Achilles Tendinopathy Embolization
Non-Surgical Relief for Chronic Achilles Tendinitis. Achilles Tendinopathy Embolization is an advanced, non-surgical procedure that targets the abnormal blood vessels around the tendon causing pain and inflammation.
Contact AVC to see if you are a candidate for Achilles Tendinopathy Embolization.
Overview of Achilles Tendinopathy Embolization
The Achilles tendon is the largest tendon in your body—connecting your calf muscles to your heel bone. You rely on it for walking, running, and even standing on your toes.
Chronic Achilles tendinopathy (or tendinitis) occurs when this tendon becomes painful, thickened, and damaged over time—usually due to overuse, poor biomechanics, or aging. Unlike a one-time injury, this condition involves ongoing degeneration, not just inflammation.
People often describe:
- Aching pain or stiffness in the back of the heel
- Worsening pain with walking or activity
- Swelling or tenderness around the tendon
For some, physical therapy, braces, and rest provide relief. But when the pain lasts more than 6 months, traditional treatments may fall short—and that’s where a new, minimally invasive option can help.
What Is Achilles Tendinopathy Embolization?
Achilles Tendinopathy Embolization is an advanced, non-surgical procedure that targets the abnormal blood vessels around the tendon causing pain and inflammation.
It works by gently blocking (embolizing) those vessels, which calms the surrounding nerves and allows the tendon to heal naturally—without cutting, injections, or long recovery times.
It’s performed by a specially trained vascular specialist using image-guided techniques. Patients are usually back on their feet the same day.
Benefits of Achilles Tendon Embolization
- Minimally Invasive – No surgery or large incisions
- Fast Recovery – Most patients walk immediately after the procedure
- Long-Term Pain Relief – Studies show major reduction in pain levels
- Outpatient Treatment – Performed in our vascular center, not a hospital
- No General Anesthesia – Local anesthesia only
- Targets the Source – Treats the abnormal blood flow fueling inflammation
For many patients, this procedure is a life-changing alternative to Achilles tendon surgery.
The Achilles Tendinopathy Embolization Procedure
Here’s what you can expect during Achilles Tendinopathy Embolization at Advanced Vascular Centers:
-
Consultation & Imaging
We confirm the diagnosis using ultrasound or MRI to check for tendon thickening, degeneration, and abnormal blood vessel growth (called neovascularization). -
The Procedure
-
- Local anesthesia is applied (you stay awake and comfortable)
- A small catheter is inserted into a blood vessel in the leg (usually near the groin or ankle)
- Using real-time imaging, the catheter is guided to the area supplying blood to the painful part of the Achilles tendon
- A safe embolic agent (tiny medical particles) is injected to block the abnormal vessels
- The catheter is removed and a bandage is applied—no stitches required
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After the Procedure
-
- You go home the same day
- Light walking is typically allowed right away
- Most patients resume daily activities in 1–3 days
- Pain improvement is often noticeable within 2–6 weeks
Who Is a Good Candidate?
This procedure may be right for you if:
- You’ve had Achilles tendon pain for 6 months or longer
- You’ve already tried physical therapy, rest, injections, or bracing without success
- You want to avoid surgery or long recovery
- Your imaging shows signs of neovascularization (excess blood vessels)
We’ll evaluate your case with care and precision to ensure the treatment is right for your condition.
Risks and Complications
Achilles Tendon Embolization is very safe when performed by an experienced vascular specialist. Most patients experience no serious complications, but like any medical procedure, there are risks:
Possible (but uncommon) side effects:
- Mild bruising or soreness at the insertion site
- Temporary numbness or tingling in the foot or ankle
- Minor swelling or stiffness around the heel
- Rare cases of non-target embolization (where nearby tissues get unintended blood flow blockage)
Serious complications are extremely rare. Our team uses advanced imaging and microcatheter techniques to ensure precision and safety.
FAQS
What is Achilles Tendinopathy Embolization?
It’s a minimally invasive, non-surgical procedure that treats chronic Achilles tendon pain by targeting and blocking abnormal blood vessels around the tendon. These tiny vessels are responsible for fueling inflammation and nerve sensitivity. Once they’re blocked, the pain often subsides, and healing begins.
How do I know if I need this procedure?
You may be a candidate if you’ve had Achilles tendon pain for 6 months or more that hasn’t responded to treatments like rest, physical therapy, orthotics, or injections. We confirm the diagnosis using imaging such as ultrasound or MRI to look for tendon damage and abnormal blood vessel growth.
What does the procedure feel like? Will it hurt?
The procedure is performed using local anesthesia—you’ll be awake, but the area is numbed so you won’t feel pain. Most patients report minimal discomfort during and after the procedure. Mild soreness or bruising may occur, but serious pain is rare.
How long does it take, and can I go home the same day?
Yes! The procedure takes about 45–60 minutes, and it’s done in our outpatient center. You’ll go home the same day and can typically resume light activities within a day or two.
How soon will I notice results?
Many patients begin noticing improvement within 2 to 6 weeks, with continued progress over the following months. Pain relief is gradual as the tendon heals and inflammation subsides.
Is this covered by insurance?
Insurance coverage may vary depending on your provider and plan. Our team at Advanced Vascular Centers will help you verify coverage, explain benefits, and explore options before scheduling the procedure.
Are there risks or side effects?
The procedure is very safe, but like any medical treatment, there are small risks. Possible side effects include minor swelling, bruising, or temporary numbness. Rarely, non-target embolization can occur, but we use precise imaging and techniques to minimize this risk.
What makes this better than surgery or injections?
Unlike surgery, this treatment has no large incisions, no general anesthesia, and little downtime. It also avoids the risks of repeated cortisone injections, which can weaken the tendon. Embolization targets the actual source of chronic tendon pain—making it a smart and effective option for long-term relief.
Please contact our office to schedule a consultation to see if Achilles Tendinopathy Embolization is right for you.
TESTIMONIALS
Jack Wood
Marilyn Vogel
Dennis Smith
Me’Me’ Sannaon
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