2018 Orthobiologics Surgical Skills Online-6 - Achilles Tendinopathy by Kamran S Hamid, MD, MPH

6 - Achilles Tendinopathy by Kamran S Hamid, MD, MPH

Video Transcription

Video Summary

The video features a foot and ankle surgeon giving a talk on Achilles tendinopathy and plantar fasciitis. He discusses the two types of Achilles tendinopathy: insertional and non-insertional. Diagnosis is usually made clinically, and treatment options include anti-inflammatories, immobilization, eccentric training, and physical therapy. Operative management may involve debridement or endoscopic procedures. The talk also covers plantar fasciitis, which is not primarily an inflammatory condition but a degenerative one. Non-operative management is similar to Achilles tendinopathy, whereas operative management includes partial fasciotomy or endoscopic procedures. The speaker mentions low-level evidence supporting the role of platelet-rich plasma (PRP) in reducing pain, but higher-powered studies are needed. The use of corticosteroids in plantar fasciitis has limited long-term effectiveness.

Keywords

Achilles tendinopathy

plantar fasciitis

diagnosis

treatment options

operative management