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Related Experiment Video

Updated: May 27, 2026

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
03:50

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

Published on: August 2, 2024

Chronic Achilles tendinopathy treated with eccentric stretching program.

Geoffrey Verrall1, Scott Schofield, Terese Brustad

  • 1SPORTSMED.SA Sports Medicine Clinic, Adelaide, Australia. verrallg@bigpond.com

Foot & Ankle International
|November 22, 2011
PubMed
Summary

A modified eccentric heel-drop program effectively treated chronic Achilles tendinopathy, significantly reducing pain and improving patient satisfaction. Most athletes returned to their pre-injury activity levels within 10 weeks.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Rehabilitation

Background:

  • Chronic Achilles tendinopathy affects athletes, often requiring effective treatment strategies.
  • Eccentric exercises are a common approach, but modifications may enhance outcomes.

Purpose of the Study:

  • To evaluate the efficacy of a modified eccentric heel-drop program for chronic Achilles tendinopathy.
  • To assess pain reduction, patient satisfaction, and return to activity.

Main Methods:

  • 190 athletes with chronic Achilles tendinopathy participated in a 6-week modified eccentric heel-drop program.
  • Stretches were held for at least 15 seconds.
  • Outcomes measured by Visual Analogue Scale (VAS) for pain, patient satisfaction, and time to return to activity.

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Last Updated: May 27, 2026

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
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A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy
04:37

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

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Main Results:

  • Significant pain reduction observed (VAS from 7.2 to 2.9 after 6 weeks, p<0.01).
  • 80% of athletes reported excellent satisfaction (rating ≥7), particularly those with mid-substance injuries (86%).
  • Mean time to return to pre-injury activity was 10 weeks.

Conclusions:

  • The modified 6-week eccentric heel-drop program is effective for chronic Achilles tendinopathy.
  • It leads to high patient satisfaction, pain relief, and successful return to activity.
  • Outcomes are more favorable for mid-substance injuries compared to insertional tendinopathy.