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Updated: Jun 26, 2026
03:50
A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
Published on: August 2, 2024
Management of tendinopathy
Jonathan D Rees1, Nicola Maffulli, Jill Cook
1Defence Medical Rehabilitation Centre, Surrey, United Kingdom.
The American Journal of Sports Medicine
|February 4, 2009
Summary
Tendinopathies, or overuse tendon injuries, stem from failed healing, not inflammation. Understanding loading mechanisms and lesion location is key for effective treatment, including new therapies.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Pathology
Background:
- Tendinopathies are challenging overuse injuries affecting athletes.
- Commonly affected tendons include Achilles, patellar, and supraspinatus.
- Histopathology reveals failed healing, not inflammation, as the core issue.
Purpose of the Study:
- Explore theories behind tendinopathy development.
- Review current nonoperative and operative management strategies.
- Discuss emerging treatments like regenerative medicine.
Main Methods:
- Review of existing literature on tendinopathy.
- Analysis of mechanical, vascular, and neural theories.
- Examination of histopathologic evidence.
Main Results:
- Tendinopathies result from failed healing due to excessive or inappropriate loading.
- Lesion location influences pathology and management.
- Current management includes nonoperative and surgical interventions.
Conclusions:
- Understanding the pathophysiology of tendinopathies is crucial for athletes.
- Minimally invasive surgery and regenerative therapies show promise.
- Future strategies may involve stem cells, growth factors, and gene transfer.
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