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Achilles Tendon Disorders.

Sundeep S Saini, Christopher W Reb, Megan Chapter

    The Journal of the American Osteopathic Association
    |October 27, 2015
    PubMed
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    Achilles tendon disorders are common in active and sedentary individuals. Proper diagnosis and a multimodal conservative approach, including osteopathic manipulative treatment, lead to favorable outcomes for Achilles tendon injuries.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Primary Care

    Background:

    • Achilles tendon disorders are prevalent in both active and sedentary populations.
    • These conditions can significantly impact a patient's quality of life if mismanaged.
    • Current literature supports a multimodal conservative approach for therapeutic regimens.

    Purpose of the Study:

    • To outline the diagnostic and management strategies for Achilles tendon disorders.
    • To emphasize the role of primary care physicians in managing these conditions.
    • To highlight the importance of considering patient-specific factors in treatment decisions.

    Main Methods:

    • Review of current literature on Achilles tendon disorders.
    • Emphasis on thorough patient history and physical examination for diagnosis.
    • Discussion of multimodal conservative management, including osteopathic manipulative treatment.

    Main Results:

    • Accurate diagnosis and appropriate management are crucial for preventing decreased quality of life.
    • A multimodal conservative approach, incorporating osteopathic manipulative treatment, is a basis for current therapeutic regimens.
    • Most cases can be managed by primary care physicians, with specialty care indicated in select instances.

    Conclusions:

    • Achilles tendon disorders generally have a favorable prognosis with appropriate management.
    • Procedural interventions should be guided by comorbid conditions and patient lifestyle.
    • Primary care physicians play a vital role in the initial diagnosis and management of Achilles tendon disorders.