What MIGHT work for Achilles tendinopathy

In part 1 of this 3 part series on the treatment of Achilles tendinopathy, we discussed what has the least evidence for efficacy.

Now let's take a look at the second stratum, and investigate what MIGHT work for AT based on the evidence. All the treatments outlined below have some evidence for efficacy, and, as such, may be considered as a part of the treatment protocol for Achilles tendinopathy. 

This list is not exhaustive but represents the most commonly used therapies and those that show the greatest promise. There are many options, and many treatment pathways available:

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McClinton, Shane, et al, Nonsurgical Management of Midsubstance Achilles Tendinopathy
Clinics in Podiatric Medicine and Surgery.Published April 1, 2017. Volume 34, Issue 2. Pages 137-160. 

Treatment pathway for the management of midportion Achilles tendinopathy adapted from recommendations by Alfredson and Cook.  Timeframes and intervention may be adjusted to consider the patient’s preferences, presentation, and response to initial treatment. If patient responds satisfactorily to any phase of treatment, loading exercises should be maintained for 6 to 12 months and symptom modulation strategies as needed. ESWT, extracorporeal shock wave therapy.

Simon Bartold
Director of Bartold Clinical

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