Paratenon and Plantaris Release

What is Paratenon and Plantaris Release?

Before reading this, see Paratenonitis and Plantaris under the ACHILLES & HEEL menu for more information

Note: there are photographs of surgery below on this page.

This surgical procedure involves releasing scarred and adherent paratenon from the Achilles tendon and removing a short length of plantaris. This does not weaken the Achilles tendon.

The main aim of this procedures is to reduce pain and inflammation in Achilles tendinopathy and Achilles paratenonitis.

One or two small incisions are made on the inner side of the Achilles at the site of inflammation.

Paratenon release
Button
Plantaris release
Button

Surgery:

is Day Surgery
requires a general anaesthetic in most people
takes 30 minutes.

First 2 weeks:

bandage and post-op shoe (no "moon-boot")
weight bearing +/- crutches
rest, elevation and ice (RICE)
ankle up and down movements
post-operative appointment.

Next 2 months:

RICE as needed
physiotherapy-guided strengthening
exercise bike, pool and gym exercises
return to sports specific training.

Benefits and risks:

90% of people are helped by surgery
10% of people are not helped by surgery
<1% of people are made worse by surgery.

Consequences and complications:

driving restrictions (2 to 4 weeks)
Achilles swelling takes a year to improve
see General Information about Surgery.

IMPORTANT

If you have any questions about your planned procedure, contact Dr Beamond before the day of surgery.

The information on this page is of a general nature and does not replace the informed consent process. Other consequences and risks specific (material) to the individual must be discussed prior to surgery.