Achilles Tendon

Treatment of Insertional Achilles Tendinopathy Using Adjunct Electroacupuncture Therapy: A Randomized Controlled Trial

Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, and Paul Crawford Published Online:13 Apr 2023https://doi.org/10.1089/acu.2022.0051 Abstract Objective: Achilles tendinopathy is a common musculoskeletal condition associated with decreased functionality. The insertional variant (<2cm from the calcaneus) is less responsive to eccentric-exercise therapy. This study looked at the effect of electroacupuncture (EA) + eccentric exercise for treating […]

Dry needling in the management of tendinopathy: A systematic review of randomized control trials

Journal of Bodywork and Movement Therapies VOLUME 33, P128-135, JANUARY 2023 Shibili Nuhmani Abstract Introduction The objective of the study is to evaluate the best available evidence on the effectiveness of DN in the management of tendinopathy. Methods Seven randomized control trials were selected following an electronic search in PubMed, Web of Science, Scopus, and […]

Beyond the Diagnosis: Using Patient Characteristics and Domains of Tendon Health to Identify Latent Subgroups of Achilles Tendinopathy

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 31, 2021Volume51Issue9Pages440-448 https://www.jospt.org/doi/10.2519/jospt.2021.10271 Abstract Objective To identify latent subgroups among patients with Achilles tendinopathy, describe patient characteristics and clinical attributes that defined each subgroup, and develop a clinical classification model for subgroup membership. Design Cross-sectional study. Methods One hundred forty-five participants (men, n = 73; […]

Which treatment is most effective for patients with Achilles tendinopathy?

van der Vlist AC, Winters M, Weir A, et al British Journal of Sports Medicine 2021;55:249-256. Abstract Objective To provide a consistently updated overview of the comparative effectiveness of treatments for Achilles tendinopathy. Design Living systematic review and network meta-analysis. Data sources Multiple databases including grey literature sources were searched up to February 2019. Study […]

Major risk of injury for recreational runners

ScienceDaily Top Health|April 12, 2021 Almost half of all recreational runners incur injuries, mostly relating to knees, calves or Achilles tendons, and the level of risk is equally high whatever your age, gender or running experience. These are the findings of a thesis within sport science. Doctoral student Jonatan Jungmalm recruited a little over 200 […]

The effect of lumbar spine manipulation on pain and disability in Achilles tendinopathy. A case report

Journal of Bodywork and Movement Therapies Volume 26, April 2021, Pages 214-219 Christos Savva Abstract Background/purpose Cervical and thoracic spine manipulation has been found to reduce tendon pain and disability in lateral epicondylalgia and rotator cuff tendinopathy. Based on these findings, the application of lumbar spine manipulation may also provide similar improvements in Achilles tendinopathy […]

The analgesic effect of joint mobilization and manipulation in tendinopathy: a narrative review

Journal of Manual & Manipulative Therapy Published online: 26 Mar 2021 Christos Savva ABSTRACT Objective: To summarize the available literature with regards to the potential analgesic effect and mechanism of joint mobilization and manipulation in tendinopathy. Results: The effect of these techniques in rotator cuff tendinopathy and lateral elbow tendinopathy, applied alone, compared to a […]

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities?

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities? A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration Authors: Jocelyn Cox, DC Study Design Systematic review. Background Acupuncture is a commonly used treatment for musculoskeletal disorders (MSDs); however, little is known about the effectiveness of acupuncture therapies […]

The neuromechanical adaptations to Achilles tendinosis

J Physiol. 2015 Aug 1;593(15):3373-87. doi: 10.1113/JP270220. Epub 2015 Jun 30. Chang YJ1, Kulig K1. Abstract KEY POINTS: Achilles tendinosis is a localized degenerative musculoskeletal disorder that develops over a long period of time and leads to a compliant human Achilles tendon. We demonstrate that the compliant Achilles tendon elicited a series of adaptations from […]

Association of Achilles Tendinopathy and Plantar Spurs

Ettore Vulcano, MD; Sriniwasan Mani, BS; Huong Do, MS; Walter H. Bohne, MD; Scott J. Ellis, MD Orthopedics October 2014 – Volume 37 · Issue 10: e897-e901 DOI: 10.3928/01477447-20140924-56 Abstract Plantar spurs and Achilles tendinopathy are common causes of heel pain. In the authors’ practice, it was anecdotally noted that patients with Achilles tendinopathy often […]

Effectiveness of the Alfredson Protocol Compared With a Lower Repetition-Volume Protocol for Midportion Achilles Tendinopathy

Marc Stevens, PT, MSc Journal of Orthopaedic & Sports Physical Therapy, February 2014, Volume: 44 Issue: 2 Pages: 59-67 Journal Reference Study Design Randomized clinical trial. Objectives To compare the effectiveness of the Alfredson eccentric heel-drop protocol with a “do-as-tolerated” protocol for nonathletic individuals with midportion Achilles tendinopathy. Background The Alfredson protocol recommends the completion […]

Acupuncture for chronic Achilles tendnopathy: a randomized controlled study

Chin J Integr Med. 2013 Dec;19(12):900-4. doi: 10.1007/s11655-012-1218-4. Epub 2012 Dec 21. Bi-meng Zhang 1, Li-wei Zhong, Si-wei Xu, Hui-ru Jiang, Jian Shen PMID: 23263998 DOI: 10.1007/s11655-012-1218-4 Abstract Objective: To examine whether acupuncture treatment would improve outcome in chronic Achilles tendinopathy. Methods: A randomized, controlled trial at two centers of 64 randomized patients aged 18 […]

Whole-Body Vibration Versus Eccentric Training or a Wait-and-See Approach for Chronic Achilles Tendinopathy

A Randomized Clinical Trial Thomas Horstmann, MD Journal of Orthopaedic & Sports Physical Therapy, 2013, Volume: 43 Issue: 11 Pages: 794-803 Study Design Randomized clinical trial. Objectives To test the hypothesis that whole-body vibration training results in greater improvements in symptoms and pain, structural changes, and muscle flexibility and strength of the triceps surae muscle-tendon […]

Sensory and motor deficits exist on the non-injured side of patients with unilateral tendon pain and disability—implications for central nervous system involvement

Br J Sports Med doi:10.1136/bjsports-2013-092535 Review Sensory and motor deficits exist on the non-injured side of patients with unilateral tendon pain and disability—implications for central nervous system involvement: a systematic review with meta-analysis L J Heales Abstract Introduction Tendinopathy manifests as activity-related tendon pain with associated motor and sensory impairments. Tendon tissue changes in animals […]

Whole-Body Vibration Versus Eccentric Training or a Wait-and-See Approach for Chronic Achilles Tendinopathy

A Randomized Clinical Trial Thomas Horstmann, MD Study Design Randomized clinical trial. Objectives To test the hypothesis that whole-body vibration training results in greater improvements in symptoms and pain, structural changes, and muscle flexibility and strength of the triceps surae muscle-tendon unit than those achieved with eccentric training or with a wait-and-see approach. Background The […]

Plantar fascia anatomy and its relationship with Achilles tendon and paratenon.

J Anat. 2013 Dec;223(6):665-76. doi: 10.1111/joa.12111. Epub 2013 Sep 12. Stecco C, Corradin M, Macchi V, Morra A, Porzionato A, Biz C, De Caro R. Abstract Although the plantar fascia (PF) has been studied quite well from a biomechanical viewpoint, its microscopic properties have been overlooked: nothing is known about its content of elastic fibers, […]

Management of chronic tendon injuries

Childress MA,et al. Am Fam Physician. 2013 Apr 1;87(7):486-90. Abstract Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the treatment of these injuries. Corticosteroid injections […]

Forefoot Strikers Exhibit Lower Running-Induced Knee Loading Than Rearfoot Strikers

Juha-Pekka Kulmala; Janne Avela; Kati Pasanen; Jari Parkkari Med Sci Sports Exerc. 2013;45(12):2306-2313. Abstract Purpose: Knee pain and Achilles tendinopathies are the most common complaints among runners. The differences in the running mechanics may play an important role in the pathogenesis of lower limb overuse injuries. However, the effect of a runner’s foot strike pattern […]