If you’re experiencing persistent pain in the back of your ankle, especially after months of conservative treatment, you might be wondering if surgery is the next step. One common surgical solution for chronic Achilles tendon problems is Achilles tendon debridement—but what exactly is this procedure, and why would you need it?
At Plano Orthopedic & Sports Medicine Center, our experienced foot and ankle specialists are here to guide you through your options and help you get back to the active lifestyle you love.
What Is Achilles Tendon Debridement?
Achilles tendon debridement is a surgical procedure used to treat chronic Achilles tendinopathy—a condition where the tendon becomes damaged due to overuse, degeneration, or buildup of scar tissue. During the procedure, a surgeon carefully removes inflamed tissue, bone spurs, or damaged tendon fibers to restore healthy function and reduce pain.
Common Reasons for Needing Achilles Tendon Debridement
You may be a candidate for Achilles tendon debridement if:
1. Conservative Treatments Haven’t Worked
If rest, physical therapy, orthotics, and anti-inflammatory medications haven’t relieved your pain after 3–6 months, surgery may be the next step.
2. You Have Insertional Achilles Tendinopathy
This occurs where the tendon attaches to the heel bone and often includes bone spur formation. Debridement removes both the damaged tendon and bony overgrowth.
3. Chronic Pain Is Limiting Your Activity
If your Achilles pain makes walking, exercising, or even standing for long periods difficult, debridement can provide relief.
4. There’s a High Risk of Tendon Rupture
In advanced cases, degenerative tissue weakens the tendon and increases the risk of a full tear. Debridement removes the compromised tissue and reinforces the area.
What to Expect from Surgery and Recovery
The procedure is typically performed under general or regional anesthesia and may require an overnight stay if more extensive repair is needed. Recovery often includes:
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Immobilization in a boot or cast
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Physical therapy to restore strength and flexibility
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Gradual return to activity over 3–6 months
Most patients experience significant improvement in pain and function, especially when the surgery is followed by a structured rehab program.
Trust the Foot & Ankle Experts at POSMC
At Plano Orthopedic & Sports Medicine Center, we offer advanced care for Achilles tendon injuries, from diagnosis to surgical repair. If you’re dealing with stubborn Achilles pain, our board-certified foot and ankle surgeons can determine whether debridement—or another treatment—is right for you.
Schedule a consultation today and take the first step toward lasting relief.
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