Journal ArticleDOI
Mid-portion Achilles tendinopathy--current options for treatment
TLDR
A review article specifically focuses on eccentric training, and on shock wave therapy, which are recommended for management of midsubstance Achilles tendinopathy.Abstract:
Purpose. To report on the present option for management of tendinopathy of the main body of the Achilles tendon.Background. Tendinopathy of the main body of tendo Achillis affects athletic and sedentary patients. Mechanical loading is thought to be a major causative factor. However, the exact mechanical loading conditions which cause tendinopathy are poorly defined. Repetitive mechanical loading induces a non-inflammatory pathology, and repetitive microtrauma ultimately exceeds the healing response. The management of Achilles tendinopathy is primarily conservative. Although many non-operative options are available, few have been tested under controlled conditions. This review article specifically focuses on eccentric training, and on shock wave therapy. Surgical intervention can be successful in refractory cases. However, surgery does not usually completely eliminate symptoms and complications are not rare.Conclusions. Further studies are needed to discern the optimal non-operative and surgical management...read more
Citations
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Journal ArticleDOI
Pathogenesis of tendinopathies: inflammation or degeneration?
Michele Abate,Karin Grävare Silbernagel,Carl Siljeholm,Angelo Di Iorio,Daniele De Amicis,Vincenzo Salini,Suzanne Werner,Roberto Paganelli +7 more
TL;DR: In this article, the authors considered that overuse may be the initial disease factor; in this context, microruptures of tendon fibers occur and several molecules are expressed, some of which promote the healing process, while others, including inflammatory cytokines, act as disease mediators.
Journal ArticleDOI
Eccentric Loading Versus Eccentric Loading Plus Shock-Wave Treatment for Midportion Achilles Tendinopathy A Randomized Controlled Trial
TL;DR: At 4-month follow-up, eccentric loading alone was less effective when compared with a combination of eccentric loading and repetitive low-energy shock-wave treatment.
Journal ArticleDOI
Exercise as a prescription for patients with various diseases
TL;DR: Exercise can be used as an active intervention for the rehabilitation of various diseases and could exert positive effects on alleviating the symptoms and improving the physical performance of patients who suffer from these diseases.
Journal ArticleDOI
Novel Approaches for the Management of Tendinopathy
TL;DR: Overall results suggest a trend for a positive effect of eccentric exercises, with no reported adverse effects, and combining eccentric training and shock wave therapy produces higher success rates compared with eccentric loading alone or shock wave Therapy alone.
Journal ArticleDOI
The pathogenesis of Achilles tendinopathy: a systematic review.
TL;DR: A review of the literature demonstrates the heterogeneity of Achilles tendinopathy pathogenesis, where different theories have been found: Neurogenic, Angiogenic, Impingement and "Iceberg" Hypotheses.
References
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Journal ArticleDOI
Tendon injury and tendinopathy: healing and repair.
Pankaj Sharma,Nicola Maffulli +1 more
TL;DR: There is limited and mixed high-level evidence to support the, albeit common, clinical use of these modalities and further research and scientific evaluation are required before biological solutions become realistic options.
Journal ArticleDOI
Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis
TL;DR: The treatment model with heavy-load eccentric calf muscle training has a very good short-term effect on athletes in their early forties.
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Histopathology of common tendinopathies. Update and implications for clinical management.
TL;DR: The histopathological findings in athletes with overuse tendinopathies are consistent with those in tendinosis — a degenerative condition of unknown aetiology, which may have implications for the prognosis and timing of a return to sport after experiencing tendon symptoms.
Journal Article
Biology of tendon injury: healing, modeling and remodeling
P. Sharma,Nicola Maffulli +1 more
TL;DR: The structure of tendons is described, the process of tendon healing is an indivisible process that can be categorized into three overlapping phases for descriptive purposes, and the pathophysiology of tendon injury and healing is reviewed.
Journal ArticleDOI
Overuse tendon conditions : Time to change a confusing terminology
TL;DR: In overuse clinical conditions in and around tendons, frank inflammation is infrequent, and is associated mostly with tendon ruptures, and this leads athletes and coaches to underestimate the proven chronicity of the condition.