Conditions & Treatments

Achilles Tendon Injuries

The Achilles tendon is the largest and strongest tendon in the body, and one of the most commonly injured. Dr. Hanson has extensive experience treating the full spectrum of Achilles conditions, from chronic tendinopathy to acute rupture, using both minimally invasive and traditional surgical approaches.

Understanding Achilles Tendon Conditions

The Achilles tendon connects the calf muscles to the heel bone and is essential for walking, running, and any activity involving the lower leg. Because it absorbs significant force with each step, it is vulnerable to both acute injury and cumulative overuse damage over time.

Achilles conditions range from mild inflammation in the early stages to complete tendon rupture. The most common presentations Dr. Hanson sees include Achilles tendinitis, mid-substance tendinosis, insertional tendinopathy, and acute rupture. Treatment depends on the specific diagnosis, severity, activity level, and overall health of the patient.


What Achilles Problems Feel Like

Symptoms vary depending on whether the problem is chronic tendon degeneration or an acute rupture. Common presentations include:

  • Pain or stiffness along the back of the heel, especially in the morning or after rest
  • Swelling or thickening of the tendon
  • A sudden sharp pain or audible pop at the time of injury, often during a push-off motion
  • Weakness with push-off or difficulty rising onto the toes
  • Tenderness directly over the tendon or at its insertion into the heel bone
  • Pain that worsens with activity and improves with rest

A sudden pop in the back of the ankle followed by difficulty walking should be evaluated promptly. Acute Achilles rupture is a time-sensitive diagnosis and treatment outcomes are better with early evaluation.


Surgical and Non-Surgical Approaches

Dr. Hanson's approach is to exhaust non-surgical options whenever appropriate. For many Achilles conditions, structured conservative treatment produces excellent outcomes. Surgery is recommended when conservative measures have failed or when the nature of the injury makes it the better path forward.

Non-Surgical
  • Activity modification and relative rest
  • Physical therapy and eccentric strengthening
  • Heel lifts and orthotic support
  • Immobilization boot for acute injuries
  • Anti-inflammatory management
  • Platelet-rich plasma (PRP) injections
  • Shockwave therapy
Surgical
  • Minimally invasive Achilles repair for acute rupture
  • Open surgical repair for complex tears
  • Debridement and tendon repair for chronic tendinosis
  • Haglund deformity resection for insertional disease
  • Tendon augmentation or transfer for chronic ruptures

For acute Achilles ruptures, Dr. Hanson offers minimally invasive repair techniques that reduce incision size and may lower the risk of wound complications compared to traditional open repair, while allowing early mobilization and return to activity.


Specialized Expertise in Achilles Conditions

Dr. Hanson has published peer-reviewed research on sports medicine and tendon conditions, and has served as team physician for Division I and professional athletes for whom Achilles health is career-defining. He brings that same level of attention and expertise to every patient, regardless of activity level.

His published work in sports medicine and his years as team physician for collegiate and professional athletes have given him a practical, high-stakes understanding of Achilles conditions at every severity level, from early tendinopathy through complex reconstruction.

Take the Next Step

Request a Consultation with Dr. Hanson

Dr. Hanson will take time to understand your specific situation, review any prior imaging or records, and give you an honest assessment of all your options including non-surgical approaches.

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