[Surgical treatment for pain syndromes of the Achilles tendon]
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Updated: Jun 10, 2026

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
Published on: August 2, 2024
N Maffulli1, U G Longo, T Hüfner
1Centre for Sports and Exercise Medicine, Queen Mary University of London, London, England. n.maffulli@qmul.ac.uk
Abstract:
Pain syndromes of the Achilles tendon (AT) include both insertional and non-insertional tendinopathy, two distinct disorders with different underlying pathophysiologies and management options, characterized by pain, impaired performance and swelling in and around the tendon. This article gives an overview of the operative treatment of pain syndromes of the Achilles tendon, including both insertional tendinopathy of the AT and tendinopathy of the main body of the AT. New minimally invasive techniques for the management of this condition, including endoscopy are also reported.