ما هو العلاج القائم على الأدلة لاعتلال وتر أخيل؟

References

DOI: 10.1136/bjsm.2007.035543

• Alfredson's model of eccentric training involves no concentric loading and emphasises the need for patients to complete the exercise protocol despite pain in the tendon.
• If patients experience no tendon pain doing this programme, the load should be increased until the exercises provoke pain.
• Generally, the initial treatment consists of a multifactorial approach that may include a combination of rest (complete or modified activity), medication (NSAIDs, corticosteroids), orthotic treatment (heel lift, change of shoes, corrections of malalignments), stretching and strength training.
• A night splint has been shown to be an effective intervention for Achilles tendinopathy.
• A greater reduction in pain was seen when the night splint was combined with a 12-week eccentric exercise programme.
• The same 12-week programme resulted in a decrease in tendon volume assessed with MRI, as well as a decrease in tendon signal intensity by 23%.