If you''ve tried self-care measures such as rest, ice and over-the-counter
pain relievers and they aren''t working
for you, your doctor may
suggest other
approaches.A temporary foot insert (orthotic device) that elevates your heel
within your shoe may relieve strain on the stretched tendon. Your doctor also
might prescribe special heel pads or cups to wear in your shoes to cushion and
support your heel, or a splint to wear at night that will keep the Achilles
tendon stretched while you sleep. In severe cases, your doctor may suggest a
walking boot or have you use crutches to enable the tendon to heal. Nonsurgical
treatments, including physical therapy and perhaps a change in your exercise
program, should allow the tendon to heal and repair itself over a period of
weeks. If these treatments aren''t effective, surgery to remove the inflamed
tissue from around the tendon may be necessary; however, this is usually a last
resort. If left untreated and if the tendon continues to sustain small tears
through exercise and repeated movement, the tendon can rupture under excessive
stress.