Conversion heating - This involves the conversion of one energy form (eg, light, sound) into another (heat). Superficial heat is produced by heat lamps or radiant light bakers, with heat being transferred when the conveying medium (light energy) is converted to heat energy at the skin surface.
Surgery may be an option for Achilles tendinosis if other treatments, including physical therapy, ultrasound, massage and shockwave therapy, fail to bring pain relief. General anesthesia is commonly used. Regional anesthesia that numbs the leg may also be used.
Endoscopic surgery has become the 'gold standard' for plantar release (fasciotomy). This procedure is normally a day surgery that only requires local anesthesia. The surgeon will use 1 or 2 small incisions (approx. 1 cm in length) on either side of the heel below the ankle bone.