title: Nonsurgical Management of Midsubstance Achilles Tendinopathy.
abstract: Midsubstance Achilles tendinopathy is one of the most common lower leg conditions. Most patients can recover with nonsurgical treatment that focuses on tendon loading exercises and, when necessary, symptom modulating treatments such as topical, oral, or injected medication, ice, shoe inserts, manual therapy, stretching, taping, or low-level laser. If unresponsive to initial management, a small percentage of patients may consider shockwave or sclerosing treatment and possibly surgery.
authors.affiliation: Doctor of Physical Therapy Program, Des Moines University, 3200 Grand Avenue, Des Moines, IA 50312, USA. Electronic address: shane.mcclinton@dmu.edu.
authors.forename: Shane
authors.initials: S
authors.lastname: McClinton
authors.affiliation: Kinesiology Department, University of Wisconsin-Oshkosh, 108B Albee Hall, 800 Algoma Boulevard, Oshkosh, WI 54901, USA.
authors.forename: Lace
authors.initials: L
authors.lastname: Luedke
authors.affiliation: Division of Doctor of Physical Therapy, Duke University, 2200 West Main Street, B-230, Durham, NC 27705, USA.
authors.forename: Derek
authors.initials: D
authors.lastname: Clewley
mesh_terms: D000125:Achilles Tendon / Q000503:physiopathology*; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000072700:Conservative Treatment / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010808:Physical Examination / Q000379:methods*; D020127:Recovery of Function; D012720:Severity of Illness Index; D052256:Tendinopathy / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology
chemical_list: D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Eccentric; Midportion; Posterior heel pain; Tendinosis; Tendonitis