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Related Experiment Video

Updated: Dec 31, 2025

Comparative Analysis of Lower Limb Kinematics between the Initial and Terminal Phase of 5km Treadmill Running
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Pain and Function in the Runner a Ten (din) uous Link.

Peter Francis1,2, Isobel Thornley2, Ashley Jones2

  • 1Department of Science and Health, Institute of Technology Carlow, Carlow, Ireland.

Medicina (Kaunas, Lithuania)
|January 16, 2020
PubMed
Summary

A runner with insertional Achilles tendinopathy (AT) improved function and reduced pain through eccentric training and shockwave therapy. This combined approach effectively managed chronic AT symptoms, allowing a return to running.

Keywords:
Achilleschronic painpain managementrunningtendon

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Area of Science:

  • Sports Medicine
  • Rehabilitation Science
  • Musculoskeletal Ultrasound

Background:

  • Insertional Achilles tendinopathy (AT) is a debilitating condition affecting runners, often requiring prolonged recovery.
  • Traditional treatments like injection therapy may not always yield satisfactory results for chronic AT.
  • Objective assessment of muscle architecture and contractile properties is crucial for understanding AT pathophysiology.

Observation:

  • A 30-year-old male runner with a 2-year history of insertional AT experienced pain limiting his ability to run.
  • Diagnostic ultrasound confirmed medial insertional AT, and initial injection therapy was unsuccessful.
  • Pre-treatment assessments revealed impaired gastrocnemius medialis (GM) muscle architecture and contractile function in the affected leg.

Findings:

  • A 12-week progressive eccentric training program combined with shockwave therapy led to significant improvements in pain and function.
  • Validated outcome scores (VISA-A, FADI) showed marked improvements, indicating enhanced foot and ankle function.
  • Ultrasound and Tensiomyography measurements demonstrated positive changes in GM muscle architecture and contractile properties, correlating with clinical recovery.

Implications:

  • Combined eccentric training and shockwave therapy represent a promising conservative management strategy for chronic insertional Achilles tendinopathy.
  • Objective biomechanical assessments (US, TMG) can provide valuable insights into treatment response and guide rehabilitation.
  • This approach may facilitate a successful return to running for athletes suffering from persistent Achilles tendinopathy.