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Related Experiment Video

Updated: Jun 23, 2026

A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy

A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy

Published on: March 1, 2024

Achilles tendinopathy.

Umile Giuseppe Longo¹, Mario Ronga, Nicola Maffulli

¹Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Rome, Italy.

Sports Medicine and Arthroscopy Review

|May 15, 2009

Summary

This summary is machine-generated.

Achilles tendinopathy, a disabling condition, involves failed healing with disorganized tendon cells and collagen. Diagnosis relies on clinical examination, with new minimally invasive treatments showing promise for faster recovery.

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A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

Published on: August 2, 2024

Area of Science:

Orthopedics
Sports Medicine
Regenerative Medicine

Background:

Achilles tendinopathy is a prevalent cause of disability with unclear etiology.
Intrinsic factors include tendon vascularity, muscle dysfunction, age, body composition, foot structure, and ankle instability.
The condition is characterized by a failed healing response, disorganized tenocyte proliferation, collagen disruption, and increased matrix remodeling, leading to mechanical instability.

Purpose of the Study:

To review the current understanding of Achilles tendinopathy causes and mechanisms.
To evaluate diagnostic methods for Achilles tendinopathy.
To discuss emerging therapeutic options for Achilles tendinopathy management.

Main Methods:

Literature review of studies on Achilles tendinopathy.
Analysis of intrinsic factors contributing to the condition.
Evaluation of diagnostic approaches, emphasizing clinical examination.
Review of current and novel treatment strategies, including minimally invasive techniques.

Main Results:

The precise causes and mechanisms of Achilles tendinopathy remain largely undetermined.
Clinical history and physical examination are the primary diagnostic tools.
Many existing treatments lack robust scientific evidence.
Minimally invasive neovessel stripping shows potential for accelerated recovery and return to sport compared to open surgery.
A genetic component is suggested but requires further investigation.

Conclusions:

Achilles tendinopathy is a complex condition with multifactorial causes and a failed healing response.
Accurate diagnosis relies heavily on clinical assessment.
Evidence-based treatments are needed, and minimally invasive techniques offer a promising alternative for managing Achilles tendinopathy.
Further research, including genetic studies, is warranted to fully elucidate the condition's pathophysiology.