© 2003 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine
CASE REPORT
Water and land based rehabilitation for Achilles tendinopathy in an elite female runner
Democritus University of Thrace, Komotini, Greece
Correspondence to:
Correspondence to:
Assistant Professor Malliou
TEFAA, 7th Km Komotini Xanthi, Komotini 69100, Greece; malliou2002@yahoo.gr
Accepted 5 November 2002
Keywords: Achilles tendinopathy; aquatic rehabilitation; board balance exercises; calf; ankle
| The first 150 words of the full text of this article appear below. |
A 17 year old female athlete presented with Achilles tendinopathy. A protocol of water and land based rehabilitation was designed to achieve non-weight bearing and pain free activity, so that she could rapidly return to her event (400 m hurdles). After three weeks, she returned to regular training, and after a further three weeks she successfully competed in a 400 m hurdle event. She has been able to compete at national level symptom free for the last 18 months.
The Achilles tendon is the largest and strongest tendon in the human body and experiences high loads in all sporting activities. It has been shown to have a high capacity to withstand tensional forces.1 Chronic painful conditions located in the Achilles tendon are relatively common, especially in runners.2 The cause of such conditions is not known, but they are often associated with repetitive loading and overuse.3 Achilles tendinopathy is difficult to
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