Chronic midportion Achilles tendinopathy: an update on research and treatment

Clin Sports Med. 2003 Oct;22(4):727-41. doi: 10.1016/s0278-5919(03)00010-3.


Chronic painful midportion Achilles tendinosis has been known as a difficult condition to treat, and surgical treatment was often needed. In recent scientific studies, however, treatment with painful eccentric calf muscle training has shown very good short-term clinical results and significantly reduced the need for surgical treatment. Also, very recently, a new method consisting of sclerosing of neovessels in the area with painful tendinosis showed promising short-term results. Ongoing and future research will evaluate the potential of these treatment models.

Publication types

  • Review

MeSH terms

  • Achilles Tendon / physiopathology*
  • Achilles Tendon / surgery
  • Adult
  • Athletic Injuries / complications
  • Athletic Injuries / physiopathology*
  • Athletic Injuries / therapy*
  • Chronic Disease
  • Humans
  • Middle Aged
  • Pain / etiology
  • Physical Therapy Modalities / methods
  • Tendinopathy / complications
  • Tendinopathy / physiopathology*
  • Tendinopathy / therapy*