Treatments of Achilles tendinopathy continue to evolve. The body of literature is inadequate to provide a comprehensive guide to evaluation and treat failed surgeries. Issues related to failed surgical treatment may be divided into infection/wound issue, mechanical failure, and persistent pain. Awareness of the potential problems described in this article will allow surgeons to have a foundation in clinical assessment and making accurate diagnoses. Various surgical treatment options are available and should be executed carefully to treat individualized patient conditions.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.fcl.2021.11.027 | DOI Listing |
Med Sci Sports Exerc
December 2024
Department of Rehabilitation Sciences, Ghent University, Ghent, BELGIUM.
Purpose: Eccentric calf training for Achilles tendinopathy shows variable success in athletes. Recent insights suggest a role for tendon fluid flow (exudation or redistribution) during exercise, which explains post-exercise reductions in thickness and increases in stiffness of the tendon. This fluid flow is thought to be beneficial as it may promote tendon remodeling, reduce intratendinous pressure, and alleviate pain.
View Article and Find Full Text PDFSci Rep
January 2025
Human Movement Biomechanics Research Group, Department of Movement Sciences, KU Leuven, Leuven, Belgium.
The treatment of Achilles tendinopathy is challenging, as 40% of patients do not respond to existing rehabilitation protocols. These protocols neglect individual Achilles tendon (AT) characteristics, which are crucial for healing of the tendon tissue. Although prior studies suggest an optimal strain for AT regeneration (6% tendon strains), it is unclear if current protocols meet this condition.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Podiatry, University of Seville, 41009 Seville, Spain.
Infrared thermography is an advanced technique that detects infrared light emitted by the body to map thermal changes related to blood flow. It is recognized for being noninvasive, fast, and reliable and is employed in the diagnosis and prevention of various medical conditions. In podiatry, it is utilized for managing diabetic foot ulcers, musculoskeletal injuries such as Achilles tendinopathy, and onychomycosis, among others.
View Article and Find Full Text PDFJ Orthop Res
January 2025
Department of Physical Therapy, University of Delaware, Newark, Delaware, USA.
A high proportion of individuals with Achilles tendinopathy continue to demonstrate long-term symptoms and functional impairments after exercise treatment. Thus, there is a need to delineate patient presentations that may require alternative treatment. The objective of this study was to evaluate if the presence of metabolic risk factors relates to tendon symptoms, psychological factors, triceps surae structure, and lower limb function in individuals with Achilles tendinopathy.
View Article and Find Full Text PDFInflamm Res
January 2025
Department of Pharmacy, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy.
Objective: This study explores whether hyaluronic acid (HA) of different molecular weights and collagen, given their role in tendon extracellular matrix maintenance, have a synergistic effect on human tendon-derived cells, with the aim to improve the treatment of tendinopathy.
Material: Human monocytes (CRL-9855™) and primary Achilles tendon-derived cells.
Treatment: The collagen/HA ratio was based on the formulation of the commercial food supplement TendoGenIAL™.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!