I’ve been dealing with this for several years now. I ended up with a massive knot right in the middle of both of my Achilles tendon.
In the end I decided not to have the reconstruction surgery on the tendon itself. Tendons take a very long time to heal. They do not grow well, and they do not stretch well. My doctor thought that by the time they removed all of the damage tissue, that they would not be enough tendon left to vent it from snapping on its own.
My doctor thought that my problem was caused by a structural issue. My muscles were simply not long enough for my skeleton. He thought that the problem had been going on my whole life and I was just seeing the tipping point now.
So what he did was a gastroc recession. Basically, he went into the meat of the gastroc muscle above the Achilles tendon and made a series of slices that were not sutured afterwards. That allowed the muscle to spread out and become longer than it was before. That in turn reduced the strain on the Achilles tendon.
I had the surgery just about two years ago. Both legs had to be done. I had them done about two weeks apart. I was recovered enough from the first one to hobble around on crutches after the second one. Since the surgeries, I have seen steady improvement in both legs. The knot on the right leg has almost disappeared completely, and I never have any pain in that tendon anymore. Left tendon has taken a little bit longer because it was in worse shape in the first place.
I don’t know if this would work for you or not, but it probably would be worth looking into.
Here are some links to a few case studies you may be interested in.
https://www.ncbi.nlm.nih.gov/m/pubmed/28413894/
http://www.aofas.org/footcaremd/trea...ocedure)-.aspx
https://www.healio.com/orthopedics/f...leus-recession
https://journals.lww.com/jbjsjournal...chilles.2.aspx
Good luck man, I hope you find some relief.
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