Rehabilitation of Achilles and patellar tendinopathies

Achilles and patellar tendinopathies affect a broad range of the population and are difficult conditions to manage clinically. The pathology is persistent in the chronic tendon and can be considered to be failed healing. The exact cause of tendinopathy pain is unclear but may be related to changes i...

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Bibliographic Details
Published in:Best practice & research. Clinical rheumatology 2007-04, Vol.21 (2), p.295-316
Main Authors: Kountouris, Alex, PG SPORTS PHYSIO, B APP SCI (PHTY), Cook, Jill, PHD, PG MANIP, B APP SCI (PHTY)
Format: Article
Language:English
Subjects:
Achilles tendinopathy
Achilles Tendon - physiopathology
eccentric exercise
Exercise Therapy
Humans
Pain - physiopathology
Patellar Ligament - physiopathology
patellar tendinopathy
Population Surveillance
Rheumatology
Tendinopathy - diagnosis
Tendinopathy - etiology
Tendinopathy - physiopathology
Tendinopathy - rehabilitation
tendon healing
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Summary:Achilles and patellar tendinopathies affect a broad range of the population and are difficult conditions to manage clinically. The pathology is persistent in the chronic tendon and can be considered to be failed healing. The exact cause of tendinopathy pain is unclear but may be related to changes in neurovascular structures. Rehabilitation for Achilles and patellar tendinopathies is based on an exercise programme that aims to improve muscle–tendon function and normalise the pelvic/lower limb kinetic chain. This incorporates a programme for restoring and improving muscle strength, endurance and power and retraining sport-specific function. Rehabilitation may take a prolonged period of time, both the athlete and clinician must be patient and persistent to maximise results from an exercise-based treatment.
ISSN:1521-6942
1532-1770
DOI:10.1016/j.berh.2006.12.003