Chronic Achilles tendon pain treated with eccentric calf-muscle training

@article{Fahlstrm2003ChronicAT,
  title={Chronic Achilles tendon pain treated with eccentric calf-muscle training},
  author={M. Fahlstr{\"o}m and P. Jonsson and R. Lorentzon and H. Alfredson},
  journal={Knee Surgery, Sports Traumatology, Arthroscopy},
  year={2003},
  volume={11},
  pages={327-333}
}
Injuries involving the Achilles tendon and manifested as chronic tendon pain are common, especially among recreational athletes. In a pilot study on a small group of patients with chronic painful mid-portion Achilles tendinosis, eccentric calf-muscle training was shown to give good clinical results. The aim of this prospective study was to investigate if the previously achieved good clinical results could be reproduced in a larger group of patients, and also to investigate the effects of… Expand

Paper Mentions

Interventional Clinical Trial
Background: There is no consensus regarding the treatment of insertional tendinopathies. The good results of the eccentric training in the management of the non-insertional Achilles… Expand
ConditionsAchilles Tendinitis, Tendinopathy
InterventionDevice, Other
Eccentric training in chronic painful impingement syndrome of the shoulder: results of a pilot study
TLDR
It seems that although there is a long duration of pain, together with bone and tendon abnormalities, painful eccentric supraspinatus and deltoideus training might be effective. Expand
Eccentric calf muscle training compared with therapeutic ultrasound for chronic Achilles tendon pain--a pilot study.
TLDR
Both interventions proved acceptable to the patients with no adverse effects and the potential effectiveness compared with therapeutic ultrasound in subjects with relatively sedentary lifestyles in an NHS hospital setting is investigated. Expand
New regimen for eccentric calf-muscle training in patients with chronic insertional Achilles tendinopathy: results of a pilot study
TLDR
A new model of painful eccentric calf-muscle training showed promising clinical results in 67% of the patients, and this was done as 3×15 reps, twice a day, 7 days/week, for 12 weeks. Expand
Motor responses to experimental Achilles tendon pain
TLDR
Data show that experimental Achilles tendon pain causes widespread and reduced motor responses with functional effects on the ground reaction force, and reduced the EMG activity in agonistic, synergistic and antagonistic muscles. Expand
Eccentric calf muscle training in non-athletic patients with Achilles tendinopathy.
TLDR
Eccentric exercises, though effective in nearly 60% of patients, may not benefit sedentary patients to the same extent reported in athletes. Expand
Biomechanical characteristics of the eccentric Achilles tendon exercise.
TLDR
Differences in the movement biomechanics between the eccentric and concentric phases of one-legged full weight bearing ankle dorsal and plantar flexion exercises are demonstrated, implying that although the tendon loads are similar, the tendon is vibrated at higher frequencies during the eccentric phase than during the concentric phase. Expand
The mechanism for efficacy of eccentric loading in Achilles tendon injury; an in vivo study in humans.
TLDR
These oscillations provide a mechanism to explain the therapeutic benefit of eccentric loading in Achilles tendinopathy and parallels recent evidence from bone remodelling, where the frequency of the loading cycles is of more significance than the absolute magnitude of the force. Expand
Good Results with Painful Eccentric Calf Muscle Training for Patients with Painful Midportion Achilles Tendinosis-Implications for New Treatments
TLDR
How the results of this treatment model broke the ice for new research, research findings providing a basis for inventions of new successful treatment methods are reviewed. Expand
Eccentric calf muscle exercise produces a greater acute reduction in Achilles tendon thickness than concentric exercise
TLDR
Eccentric loading invokes a greater reduction in Achilles tendon thickness immediately after exercise but appears to recover fully in a similar time frame to concentric loading. Expand
Results of minimally invasive Achilles tendon scraping and plantaris tendon removal in patients with chronic midportion Achilles tendinopathy: A longer-term follow-up study
TLDR
Ultrasound and colour Doppler–guided surgical Achilles tendon scraping and plantaris tendon removal in patients with chronic painful midportion Achilles tendinopathy show remaining good clinical outcomes and high satisfaction rates in this longer-term follow-up. Expand
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TLDR
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TLDR
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TLDR
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