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A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

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Acupuncture for chronic Achilles tendnopathy: a randomized controlled study.

Bi-meng Zhang¹, Li-wei Zhong, Si-wei Xu

¹Shanghai First People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200080, China, pjzhtiger08@yahoo.com.cn.

Chinese Journal of Integrative Medicine

|December 25, 2012

Summary

Acupuncture significantly improved pain and activity in chronic Achilles tendinopathy patients compared to eccentric exercises. This study highlights acupuncture as a beneficial treatment for Achilles tendon issues.

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Area of Science:

Orthopedics
Sports Medicine
Integrative Medicine

Background:

Chronic Achilles tendinopathy presents a significant challenge in sports medicine.
Current treatments, such as eccentric exercises, offer variable outcomes.

Purpose of the Study:

To evaluate the efficacy of acupuncture in improving outcomes for chronic Achilles tendinopathy.
To compare acupuncture treatment with standard eccentric exercises.

Main Methods:

A randomized controlled trial involving 64 patients with chronic Achilles tendinopathy.
Patients were allocated to either an acupuncture group or an eccentric exercises (control) group.
Outcomes were assessed using the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire and Visual Analogue Scale (VAS) for pain.

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Main Results:

The acupuncture group showed significantly greater improvements in VISA-A scores at 8, 16, and 24 weeks compared to the control group.
Acupuncture led to a more substantial reduction in pain at rest and after activity (VAS scores) than eccentric exercises.
Significant improvements were observed in both groups, but acupuncture demonstrated superior efficacy.

Conclusions:

Acupuncture intervention is effective in improving both pain and functional activity in patients suffering from chronic Achilles tendinopathy.
Acupuncture offers a superior alternative or adjunct to eccentric exercises for managing this condition.