What is Achilles Tendoscopy?

Achilles tendoscopy is “keyhole surgery” of the Achilles tendon. It is most commonly performed to treat non-insertional Achilles tendinopathy. The scarred outer covering which has become stuck to the Achilles is stripped off detaching the tiny abnormal nerves and blood vessels that have formed and are causing pain. The small plantaris tendon which runs with the Achilles and contributes to the problem is released. 

When is it Recommended?

Surgery is recommended for a painful Achilles tendon failing non-surgical treatment such as physiotherapy or shock wave treatment.

What Does the Process Involve?

Achilles tendoscopy is performed as day surgery. A general anaesthetic is normally required. Following surgery your ankle will be bandaged and you will be given crutches to help you walk when you go home. 

How Long Does it Take to Recover?

You will have your sutures removed in 2 weeks. You may then start walking without crutches and gradually return to your normal activities as tolerated. Even with keyhole surgery swelling may persist for a number of weeks or months.

Is Physiotherapy Required?

Physiotherapy is not mandatory however some people find it beneficial.

What are the Risks?

Risks include but are not limited to infection, blood clots in the legs and injury to nerves or blood vessels.