Article Text

other Versions

PDF
The effects of short term treatment strategies over 4 weeks in Achilles tendinopathy
  1. Frank Mayer (fmayer{at}uni-potsdam.de)
  1. Institute of Sports Medicine and Prevention, University of Potsdam, Germany
    1. Anja Hirschmueller (anja.hirschmueller{at}uniklinik-freiburg.de)
    1. University Clinic of Freiburg; Dept. Sports Medicine, Germany
      1. Steffen Müller (stefmue{at}uni-potsdam.de)
      1. Institute of Sports Medicine and Prevention, University of Potsdam, Germany
        1. Martin Schubert (schubert{at}nz11.ukl.uni-freiburg.de)
        1. University Clinic of Freiburg, Dept. Neurology, Germany
          1. Heiner Baur (hbaur{at}uni-potsdam.de)
          1. Institute of Sports Medicine and Prevention, University of Potsdam, Germany

            Abstract

            Background: The therapeutic efficiency of non- surgical treatment strategies in Achilles tendinopathy (AT) have not been well clarified. Time-consuming and costly combinations of pain therapy, physiotherapy and biomechanical procedures are often applied.

            Objective: To analyse the efficiency of single therapeutic regimens commonly used over a short period of 4 weeks.

            Methods: 31 male runners (mileage >32km/w) with unilateral, untreated AT completed 4 weeks of either physiotherapy (10 treatments: deep frictions, pulsed ultrasound, ice, sensory motor training; [P]), wearing custom fit semi-rigid insoles [I] or without therapy [Control group C]. Before and after therapy, all patients underwent a treadmill test and a plantar flexion strength exercise. Subjective pain (Pain Disability Index, Pain Experience Scale), as well as strength performance capacity (peak torque), was analyzed (mean, 95% CI, repeated measures ANOVA, á=0.05).

            Results: Pain was reduced to less than 50% of the baseline after physiotherapy [P] or wearing insoles [I] (p<0.05). Individual pain reduction was more than 50% (25%) in 89% (100%) of subjects in I and 55% (73%) in P. Higher eccentric plantar flexion peak torques after therapy were observed in I and P.

            Conclusions: Most patients with Achilles tendinopathy experience a reduction in pain after only four weeks of differentiated, non-surgical treatment consisting of physiotherapy or semi-rigid insoles.

            Statistics from Altmetric.com

            Request permissions

            If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.