A night splint can also prove helpful. The splint is worn for thirty minutes, with minimal but constant tension on the Achilles tendon. Decrease in the "First Thing in the Morning" pain is usually noticed immediately.
A removable walking cast with inflatable air bellows may be used for the first two or three weeks of treatment. This becomes especially necessary and helpful if Achilles tendon damage is seen on ultrasound. The correctly inflated air bellows make a more exact fit and transfer weight away from the injured heel to the surface of the leg. The cast is removed for sleeping, showering and driving. Generally, patients go to work and function normally.
Posted by Mark A. Kuzel, DPM, FACFAS on September 3, 2010
Dr. Kuzel has been in practice since 1992 and has been board certified since 1998.