebook info, but I recommend the ARP if you want to -fix- the problem.

I can say, though, in my humble opinion, that surgery isn't going to help you that much, because it doesn't do anything to fix the problem (plus injures you some more). And I'm very motivated to help you avoid that option.

Like I say, let me know if you want to talk to the ARP guys. I have nothing but good to say about it based on personal experience and working on others with it, and in my opinion, it's WAY worth the money.

Also, I can talk lots more about the mechanics of what's going on in your legs/tendonosis/old torn ligaments etc if you have questions, just ask.

Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.

And, comments have a 3,000 character limit so you may have to comment twice.

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

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Comments for Possible Tendonosis following Achilies lengthening surgery

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Sep 08, 2013
Achilles' tendon repair recovery post lengthening
by: Kimberley

I started having pain in my right heel and back of ankle in Feb. I had X-rays done showing no issues. I started anti-inflamorities and went to psychical therapy in May and continued until late August. I tried ice, heel lift, everything they had in therapy available for Achilles' tendon issues.

I saw a foot specialist who gave me inserts to wear. They did nothing. I moved to a cam walker for 6 weeks. That did not help either along with a few more rounds of anti-inflamorities and nothing worked. I went to see a specialist in October. She tried another X-ray which showed a bone spur on the right heel.

I then had an MRI which showed some damage to the tendon. I tried steroids and after that did not work we decided the only thing to do was surgery. Once I had the surgery they found more damage to the tendon than the MRI showed, removed the heel spur and shaved down the bone. They also lengthened the tendon which was so tight it was causing damage to the heel bone. I had the surgery December 13. I received a pain block before the surgery so did not experience any pain until the following day. It was extreme pain.

I am using mostly a knee walker to get around. I use crutches to navigate stairs and getting into cars. The knee walker helps. Had a follow up visit 4 days after the surgery and was told I had two screws in the heel to hold the tendon in place. Non-weight bearing until further notice. After the splint was removed I saw the incision site which is cut from the top back part of the ankle to the bottom of the heel. It is swollen including my toes and there is a lot of bruising.

The doc did not like some redness around the site so I started taking antibiotics. They wrapped up the foot up to the top of the calf with a splint and I cannot move the ankle or foot. I am still in a lot of pain. The pain is not bad during the day but a night when I lay down I have intense burning pain in the heel and incision site.

Any ideas on what this is or how to get this to stop. I have almost stopped taking my pain meds except for at night when the pain is bad.

I get my stitches out January 2nd and hopefully get to move to a cast.


Joshia Comments:

Hi Kimberley.

You had serious injury caused by the surgery, so it makes sense that there's going to be pain etc afterwards. Some people do better with that than others.

It's been a while, so give us an update on pain and recovery, where are things at now?

May 26, 2011
Very Painful?
by: Maureen Maher-Killelea

Thanks for your thoughts on my next steps....Definitely more research to do. I was a little worried about one thing that jumped out at me just as I started researching ARP which was, "Very Painful". I just read one report that said some people can't tolerate the pain for the healing. I suppose I'll have to continue to do more research.


Joshua Comments:

It can definitely get intense. But you control how much you turn up the dial. The more you turn up the dial, the faster your results.

And I promise your relationship with that will change when, after a session or two you feel like your body is working better/like it's supposed to.

And, you're in a 'very painful' state now. What if short sessions of intensity could really fix that?

Definitely keep doing your research, with an eye for what might actually fix your injuries.

One thing I like about the ARP is that it really is a 'the proof is in the pudding' kind of thing. Thus the free session to actually feel what it can do.

Let me know how I can help you find the answers you're looking for.

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