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Mid-Portion Achilles Tendinopathy
Quick Answer: Mid-portion Achilles tendinopathy responds best to eccentric heel drops (Alfredson protocol) — 3 sets of 15 twice daily for 12 weeks. Add shockwave for stubborn cases. Surgery is rarely needed.
Eccentric Protocol
Stand on step edge with heels off. Slowly lower heel below step level. Use other leg to return up. 3×15 reps with bent and straight knee, twice daily.
FAQ
How long until pain improves?
4-12 weeks of consistent eccentric exercises. Add shockwave at 6 weeks if not improving.
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Top Pain Relief & Recovery Products (Podiatrist-Audited)
Dr. Hoy’s Natural Pain Relief Gel (Topical)
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Cons: Doesn’t last as long as some prescription topicals; pricier than generic
Dr. Tom’s Tip: My favorite topical for chronic foot/ankle pain. Apply 2-3x daily. Combines well with shockwave therapy.
Voltaren Arthritis Pain Gel (Topical NSAID)
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Strassburg Sock (Plantar Fasciitis Night Splint)
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Dr. Tom’s Tip: What I prescribe to most PF patients. Wear for 4-6 weeks consistent. Eliminates morning first-step pain.
Frequently Asked Questions
When should I see a podiatrist?
If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).
What does treatment cost?
Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.
How quickly can I get an appointment?
Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.