Journal article
Nonsurgical treatment options for insertional Achilles tendinopathy
Foot and ankle clinics, Vol.24(3), pp.505-513
09/2019
DOI: 10.1016/j.fcl.2019.04.004
PMID: 31371000
Abstract
The majority of non-operative treatments for IAT have insufficient evidence to support treatment recommendations, with exercise and ESWT as notable exceptions. Exercise has the highest level of evidence supporting the ability of this treatment option to reduce IAT pain (Grade A recommendation). The effects of exercise may be enhanced by the use of a wide variety of other treatments, including soft tissue treatment, nutritional supplements, iontophoresis, education, stretching, and heel lifts (Grade I recommendation). When exercise is unsuccessful, ESWT appears to be the next best non-operative treatment option to reduce IAT pain (Grade B recommendation). After other non-operative treatment options have been exhausted, injections may be considered particularly as a means to facilitate participation in an exercise program (Grade I recommendation).
Details
- Title: Subtitle
- Nonsurgical treatment options for insertional Achilles tendinopathy
- Creators
- Connor P Dilger - University of Iowa, Department of Physical Therapy and Rehabilitation ScienceRuth L Chimenti - University of Iowa, Department of Physical Therapy and Rehabilitation Science
- Resource Type
- Journal article
- Publication Details
- Foot and ankle clinics, Vol.24(3), pp.505-513
- DOI
- 10.1016/j.fcl.2019.04.004
- PMID
- 31371000
- NLM abbreviation
- Foot Ankle Clin
- ISSN
- 1083-7515
- eISSN
- 1558-1934
- Grant note
- DOI: 10.13039/100000069, name: National Institute of Arthritis and Musculoskeletal and Skin Diseases; name: National Institutes of Health under, award: K99AR071517
- Language
- English
- Date published
- 09/2019
- Academic Unit
- Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984083814502771
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