Here are a few of the photos taken during the surgery on my achilles area. The need for surgery was determined by Doppler Ultrasound as well as symptoms lasting 2.5 years. Once Dr. Hakån Alfredson got in there, he saw even more pathology than he expected. Highly vascularized fat pad infiltration into achilles, same with bursa, haglunds deformity, bone spur at plantaris attachement, plataris adhered to achilles completely, and sharp calcaneus edge that impeded achilles motion. All these pathologies contributed to reduced mobility of the foot and ankle, inability to push off forcefully without losing power, and as a result reduced muscle activation and blunted strength all the way up the chain on push off. This is why no amount of strength work on the glutes, and no amount of core work was working to fix my biomechanical compensations. The weird thing is, the pain was almost never in the achilles itself. It was on the inside of my heel, and occassionally moved around. My biggest complaints were inability to train longer than 45 minutes or several back to back days without medial heel pain, a general feeling that I wasn’t driving through my right hip on extension as much, and it made me rotate my upper body a bit…but all these things were so subtle.

Special thank you to Hakån and Lotta Alfredson for your care.

Fat pad infiltration

Removing 7cm of plantaris which was completely adhered to the achilles, and I think that is a photo of a haglunds deformity.

I think this is a tiny sharp bone spur he found where the plantaris attached very distally on my calcaneus.