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When other treatments fail to provide relief, **surgery** may be considered as a last resort for insertional Achilles tendinopathy. The specific surgical procedure will depend on the extent of the damage to your tendon and the underlying cause of your condition. **Debridement** is a common surgical approach that involves removing damaged tissue and spurs from the heel bone. This is often done to reduce pain and improve tendon function. Another option is to **repair the tendon**. If there are significant tears or degeneration in the tendon, the surgeon may repair the tendon by suturing the torn ends together. In some cases, the surgeon may need to detach the tendon from the heel bone and reattach it in a different position. **Gastrocnemius recession** may also be performed to reduce the tension on the Achilles tendon. This procedure involves lengthening the calf muscles to allow the tendon to rest and heal. After surgery, you'll need a period of recovery. You will typically be required to wear a cast or a walking boot to protect your healing tendon. A physical therapy program will be essential to regain strength, flexibility, and function in your ankle and foot. Recovery from Achilles tendon surgery can take several months, so it is important to follow your doctor's instructions carefully. Surgery is a serious decision and is typically reserved for those who have not responded to other treatments. The success of the surgery will also depend on a variety of factors, including the severity of your injury and your overall health.
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