Update on non-insertional Achilles tendinopathy

Publication date: Available online 11 November 2019Source: Fuß &SprunggelenkAuthor(s): N. Maffulli, R. AicaleAbstractIn the past three decades, the incidence of overuse tendinopathy has risen. Tendinopathy affects also middle-aged overweight patients with no history of increased physical activity. Tendinopathy is the result of a chronic failure of healing response. Several conservative therapeutic options have been proposed.The management of tendinopathy is primarily conservative, and many patients respond to such measures. Eccentric exercises and shock wave therapy provide promising excellent clinical results. High-volume injection of normal saline solution, corticosteroids, and local anesthetic can reduce pain and improve long-term function. The use of injectable platelet-rich plasma in and around the tendon is not supported by strong clinical evidence. If clinical conditions do not improve after 6 months of conservative management, surgery is recommended.ZusammenfassungDie Inzidenz von Tendionopathien durch Überlastung ist in den vergangenen drei Dekaden angestiegen. Eine Tendinopathie der Achillessehne wird jedoch auch bei übergewichtigen Patienten ohne erhöhte körperliche Belastung beobachtet. Die Tendinopathie ist das Resultat einer chronischen Störung der physiologischen Heilungsvorgänge. Verschiedene konservative Behandlungsoptionen wurden hierfür vorgeschlagen.Die Therapie der Tendinopathie ist primär konservativ und ...
Source: Fuss and Sprunggelenk - Category: Podiatry Source Type: research

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Source: Plastic and Reconstructive Surgery - Category: Cosmetic Surgery Tags: Reconstructive: Lower Extremity: Original Articles Source Type: research
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Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
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