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Wait-and-see, exercise therapy, injections, shockwave therapy, orthosis, medication and surgery are the main treatment options offered to patients with Achilles tendinopathy.7–14 Most patients receive multiple treatments over time, thereby impacting on healthcare consumption.15 Trials and conventional meta-analysis do not directly assess the ...
Accordingly, the mainstay of treatment for Achilles tendinopathy is PT to restore the tendon's ability to withstand load. Exercise protocols are commonly used with specific differences based on location of tendinopathy.
1 cze 2021 · Midportion (noninsertional) and insertional tendinopathy have distinct features and differences for therapeutic paradigms. Overall, Achilles tendinopathy has a good clinical prognosis with most patients improving with activity modification and rehabilitation, with a focus on progressive tendon-loading.
1 paź 2022 · Exercise is a primary recommended treatment, along with education and advice; therefore, physiotherapists have an important role in managing Achilles tendinopathy. After outlining the epidemiology, burden and clinical course of Achilles tendinopathy, this review focuses on current considerations in its diagnosis, assessment and management from ...
Concerning mid-portion AT, strong evidence were found for the efficacy of vibration, cryotherapy and Acupuncture. Moderate evidence were found for customised foot orthoses, night splints, Alfredson's protocol in comparison with other exercise programmes, eccentric exercise and eccentric stretching.
Any treatment class seemed superior to wait-and-see for midportion Achilles tendinopathy at 3 months (very low to low certainty of evidence). At 12 months, exercise therapy, exercise+injection therapy and exercise+night splint therapy were all comparable with injection therapy for midportion tendinopathy (very low to low certainty).
Abstract. Objective: To provide a comprehensive, evidence-based overview of the risk factors, prevention, diagnosis, imaging, treatment and prognosis for Achilles tendinopathy. To make clinical recommendations for healthcare practitioners and patients.