MANAGE ACHILLES TENDINOSIS (DEGENERATIVE TENDINOPATHY) BY...
Eccentric loading should be a key component of exercise regimen, but more concentric activities should be included as pain improves. 17
Load should be progressed as tolerated: pain staying below 5/10. 17, 39
Exercising in a moderate pain (0-5/10) window in initial weeks of program. 17, 39
Explosive/ high intensity activities are reintroduced in later phases of rehab once pain has subsided and athlete is preparing for return to sporting activities. 17
Full recovery of symptoms does not ensure full recovery of function or tendon structure. 17
Isometrics may be beneficial early on when pain levels are higher. 17
Use of modalities that address pain appropriately: (Ice, ESWT, iontophoresis, instrument assisted soft tissue work). 17
Range of motion (ROM) stretches. 42
Extracorporeal Shockwave Therapy (ESWT) is more effective than eccentrics alone. 17
High power laser can help reduce pain at the tendon and improve circulation. Lasers allow for reduction in overall volume of exercise needed to improve functional levels. 39
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