Anatomy-Physiotherapy-logo

  • Italiano (Italia)
  • Français (France)
  • Portuguese (PT)
  • Deutsch (Deutschland)
  • Spanish (ES)
  • English (UK)
New english website, click here ->

           

  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
      • Lower extremity
      • Spine
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
Anatomy-Physiotherapy-logo
13 Apr2017

13 April 2017.

Written by Jessica Povall
Posted in Pain

13-04-2017 07:57:59
naiomt
Image by: naiomt

Pain management in insertional Achilles tendinopathy

Persistent Achilles insertional pain can be a difficult ailment to manage, and eccentric exercise alone many not be enough to treat this type of tendinopathy.

This article examines a case study which incorporates subtalar, talocrual and hip extension mobilisations as part of treatment for persistent insertional Achilles tendinopathy. The effects were greater than eccentric Achilles treatment alone, with improvements maintained up to 1 year later.

This case-study noted that improving foot, ankle, and hip mobility had a positive effect on Achilles pain management, and allowed the subject to return to running better than a treatment consisting of standard eccentric loading alone. Further discussion in this article notes that nociceptive pain modulation as a result of joint mobilisation could be a possible explanation for reduced pain, as could improving the biomechanics of the lower extremity with loading and decreasing the stress on the Achilles insertion. 

Interestingly, this article notes the subject returned to high-level running, and the pain management effects of this treatment were noted to be up to a year later. This article further supports the notion that localised treatment consisting of eccentric loading strategies for tissue healing may not yield as successful of an outcome as looking at the wider biomechanics of the whole lower extremity.  

> From: Jayaseelan et al., Int J Sports Phys Ther 12 (2017) 133-143. All rights reserved to The Author(s). Click here for the online summary.

sydneyphysioclinic
Image by: sydneyphysioclinic

Please log in or create an account to place comments. It's free and takes only a minute.

About the Author
Jessica Povall
Jessica Povall
Jessica graduated from Boston University in 2010 with a clinical Doctorate of Physical Therapy. She worked in Boston, USA, for two years while working...

Latest articles from this auhtor

  • Exercise, hippocampus volume and memory
  • Knowledge for stroke survivors and risk for a second stroke
  • Complex Regional Pain Syndrome
  • Active rehabilitation after a concussion
  • The impact of exercise on DNA and telomere length
 

 

Login

  • Forgot your password?
  • Forgot your username?
  • Create an account
AP banner Sono 1

Related

Newsletter

Subscribe to our weekly newsletter to receive all articles of the week in your mailbox.

 

Partners

enraf nonius

apa

fontys

vpt

kiné care

ICMSU

  • Home
  • About
  • Team
  • Advertise
  • Contact
  • Terms of Service
  • Privacy Policy
  • Jobs
  • Newsletter archive
AP-SMALL-WHITECopyright 2010 - 2021 Anatomy & Physiotherapy. All Rights Reserved.

Privacy Policy

AdBlock detected

We want to keep offering top-notch content for free. In order to keep up with the additional costs that we incurr with scaling our website, we need your help! Please turn off your adblocker or consider donating a small amount.

http://www.anatomy-physiotherapy.com/donate

Close
You can also just close this popup. It shows only once.
isApp.it
  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
        • Shoulder
        • Elbow
        • Wrist
        • Hand
      • Lower extremity
        • Hip
        • Knee
        • Ankle
        • Foot
      • Spine
        • Pelvis
        • Lumbar
        • Thoracic
        • Rib cage
        • Cervical
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
You are now being logged in using your Facebook credentials