Radiofrequency coblation is a useful technique for mild Achilles tendon disease with associated pain and thickening. This procedure is less invasive and has shorter recovery period when compared to open surgical treatment of the tendon. Radiofrequency coblation has been shown to help stimulate the production of blood vessels and tendon healing. The radiofrequency energy excites plasma particles which are able to break molecular bonds and dissolve damaged scar tissue within the tendon. This procedure is performed in the operating room. Small holes are poked into the skin and then the radiofrequency energy is applied. No sutures are necessary and the patient may be weightbearing in a cast boot after surgery, usually for one month. Continued physical therapy is an important part of tendon rehab after surgery. Some patients do go on to requiring open tendon repair and Achilles tendon ruptures have been reported in heavy patients after this procedure.
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