Nonsurgical Treatment Options for Insertional Achilles Tendinopathy.

Abstract:

:Most nonoperative treatments for insertional Achilles tendinopathy (IAT) have insufficient evidence to support treatment recommendations. Exercise has the highest level of evidence supporting the ability of this treatment option to reduce IAT pain. The effects of exercise may be enhanced by a wide variety of other treatments, including soft tissue treatment, nutritional supplements, iontophoresis, education, stretching, and heel lifts. When exercise is unsuccessful, extracorporeal shock wave therapy seems to be the next best nonoperative treatment option to reduce IAT pain. After other nonoperative treatment options have been exhausted, injections may be considered, particularly to facilitate participation in an exercise program.

journal_name

Foot Ankle Clin

journal_title

Foot and ankle clinics

authors

Dilger CP,Chimenti RL

doi

10.1016/j.fcl.2019.04.004

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

505-513

issue

3

eissn

1083-7515

issn

1558-1934

pii

S1083-7515(19)30041-5

journal_volume

24

pub_type

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