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Tendon Surgery

Tendon Surgery NYC

If you care for your feet, they’ll take you anywhere you want to go. Composed of 26 bones, 33 joints, and more than 100 tendons, muscles, and ligaments, your feet and ankles need to be healthy to function. Yet most people, especially later in life, ignore their feet when planning for their physical care.

The best NYC podiatrist can describe all the ways feet can fail. They are complex structures that have to work in synchrony with the rest of your body so you can walk, run, and jump. Due to the high levels of activity and stress placed consistently on your feet, it’s no surprise that injuries to the tendons of your feet are common ailments seen on a regular basis by your foot doctor in NYC.

All symptoms, potential procedural/surgical options should always be discussed with your podiatrist after a thorough consultation and examination for an accurate diagnosis and treatment plan.

Tendons and Tendon Injuries

Tendons are bands of flexible tissue that connect your muscles to your bones. When you contract your muscles, it creates a pull on the tendon resulting on body movement via your joints. Tendon injuries can feel like pain, weakness, or even numbness in your foot or ankle.

When you experience any of these symptoms, find the best podiatrist in your area to examine and diagnose your condition. In increasing severity, four types of tendon injuries exist:

  1. Tendonitis is inflammation caused either by repetitive overuse or sudden injury.
  2. Tenosynovitis is the inflammation of the sheath that surrounds tendons
  3. Tendonosis is the deterioration of a tendon over time..
  4. Tendon rupture is when your tendon is torn completely. This is the worst tendon injury. Tendon ruptures are usually caused by a blunt force trauma or sudden exertion.

In your foot, there are three major tendons where pathology is often found: the Achilles tendon, posterior tibial tendon and the peroneal tendon. Consequently, there are three common tendon injuries.

Achilles Tendon

Your Achilles is the strongest and largest tendon in your body. The Achilles tendon connects your calf muscles to your heel bone, and is important in both walking and running. Injuries to Achilles tendons are common in athletes and non-athletes alike. The injury can be sudden or the result of inflammation and overuse of the tendon over time. These injuries require immediate care from your NYC foot doctor.

Peroneal Tendons

The peroneal tendons are two tendons that run side-by-side behind your ankle bone. One of these tendons attaches to the outer part of the mid-foot and the other runs under your foot and attaches to your arch. Peroneal tendons are important for stabilizing your foot and ankle to prevent sprains. Similar to the Achilles tendon, injuries to peroneal tendons are common and can be caused by an acute injury or from damage over time. People with high arches are prone to peroneal tendon injuries due to recurrent ankle sprains and stress put on these tendons.

If you are having foot or ankle pain that is exacerbated during movement you may have a tendon injury. The best podiatrist in NYC can quickly diagnose your problem and help you decide on an appropriate course of action. If treatments such as physical therapy do not bring relief, you and your podiatric doctor or foot specialist in NYC may decide that tendon surgery is needed.

Surgical evaluation

The best podiatrist in NYC will first give a thorough physical examination. X-rays will be needed to rule out bone pathology. If tendon pathology is suspected then an MRI or ultrasound will likely be performed.

It is usually recommended that you try non-surgical treatments first. If they don’t help relieve your pain and other symptoms, your foot doctor in NYC may recommend surgery.

A good podiatrist discusses the procedure in detail with you so you know what to expect both during the surgery and afterward. Prepare to take time off work, and arrange for someone to drive you home from your surgery as this is usually performed as an outpatient procedure meaning you will return home to recover the same day as the procedure.

Achilles Tendon Surgery

Your foot doctor in New York should be trained in rear-foot reconstructive surgery. Achilles tendon surgery may include these steps depending on your particular problem.

  1. Removing the damaged portion of the Achilles tendon and suturing it back together.
  2. Removing a bone spur on the back of the heel. Achilles tendon may need to be partially detached to access the bone spur.
  3. If a tear is present it will need to be repaired
  4. If a complete rupture is present, it may be sutured together and use of a graft or a tendon transfer may be utilized if more length is necessary for the repair.

Peroneal Tendon Surgery

During surgery for a peroneal tendon injury, there are different techniques that may be used depending on the nature and severity of your injury:

  • If one of the two tendons is badly torn, then the damaged portion may be cut away. The remaining tendon is then sewn together so that it is circular and will glide smoothly
  • If the tendon is dislocated from the fibula, then the groove where they should connect is deepened
  • Frequently, ankle sprains cause tears in the peroneal tendons. There may be cartilage damage or torn ligaments. When there are coinciding injuries such as these, they are repaired during the same surgery.

Posterior Tibial tendon

The posterior tibial tendon can become inflamed, torn or ruptured leading to a very painful collapsed foot. Individuals with flat feet are especially prone to posterior tibial tendon pathology because of the amount of stress placed on this tendon. The posterior tibial tendon supports the arch of the foot and when this arch is collapsed as in a flat foot, the tendon is stressed. Tears in this tendon can be repaired and tendon transfers may be performed to improve the strength of this important structure.

What to Expect After Tendon Surgery

Following your surgery, the foot needs elevation and rest. You’ll have a follow-up visit with your foot doctor within 1-2 weeks after the procedure.

Your tendon will take at least 6-8 weeks to heal and then your top NYC podiatrist usually recommends a physical therapy regimen to strengthen the tendon.Typically, at about six weeks, your foot can bear weight with a boot. Physical therapy assists the healing process and promotes the full range of motion. Around six months, you usually can resume full activity and in some circumstances the recovery may be much shorter.

Risks and Potential Complications

While there are inherent risks in every surgical procedure, your foot doctor in NYC aims to get you back on your feet with full use of your extremities and no barriers. It is essential to use the best podiatrist in your area for tendon surgeries and strictly follow after-care instructions. Risks associated with tendon surgery include:

  • Infection
  • Complications due to anesthesia
  • Nerve damage
  • Repeat rupture
  • Tendon weakness
  • Pain

All symptoms, potential procedural/surgical options should always be discussed with your podiatrist after a thorough consultation and examination for an accurate diagnosis and treatment plan.

All symptoms, potential procedural/surgical options should always be discussed with your podiatrist after a thorough consultation and examination  for an accurate diagnosis and treatment plan.

Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult your foot doctor about your specific condition. Only a trained, experienced board certified podiatrist or foot specialist can determine an accurate diagnosis and proper treatment.

Do you have any questions about Tendon Surgery procedure in NYC? Would you like to schedule an appointment with an internationally recognized, top NYC Podiatrist and foot doctor, Dr. Sophia Solomon of Manhattan Foot Specialists?  Please contact our office for a consultation.

Manhattan Foot Specialists
Dr. Sophia Solomon, Podiatrist (NYC Foot Doctor)

51 East 25th Street, Ste 409
New York, NY 10010

(Between Madison Ave & Park Ave)
(212) 389-9918

DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a best in class podiatrist regarding ANY and ALL symptoms or signs as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.