What are the non-surgical treatment options for Achilles tendon injury?

Thank you Mr. Meshaduk. So we discussed the surgical option so can you please tell us now how it's treated non-surgically? Yeah so non-surgically we tend to treat these injuries in a boot and there's different makes of boots there's no real advantage of any of them. The idea behind the boot is that we keep the foot in a certain position so ideally we want the two ends of the tendon to heal together and as there's a gap when we plant a flex which means when we push the foot down it will bring the ends of the Achilles together like this and that's what we do so we push the foot down like this special plaster or wedges you see that here so this is one type of shoe that we use and the foot is positioned in a certain angle about 30 degrees down, we call that plantar flex, and this will bring hopefully bring the edges of the tendon together and if they are brought close enough together they will start to heal. Then gradually once they start to stick together we can stretch out the Achilles tendon by changing the angle to a point where it's back out to normal so a simple regime is you know going every two weeks change the angle by taking out a wedge or from the boot so that's the easiest way to treat them without an operation nowadays previously and some surgeons may still be using plaster but this is the commonest way now to treat them without post-operatively and post boot patients will need physiotherapy to strengthen their ankles because they will have stiffened up after being two or three months in a boot or a cast.