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Updated: Jun 27, 2026
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A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
Published on: August 2, 2024
Endoscopic treatment for chronic Achilles tendinopathy
Jordi Vega1, Josep Maria Cabestany, Pau Golanó
1Department of Orthopedic and Trauma Surgery, Hospital Asepeyo Sant Cugat, Barcelona, Spain. jordivega@hotmail.com
Summary
Endoscopic surgery for Achilles tendinopathy offers excellent outcomes, allowing all patients to resume sports without limitations. This minimally invasive approach demonstrates lower complication rates compared to traditional methods.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Achilles tendinopathy is a common condition causing heel pain and limiting mobility.
- Chronic Achilles tendinopathy often requires surgical intervention when conservative treatments fail.
Purpose of the Study:
- To evaluate the efficacy and safety of an endoscopic technique for treating chronic Achilles tendinopathy.
- To assess patient outcomes and return to sports activity following endoscopic surgery.
Main Methods:
- Eight patients with chronic Achilles tendinopathy underwent endoscopic surgery.
- The procedure involved creating distal portals for arthroscope insertion and using a retrograde knife blade to remove pathological tissue.
- Clinical outcomes were assessed using the Nelen scale.
Main Results:
- All patients achieved excellent clinical results, with full return to pre-procedure sports activity.
- No complications were reported during or after the surgical procedures.
Conclusions:
- Endoscopic treatment for Achilles tendinopathy provides satisfactory outcomes.
- This technique presents a lower morbidity profile compared to other surgical options.
