For most people, symptoms usually clear within 12 months of starting conservative treatment. NHS Norfolk and Waveney CCGs will only commission referral to secondary care if symptoms are severe or causing significant problems and other conservative treatments have not worked for 12 months
There is insufficient evidence to determine the most appropriate treatment for acute or chronic Achilles tendonitis. There is no clear evidence that steroid injections are beneficial (they can weaken the tendon) but other possible treatments are analgesics, short term NSAIDs, ice, rest, increased warm- up/stretching exercises, physiotherapy and heel lifts (orthotic devices).
CASES FOR INDIVIDUAL CONSIDERATION
On a case to case basis, patients might be eligible for this intervention, in consideration of their exceptionality. The requesting clinician must provide information to support the case for being considered an exception, by submitting an individual funding request.
|Latest change to document
||8 February 2018
||22 May 2018
|Next Review date