Achilles tendinosis: treatment options

Area of Science:

• Orthopedics
• Sports Medicine
• Regenerative Medicine

Background:

• Achilles tendinosis is a degenerative condition causing chronic pain in the Achilles tendon.
• It affects both athletes and non-athletes, impacting daily activities.
• The condition lacks signs of intratendinous inflammation.

Purpose of the Study:

• To review current treatment options for Achilles tendinosis.
• To cover conservative and surgical approaches.
• To highlight the ongoing debate regarding neovascularization stimulation or prevention.

Main Methods:

• Literature review of conservative treatments.
• Literature review of surgical interventions.
• Analysis of treatment strategies based on neovascularization.

Main Results:

• Conservative options aim to manage pain and promote healing.
• Surgical interventions are considered for persistent or severe cases.
• Treatment efficacy is debated, particularly concerning neovascularization.

Conclusions:

• There is no established consensus on the optimal treatment for Achilles tendinosis.
• Treatment decisions involve balancing neovascularization stimulation and prevention.
• Further research is needed to clarify the best therapeutic strategies.