Achilles Tendon Ossification Treated Without Medication or Surgery

Abstract

Ossification of the Achilles tendon is a rare disease and seen more frequently in men than in women. Most patients present with pain caused by local inflammation. It is a disease of physically active people, and   management of these patients is important. Many pathologic and molecular studies have been conducted to determine the cause of this disease. Minor trauma and microdamages may be the most important factors related to Achilles tendinopathy or Achilles tears. Sometimes, in cases without significant symptoms, no treatment is need; in symptomatic ones, however, relief of pain is the main treatment objective. Treatment of this disease varies from conservative treatment, including NSAIDs or physiotherapy, to electrotherapy, ionotherapy, and surgical strategies. Herein we report of a patient with Achilles tendon ossification, diagnosed by physical and radiographic evaluation treated with a foot brace without any drugs or surgery. The relation between radiographic changes and patient symptoms was important and helpful in choosing the mode of treatment.