Evidence Based Guide to Achilles Tendinopathy for Physical Therapists [Assessment and Treatment] FPF Show Episode 37

By dpope2020

June 10, 2022

achilles pain, Achilles tendinitis, achilles tendinopathy, achilles tendinopathy exercises, achilles tendinopathy physical therapy, achilles tendinopathy treatment, achilles tendinosis, achilles tendon, achilles tendon pain, achilles tendon treatment, achilles tendonitis, achilles tendonitis exercises, achilles tendonitis treatment, dan pope, fitness pain free, injury prevention, physical therapist, physical therapy, physiotherapist, physiotherapy, sports medicine

Evidence Based Guide to Achilles Tendinopathy for Physical Therapists [Assessment and Treatment]

In today's episode we go over an Evidence Based Guide to Achilles Tendinopathy for Physical Therapists [Assessment and Treatment]: 

  • 3:07 What is the Definition of Achilles Tendinopathy?
  • 5:19 Relevant Anatomy in Achilles Tendinopathy
  • 6:08 How Do Tendinopathies Form?
  • 8:39 What is the Prevalence of Achilles Tendinopathy?
  • 10:19 What are the Risk Factors for Developing Achilles Tendinopathy?
  • 13:31 Is it Possible to Prevent Achilles Tendinopathy?
  • 15:53 How Physical Therapists Should Diagnose Achilles Tendinopathy
  • 20:01 Differential Diagnosis in Achilles Tendinopathy
  • 21:05 Is Imaging (X-ray, MRI, Ultrasound) Needed to Diagnose Achilles Tendinopathy?
  • 23:38 What are the BEST Treatment for Achilles Tendinopathy?
  • 29:10 What are the BEST Exercises for Achilles Tendinopathy?
  • 35:17 What Other Treatments are Beneficial When Exercise Based Treatments Fail?
  • 36:26 What Treatments are NOT Effective for Achilles Tendinopathy?
  • 40:11 When Should You Consider Surgery for Achilles Tendinopathy?
  • 42:33 Achilles Tendinopathy Prognosis, How Long Does it Take For Pain to go Away?
  • 47:13 Recurrence Rates for Achilles Tendinopathy 
  • 47:30 Can We Prevent Achilles Tendinopathy?
  • 50:28 References

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  1. de Vos R, van der Vlist AC, Zwerver J, et al. Dutch multidisciplinary guideline on Achilles tendinopathy British Journal of Sports Medicine 2021;55:1125-1134

  2. Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study. Am J Sports Med. 2007 Jun;35(6):897-906. doi: 10.1177/0363546506298279. Epub 2007 Feb 16. PMID: 17307888.

  3. Zwerver, Johannes et al. “ICON 2019-international scientific tendinopathy symposium: building an ICONic tendon tower-launching a new era in clinical tendinopathy research.” British journal of sports medicine vol. 54,8 (2020): 442-443. doi:10.1136/bjsports-2019-101214

  4. Challoumas D, Biddle M, Millar NL. Recent advances in tendinopathy. Fac Rev. 2020;9:16. Published 2020 Nov 19. doi:10.12703/b/9-16

  5. Millar NL, Silbernagel KG, Thorborg K, Kirwan PD, Galatz LM, Abrams GD, Murrell GAC, McInnes IB, Rodeo SA. Tendinopathy. Nat Rev Dis Primers. 2021 Jan 7;7(1):1. doi: 10.1038/s41572-020-00234-1. Erratum in: Nat Rev Dis Primers. 2021 Feb 3;7(1):10. PMID: 33414454.

  6. Image attribution / source: Dr. Johannes Sobotta, Public domain, via Wikimedia Commons https://commons.wikimedia.org/wiki/File:Sobo_1909_579-580.png