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Podiatrist performing treatment on a patient's foot.

Tendinopathies

Tendinopathies of the Foot, Ankle & Lower Leg

Expert Diagnosis and Advanced Treatment at New Orleans Podiatry

Tendinopathies—chronic injuries involving tendon irritation, degeneration, or micro-tearing—are among the most common causes of persistent foot and ankle pain. With every step, the tendons of the lower leg work together to stabilize, lift, propel, and balance the body. When even one begins to fail, pain, weakness, and impaired mobility quickly follow.

At New Orleans Podiatry, Dr. Lang uses high-resolution ultrasound, advanced diagnostic imaging, and a detailed biomechanical evaluation to identify the exact tendon involved and determine whether the issue is inflammatory, degenerative, or related to underlying metabolic or structural factors.

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We treat all major lower-extremity tendinopathies, including:

We treat all major lower-extremity tendinopathies, including:

  • Achilles Tendinopathy: Insertional and non-insertional injuries leading to heel pain, stiffness, and swelling.
  • Peroneal Tendinopathy: Pain along the outer ankle due to overuse, instability, or cavus foot mechanics.
  • Posterior Tibial Tendinopathy: Inner ankle pain associated with flatfoot, overpronation, and arch collapse..
  • Flexor and Extensor Tendinopathies: Pain on the top or bottom of the foot due to repetitive strain or biomechanical imbalance.
  • Tendinopathy Associated With Bunions, Arthritis, or Gait Abnormalities: When deformities cause tendons to overload or compensate.

Our Comprehensive Treatment Approach

Chronic tendinopathies often involve more than a single injured structure—they reflect a tissue that has stopped healing. Dr. Lang’s approach is designed to restart that process.

Your personalized plan may include:

  • Radial or Focused Shockwave Therapy Stimulates cellular repair, increases blood flow, and treats stubborn tendon degeneration.
  • Class IV Red Light Laser Therapy Reduces inflammation and accelerates tissue regeneration.
  • Regenerative Medicine Including Platelet-Rich Plasma (PRP) or Hyaluronic Acid injections for tendon healing and pain reduction.
  • Ultrasound-Guided Treatments: Precision-targeted therapy for optimal results.
  • Biomechanical Correction: Footwear guidance and orthotic therapy when appropriate.
  • Functional & Integrative Evaluation For patients who desire deeper answers, we investigate underlying metabolic and inflammatory drivers—such as vitamin deficiencies, hormonal imbalance, and systemic inflammation—because tendons cannot heal in an unhealthy internal environment.
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Concierge Care, Every Step of the Way

Patients enjoy direct messaging with Dr. Lang’s team seven days a week, coordinated scheduling, and transparent guidance throughout the treatment process. Whether your goal is to eliminate pain, avoid surgery, or return to an active lifestyle, we tailor your care plan to achieve long-term results.