Insertional tendinosis of tendo-achilles

[balamk08]

In early 2000, I was diagnosed with plantar fasciitis in California. But none of the non-surgical treatments worked; and one symptom I never had was the shooting pain when putting my foot down on waking up.

After living with it for a long time, I wore custom orthotics for about nine months in 2013. This seems to have "changed" the nature of the pain, creating "new" and intense pain in the posterior heel, and causing strain to the achilles area.

So I was referred an MRI and the diagnosis revealed is "insertional tendinosis of tendo-achilles" and "flexus hallucis longur mild tenosynovitis."

My question is: Based on my history, do you think I have been carrying this condition for over 13 years? I am unable to tell with certainty.

Or is it a new condition caused, probably, by the orthotics I wore for about nine months?

I am an Indian male/50/132 lbs; not an active sportsman, rarely ran except for about two years (1997-1999) on a treadmill.

Appreciate your views.

Regards
Bala

[EdwardPB]

Ok, I read too fast, and misread your post.
Notice my post referred to "Tendonitis," and you refer to Tendonosis.

There is a big difference, and yes, tendonosis is degenerative and usually the result of a long term chronic problem.
However, 9 months can be considered chronic, and I still believe it is a result of the change in walking pattern due to the orthotics.

[balamk08]

thanks Edward. the only reason I became unsure was this: Tendonosis refers to degeneration of the achilles tendon, which I presume may have taken longer. Of course, I need to be sure the guy who interpreted the MRI didn't end up using the wrong term.

[EdwardPB]

Since this new issue started after the orthotics, I would say it's new. However, plantar fasciitis can take a very long time to calm down. Also, a tendonitis can take as much as a year to calm down, and that's with regular treatment.