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Lower Limb Tendinoptahy
Tendinopathy Tendinitis Tendonitis Tendonopathy

  • What do we know?
    • Tendinopathy is the new term for "tendinitis" as it has been found not to be inflammatory
    • Tendon problems are common.- 10% of the running population may get Achilles tendinopathy
    • It is not an inflammatory condition. It is a degenerative overuse condition
    • It requires patience and persistence to resolve the tendinopathy
  • History?
    • Initially it is a problem in the morning and at the beginning of activity. As the condition worsens the pain will interfere with and ultimately limit activity
    • The factors that lead to overuse include exercise load, poor technique/equipment and abnormal biomechanics, thus any management program must look at these factors
  • Rehabilitation
    • Eccentric exercise has been shown to be effective
    • Muscle strength/flexibility imbalance must be restored
    • Footwear and biomechanical assessment
  • Medications
    • Green tea
    • Nitrate patches
  • Adjuvant therapies
    • PRP/Blood injections
    • Polidocanol injections
    • Prolotherapy injections
    • Shockwave therapy
  • Surgery
    • 70-90% success rates. Not recommended in the initial phase of treatment
  • Don’t forget
    • Tendon problems are common to get on both sides so treatment of other side at the same time is recommended

Back to Information Sheets
See more on ATI treatment for Achilles Tendinitis.
Also see our webpage on the use of Cellular therapies to treat achilles tendinitis.