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Treatments and drugs
By Mayo Clinic staffIf 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 Achilles tendinitis treatments:
- Orthotic devices. 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.
- Boot and crutches. In severe cases, your doctor may suggest a walking boot or have you use crutches to enable the tendon to heal.
- Surgery. 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.
