Journal Article10.1080/09638280701785825
Mid-portion Achilles tendinopathy--current options for treatment
109
TL;DR: A review article specifically focuses on eccentric training, and on shock wave therapy, which are recommended for management of midsubstance Achilles tendinopathy.
read more
Abstract: Purpose. To report on the present option for management of tendinopathy of the main body of the Achilles tendon.Background. Tendinopathy of the main body of tendo Achillis affects athletic and sedentary patients. Mechanical loading is thought to be a major causative factor. However, the exact mechanical loading conditions which cause tendinopathy are poorly defined. Repetitive mechanical loading induces a non-inflammatory pathology, and repetitive microtrauma ultimately exceeds the healing response. The management of Achilles tendinopathy is primarily conservative. Although many non-operative options are available, few have been tested under controlled conditions. This review article specifically focuses on eccentric training, and on shock wave therapy. Surgical intervention can be successful in refractory cases. However, surgery does not usually completely eliminate symptoms and complications are not rare.Conclusions. Further studies are needed to discern the optimal non-operative and surgical management...
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Achilles Tendinopathy
Nicola Maffulli,Francesco Oliva +1 more
TL;DR: Achilles tendinopathy is a disabling condition with unclear causes and mechanisms, despite extensive research. Conservative management with eccentric exercises and shockwave therapy is effective, but 20-45% of patients require surgery due to poor response.
CHELT therapy in the treatment of chronic insertional Achilles tendinopathy
Angela Notarnicola,Giuseppe Maccagnano,Silvio Tafuri,M Forcignanò,Antonio Panella,Biagio Moretti +5 more
TL;DR: High Energy Laser Therapy gave quicker and better pain relief and it also gave the patient a full functional recovery and greater satisfaction.
Achilles Tendinopathy in Dancers.
Nicola Maffulli,Umile Giuseppe Longo,Vincenzo Denaro +2 more
TL;DR: This review synthesizes existing evidence on diagnosing and managing Achilles tendinopathy in dancers, highlighting the need for tailored treatment approaches distinct from those used for non-dancer patients with similar injuries.
Non-insertional Achilles Tendinopathy: State of the Art
Rocco Aicale,Domiziano Tarantino,Nicola Maffulli,Nicola Maffulli +3 more
- 13 Apr 2019
TL;DR: The Achilles tendon is formed by the confluence of the gastrocnemius and soleus muscles and inserts on the posterior surface of the calcaneus and the importance of inflammation has been re-evaluated.
Chronic Achilles Tendon Disorders.
Patrick Burns,Christopher F Hyer,Steven Neufeld,Murray Penner +3 more
References
Tendon injury and tendinopathy: healing and repair.
Pankaj Sharma,Nicola Maffulli +1 more
TL;DR: There is limited and mixed high-level evidence to support the, albeit common, clinical use of these modalities and further research and scientific evaluation are required before biological solutions become realistic options.
1.2K
Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis
TL;DR: The treatment model with heavy-load eccentric calf muscle training has a very good short-term effect on athletes in their early forties.
Histopathology of common tendinopathies. Update and implications for clinical management.
TL;DR: The histopathological findings in athletes with overuse tendinopathies are consistent with those in tendinosis — a degenerative condition of unknown aetiology, which may have implications for the prognosis and timing of a return to sport after experiencing tendon symptoms.
969
•Journal Article
Biology of tendon injury: healing, modeling and remodeling
P. Sharma,Nicola Maffulli +1 more
TL;DR: The structure of tendons is described, the process of tendon healing is an indivisible process that can be categorized into three overlapping phases for descriptive purposes, and the pathophysiology of tendon injury and healing is reviewed.
849
Overuse tendon conditions : Time to change a confusing terminology
TL;DR: In overuse clinical conditions in and around tendons, frank inflammation is infrequent, and is associated mostly with tendon ruptures, and this leads athletes and coaches to underestimate the proven chronicity of the condition.
738