{"href":"https://api.simplecast.com/oembed?url=https%3A%2F%2Fbipedal.simplecast.com%2Fepisodes%2Fachilles-tendinosis-and-heel-spurs-aBzNBREH","width":444,"version":"1.0","type":"rich","title":"Achilles Tendinosis and Heel Spurs","thumbnail_width":300,"thumbnail_url":"https://image.simplecastcdn.com/images/a30f2a57-bd36-48e5-8ed6-c77057fa3913/7c663505-9661-4050-83a8-b09d190753a6/cropped_1790511376580.jpg","thumbnail_height":300,"provider_url":"https://simplecast.com","provider_name":"Simplecast","html":"<iframe src=\"https://player.simplecast.com/9fb15bb7-e1fa-42db-ac2a-8d6b17026059\" height=\"200\" width=\"100%\" title=\"Achilles Tendinosis and Heel Spurs\" frameborder=\"0\" scrolling=\"no\"></iframe>","height":200,"description":"Insertional Achilles tendinopathy is a very common condition I see in the clinic. Patients complain of pain directly in the back of the heel, sometimes only with activity, but this can escalate to chronic unrelenting pain aggravated by even the slightest amount of pressure. Often associated with radiographic findings of bone spurs, these conditions require diligent conservative care and sometimes progress to surgical treatment. This may entail simple bone spur removal or tendon debridement, all the way to full detachment of the Achilles tendon, extensive calcanea remodeling, and re-anchoring or reconstructing the Achilles tendon. In this episode I will cover the pathology extensively, including the entire treatment pathway, so you will better understand that \"heel pain\" and \"bone spurs\" are actually a complex pathological condition requiring careful clinical and surgical management. "}