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# Achilles Tendonitis Treatment Process
- URL: https://blog.neatsy.ai/achilles-tendonitis-treatment-process/
- Published: 2024-10-29T00:31:53.000Z
- Updated: 2026-06-15T19:11:06.000Z
- Author: admin
- Tags: #Import 2026-07-30 22:48

![](https://blog.neatsy.ai/content/images/2024/10/Achilles-Tendonitis_L.jpg)

### TREATMENT PROCESS

This is a a typical treatment process for patients with Achilles tendonitis.

- **1st Visit** \- Evaluate your condition, review x-rays, and perform a walking evaluation to determine the cause of your condition. Start working to reduce inflammation, reduce tightness and reduce stress through your Achilles tendon.
- **2nd Visit -** Evaluate the initial treatments and if indicated perform an ultrasound examination to evaluate the thickness of the Achilles tendon to help guide further treatments.
- **Shockwave and Amnio Injection** \- Most of the patients benefit from a series of 3-6 sessions of shockwave therapy to improve blood flow and recovery of the Achilles tendon. After these sessions then patients go through a course of 6 weeks of physical therapy. At times to help speed up the healing an Amniotic injection is beneficial.
- **Orthotics** \- Orthotics are useful to stabilize the heel position, help with posture and reduce excess movement of the foot that can increase stress in the area of the Achilles tendon.
- **Physical Therapy** \- After these sessions of shockwave then patients go through a course of 6 weeks of physical therapy.
- **Daily Rituals**: These are the daily rituals that can be used with other office-based treatments. [Towel stretch](https://www.youtube.com/watch?v=rlAjIXb-8BM&ref=blog.neatsy.ai) before getting out of bed (30-second stretch 3 times), [foam rolling](https://youtu.be/tuA9zTelQEg?si=mPk6UU%5F8ItUEbO84&ref=blog.neatsy.ai) (10 minutes 2x a day), icing or contrast baths (10 minutes 2x a day), anti-inflammatory for 2 weeks at a therapeutic dose (if not doing shockwave), stable shoes and orthotics, Oofos sandals in the house, and avoid going barefoot. Wear shoes that have a slight heel and avoid incline walking and activities that aggravate your Achilles tendon.
- **Cortisone Injection** \- Rarely is this indicated in the Achilles tendon due to concern of weakening of the tendon.
- **Brace** \- At times physicians recommend an off-loading brace to reduce pressure on the plantar fascia and move the pressure to the lower leg region.

### COMMON QUESTIONS

- **What if my night splint is painful or causes numbness?** Start with taking out a wedge in the device or reduce the tension of the device. If is not getting better please inform your physician so they can help.

### RESOURCES

- [Shockwave (EPAT)](https://advancedorthoandspine.com/orthopaedics/extracorporeal-pulse-activation-technology-epat-for-plantar-fasciitis/?ref=blog.neatsy.ai) \- Information about shockwave therapy.
- [Orthotics](https://dashboard.coherentrx.com//content/17189/17189%5F26886%5F636985306515846966.pdf?ref=blog.neatsy.ai) \- Explanation of how and why orthotics help foot pain.
- [Icing and Contrast Bath Instructions](https://dashboard.coherentrx.com//content/17189/17189%5F26886%5F637275487202544729.pdf?ref=blog.neatsy.ai) \- Here is information on how to ice your foot.
- [Oofos](https://www.amazon.com/s?k=oofos+sandals&language=en%5FUS&crid=9IYKP3FWDSMS&linkCode=sl2&linkId=1ee214a31dbdbf935944339f0c8932ac&sprefix=oofos%2Caps%2C160&tag=dr.donaldpelt-20&ref=nb%5Fsb%5Fss%5Fi%5F8%5F5) \- Recovery sandals to wear at home for more support.
- [Foam Rolling Exercises](https://www.rei.com/learn/expert-advice/foam-roller-exercises.html?ref=blog.neatsy.ai) \- Instructional video for foam rolling.
- [Eccentric Exercises](https://www.londonorthopaedicsurgery.co.uk/therapies-exercise-regimes/achilles-tendon-eccentric-exercises/?ref=blog.neatsy.ai) \- Exercises to help with strengthening your foot.
- [Aerospring Brace ](https://richiebrace.com/patients/products/richie-aerospring-bracing-system?ref=blog.neatsy.ai)\- This is a carbon fiber brace that can offload the plantar fascia.