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The combination of Achilles tendon pain, swelling, and impaired performance indicates the clinical diagnosis of Achilles tendinopathy.The chronic form of Achilles tendinopathy is not an inflammatory condition.In its early phases, Achilles tendinopathy often responds favorably to conservative treatment with rest or modified activity, cold, stretching, nonsteroidal anti-inflammatory medications, and correction of provoking factors.Surgery is considered an acceptable choice among patients who have failed to respond to conservative treatment.Operative management includes longitudinal division of the crural fascia, excision of the macroscopic adhesions, and excision of any intratendinous lesion that is identified on preoperative imaging examinations or intraoperatively.

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