Would Achilles Have Been Stronger After Eccentric Training, Glyceryl Trinitrate, or Low Energy Shock Wave Treatment?

摘要

What are the latest recommendations for management of Achilles tendinopathy?The residents and I recently evaluated a patient with mid-substance Achilles tendinopathy. I have a sensitive spot for sufferers of Achilles discomfort since I ruptured mine 20 years ago (ouch!). A recent "Top Paper" reviewed some helpful diagnostic hints with a focus on emerging therapies that were new to me. The discussion will be presented as numbered "take home" messages relevant to primary care.THE TAKE HOME MESSAGES 1. Who experiences Achilles tendinopathy? Anyone can be affected, but young, active people are especially prone. Cer tain activities increase the likelihood such as running (29% of runners in 1 study versus 4% in non-runners). A positive family history raises the risk of Achilles, tendinopathy 5 times. Other medical risk factors include hypertension, elevated lipids, and diabetes.