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The indication for an Achilles tendon debridement is painful Achilles tendinosis which has failed to respond to conservative managements.
These conservative managements including tried and tested physiotherapy regimens , orthotic off loading and injection therapies can be expected to work in 70% of patients , irrespective of the extent (and often nature) of the Achilles involvement.
A debridement can be expected to work in 90% of patients with a return to limited weight-bearing after 2 weeks using a post-operative boot. Light treadmill running maybe achievable from 10-12 weeks .