Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Full weight-bearing after geriatric ankle fractures-No problem?]

Unfallchirurgie (Heidelberg, Germany)·2026
Same author

Patient-reported outcome measures in studies on hallux valgus surgery: what should be assessed.

Archives of orthopaedic and trauma surgery·2024
Same author

Immediate weight bearing without immobilization for operatively treated ankle fractures is safe - A systematic review.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons·2023
Same author

The distal metatarsal screw is not always necessary in third-generation MICA: a case-control study.

Archives of orthopaedic and trauma surgery·2022
Same author

Pedobarographic evaluation of five commonly used orthoses for the lower extremity.

Archives of orthopaedic and trauma surgery·2022
Same author

Safe drilling zones for anteriorly, central, and posteriorly angulated syndesmotic stabilization devices.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2022

Related Experiment Video

Updated: Feb 21, 2026

Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model
08:19

Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model

Published on: December 8, 2023

1.6K

[Insertional Achilles tendinopathy : Differentiated diagnostics and therapy].

S F Baumbach1, M Braunstein1, M G Mack2

  • 1Klinik für Allgemeine, Unfall‑, Hand- und Wiederherstellungschirurgie, Ludwig-Maximilians-Universität, Nußbaumstr. 20, 80336, München, Deutschland.

Der Unfallchirurg
|October 6, 2017
PubMed
Summary

Conservative treatments like eccentric exercises and shock wave therapy effectively manage Achilles tendinopathy pain. Surgical intervention is reserved for persistent cases, with open debridement showing high success but also significant complications.

Keywords:
DebridementElectrotherapyEndoscopyMuscle stretching exercisesTendon transfer

More Related Videos

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
04:37

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research

Published on: March 1, 2024

1.4K
Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment
03:50

Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment

Published on: August 2, 2024

2.1K

Related Experiment Videos

Last Updated: Feb 21, 2026

Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model
08:19

Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model

Published on: December 8, 2023

1.6K
Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
04:37

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research

Published on: March 1, 2024

1.4K
Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment
03:50

Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment

Published on: August 2, 2024

2.1K

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rehabilitation

Background:

  • Achilles tendinopathy at the calcaneal insertion encompasses insertional tendinopathy, retrocalcaneal bursitis, and superficial bursitis.
  • Understanding current evidence on conservative and surgical interventions is crucial for effective patient management.

Purpose of the Study:

  • To present current evidence on conservative and surgical treatment options for insertional Achilles tendinopathy.
  • To evaluate the efficacy and safety of various therapeutic approaches.

Main Methods:

  • Review of current evidence on conservative therapies including activity modification, NSAIDs, footwear adaptation, orthoses, immobilization, eccentric exercises, and extracorporeal shock wave therapy.
  • Analysis of surgical interventions such as open debridement and tendoscopy, including indications and outcomes.
  • Assessment of evidence for injections like platelet-rich plasma (PRP), dextrose, and polidocanol.

Main Results:

  • Conservative therapies like eccentric exercises (40% pain reduction) and extracorporeal shock wave therapy (60% pain reduction, 80% satisfaction) show significant efficacy.
  • Surgical debridement has a >70% success rate but up to 40% complication rate; indicated after 6 months of failed conservative treatment.
  • Injections (PRP, dextrose, polidocanol) lack sufficient evidence for recommendation; tendoscopy is promising for isolated retrocalcaneal bursitis with lower complication rates than open debridement.

Conclusions:

  • Conservative management, particularly eccentric exercises and shock wave therapy, should be prioritized for insertional Achilles tendinopathy.
  • Surgical intervention is reserved for refractory cases, with open debridement and tendoscopy offering different risk-benefit profiles.
  • Further research is needed to establish the role of regenerative therapies and specific surgical techniques.