Non-insertional Achilles tendinopathy

Pearce, Christopher J.; Tan, Audrey WC

doi:10.1302/2058-5241.1.160024

Cited by 29 publications

(14 citation statements)

References 116 publications

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“…Achilles tendinopathy is frequently encountered in clinical practice. It is important to note that tendinopathy may involve insertional and non-insertional areas of the tendon [ 4 ]. The etiopathology of Achilles tendinopathy can be explained by a web of causation, including both intrinsic and extrinsic factors.…”

Section: Introductionmentioning

confidence: 99%

Comparing Effectiveness of Combination of Collagen Peptide Type-1, Low Molecular Weight Chondroitin Sulphate, Sodium Hyaluronate, and Vitamin-C Versus Oral Diclofenac Sodium in Achilles Tendinopathy: A Prospective Randomized Control Trial

Choudhary¹,

Sahu²,

Vasudeva³

et al. 2021

Cureus

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Section: Introductionmentioning

confidence: 99%

Comparing Effectiveness of Combination of Collagen Peptide Type-1, Low Molecular Weight Chondroitin Sulphate, Sodium Hyaluronate, and Vitamin-C Versus Oral Diclofenac Sodium in Achilles Tendinopathy: A Prospective Randomized Control Trial

Choudhary¹,

Sahu²,

Vasudeva³

et al. 2021

Cureus

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“…If the patient does not benefit from conservative treatment, he or she is referred to surgery, which, in the case of insertional tendinopathy, involves tendon debridement via a medial, midline, or lateral approach with variable detachment of the tendon insertion [8]. ose with noninsertional Achilles tendinopathy undergo minimally invasive procedures, e.g., ventral scraping of the tendon or multiple percutaneous longitudinal tenotomise [16].…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy for Achilles Tendinopathy

Stania

Juras

Chmielewska

et al. 2019

BioMed Research International

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Extracorporeal shock wave therapy (ESWT) is among the conservative treatments for Achilles tendinopathy. Unfortunately, no optimal application parameters have been determined that would ensure ESWT effectiveness in this condition. The aim of the paper is to use research reports on ESWT in patients with Achilles tendinopathy to help practising physiotherapists establish the most effective intervention parameters. A search was conducted using the following databases: PubMed, Scopus, EBSCOhost, and Web of Science. The papers were checked for relevant content and were included based on the following criteria: full-text article published in English and including comprehensive description of shock wave application. Twenty-two articles met the inclusion criteria. Most studies on the effectiveness of ESWT for Achilles tendinopathy included in this narrative review were randomized controlled trials. Two case-control studies, a case series study, prospective audit, clinical trial protocol, and a pilot study were also considered. The majority were prospective studies. Only a few authors presented the findings from retrospective observations. The two modalities of shock wave therapy used for Achilles tendinopathy are focused shock waves and radial shock waves. The literature contains reports presenting mainly beneficial effects of ESWT in patients with Achilles tendinopathy.

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“…7,10 Several good reviews exist summarizing the pathophysiology, clinical and imaging features, and treatment options of AT. 7,10,26,27,32 Nonoperative treatments should be attempted for at least 6 months before surgery is offered. A multimodal regimen includes painful activity avoidance, nonsteroidal antiinflammatory drugs (NSAIDs), shoe modifications, orthoses, cryotherapy, nitric oxide, and injections.…”

mentioning

confidence: 99%

“…A multimodal regimen includes painful activity avoidance, nonsteroidal antiinflammatory drugs (NSAIDs), shoe modifications, orthoses, cryotherapy, nitric oxide, and injections. 7,10,26,27,32,43 Conventional physical therapy treatment for AT consists of stretching of the gastrocnemius, soleus, and hamstring muscles. 10,23 Presently, heavy-load eccentric calf muscle strengthening exercises, popularized by Alfredson et al, 3 are more widely accepted as the initial intervention for patients with noninsertional AT, 7,10,26,27,32 based on randomized controlled trials (RCTs), 23,28,39 systematic reviews, and meta-analyses.…”

mentioning

confidence: 99%

Short- and Intermediate-Term Results of Extracorporeal Shockwave Therapy for Noninsertional Achilles Tendinopathy

et al. 2021

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Background: Earlier randomized controlled trials (RCTs) reported only midterm (3-4 months) results of extracorporeal shockwave therapy (ESWT) as a treatment for noninsertional Achilles tendinopathy (NAT). This study compared the effectiveness of an eccentric loading program followed by stretching exercises combined with ESWT (study group) or sham ESWT (control group) for treating chronic NAT in both the short and long term. Methods: This double-blind RCT was conducted between 2018 and 2020. Adult patients with unilateral NAT who failed standard conservative treatment were randomly allocated to either group. Function and pain were assessed at baseline, 1 month, and 16 months using the Victorian Institute of Sport Assessment–Achilles questionnaire (VISA-A) and visual analog scale (VAS), respectively. Mixed-design analysis of variance and nonparametric statistics were performed. Twenty-two men and 28 women aged 18 to 40 years were allocated into 2 equally matched groups. Results: Function and pain scores in the study group were not significantly different from control group scores at baseline (VISA-A: 22.2 ± 6.5 vs 21.0 ± 5.2 and VAS: 8 ± 1 vs 8 ± 1, respectively). Both groups significantly improved posttreatment (VISA-A: 85 ± 6.2 vs 53.4 ± 7.7 and VAS: 1 ± 2 vs 7 ± 2, respectively). At the 16-month follow-up, outcome scores declined slightly but significantly in the study group (VISA-A: 80 ± 5.3; VAS: 3 ± 2) and improved in the control group (VISA-A: 67 ± 5.6; VAS: 5 ± 1). However, both groups were significantly better than baseline. At both time points, the study group had significantly superior scores (statistically and clinically) than the control group ( P = .0001). Conclusions: Combining calf eccentric loading with stretching exercises resulted in significant improvements in the pain and functional scores in patients with NAT. Adding ESWT to this combined protocol resulted in significantly greater improvements in both the short and long term. Level of Evidence: Level I, randomized controlled trial.

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Non-insertional Achilles tendinopathy

Cited by 29 publications

References 116 publications

Comparing Effectiveness of Combination of Collagen Peptide Type-1, Low Molecular Weight Chondroitin Sulphate, Sodium Hyaluronate, and Vitamin-C Versus Oral Diclofenac Sodium in Achilles Tendinopathy: A Prospective Randomized Control Trial

Comparing Effectiveness of Combination of Collagen Peptide Type-1, Low Molecular Weight Chondroitin Sulphate, Sodium Hyaluronate, and Vitamin-C Versus Oral Diclofenac Sodium in Achilles Tendinopathy: A Prospective Randomized Control Trial

Extracorporeal Shock Wave Therapy for Achilles Tendinopathy

Short- and Intermediate-Term Results of Extracorporeal Shockwave Therapy for Noninsertional Achilles Tendinopathy

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