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The initial treatment for Achilles tendonitis is usually non-steroidal anti-inflammatory drugs (NSAIDs), like aspirin and ibuprofen, and physical therapy to stretch the muscle-tendon unit and strengthen the muscles of the calf. In addition, any activity that aggravates the symptoms needs to be limited.
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Occasionally, casting is used to immobilize the heel and allow the inflammation to quiet down. Functional braces or boots have also been used to limit ankle motion and help with inflammation.
If conservative treatment fails to improve symptoms, surgery may become necessary to remove inflamed tissue from around the tendon and to remove any part of the tendon that has become abnormal.
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