Pain management in insertional Achilles tendinopathy

A difficult disorder to manage

Persistent Achilles insertional pain can be a difficult ailment to manage, and eccentric exercise alone many not be enough to treat this type of tendinopathy.

This article examines a case study which incorporates subtalar, talocrual and hip extension mobilisations as part of treatment for persistent insertional Achilles tendinopathy. The effects were greater than eccentric Achilles treatment alone, with improvements maintained up to 1 year later.

Interestingly, this article notes the subject returned to high-level running, and the pain management effects of this treatment were noted to be up to a year later. This article further supports the notion that localised treatment consisting of eccentric loading strategies for tissue healing may not yield as successful of an outcome as looking at the wider biomechanics of the whole lower extremity. 

> From: Jayaseelan et al., Int J Sports Phys Ther 12 (2017-04-11 08:08:02) 133-143 . All rights reserved to The Author(s). Click here for the online summary.

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