Achilles Tendinopathy: Evaluation, Rehabilitation, and Prevention

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Achilles Tendinopathy and Rupture

The Achilles tendon begins near the mid-calf and inserts into the posterior of the calcaneus, connecting the gastrocnemius and soleus muscles to the ankle. It is surrounded by a connective tissue sheath (paratenon, or 'paratendon'), rather than a true synovial sheath. The paratenon, which is very vascular and highly innervated, stretches with movement, allowing maximum gliding action. Near the ...

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Achilles Tendinopathy and Rupture

The Achilles tendon begins near the mid-calf and inserts into the posterior of the calcaneus, connecting the gastrocnemius and soleus muscles to the ankle. It is surrounded by a connective tissue sheath (paratenon, or 'paratendon'), rather than a true synovial sheath. The paratenon, which is very vascular and highly innervated, stretches with movement, allowing maximum gliding action. Near the ...

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Understanding Achilles Tendinopathy and Tendon Rehabilitation through the Achilles Tendon Diametral Strain Response to Eccentric Exercise

We have previously demonstrated that eccentric exercise results in an immediate decrease in tendon thickness in healthy young adults [3]. Based on in vitro evidence, it was proposed that the marked diametral strain response (≈ 20%) observed in vivo primarily reflected the radial extrusion of fluid from the tendon [4, 5]. Such convective fluid movement likely plays a vital role in tendon homeost...

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Achilles tendinopathy management

OBJECTIVES To conduct a pilot randomised controlled trial to evaluate the feasibility of conducting a larger trial to evaluate the difference in Victorian Institute of Sports Assessment-Achilles (VISA-A) scores at six months between patients with Achilles tendinopathy treated with a platelet-rich plasma (PRP) injection compared with an eccentric loading programme. METHODS Two groups of patien...

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Insertional Achilles Tendinopathy.

Posterior heel pain is a common condition of the foot and ankle and is seen in a variety of foot types. Nonoperative treatment methods consisting of shoes inserts, heel lifts, stretching, physical therapy, nonsteroidal antiinflammatory drugs, eccentric strength training, and other modalities have been shown to have mixed results. When indicated, surgical repair can produce good long-term result...

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ژورنال

عنوان ژورنال: Current Sports Medicine Reports

سال: 2021

ISSN: 1537-8918

DOI: 10.1249/jsr.0000000000000855