Effects of short-term treatment strategies over 4 weeks in Achilles tendinopathy

Br J Sports Med. 2007 Jul;41(7):e6. doi: 10.1136/bjsm.2006.031732. Epub 2007 Jan 29.


Background: The therapeutic efficacy of non-surgical treatment strategies in Achilles tendinopathy (AT) has not been well clarified. Time-consuming and costly combinations of treatment for pain, physiotherapy and biomechanical procedures are often applied.

Objective: To analyse the efficacy of single therapeutic regimens commonly used over a short period of 4 weeks.

Methods: 31 male runners (mileage >32 km/week) with unilateral, untreated AT completed 4 weeks of either physiotherapy (10 treatments: deep-friction, pulsed ultrasound, ice, sensory motor training; (P)), wearing custom fit semirigid insoles (I) or remained without treatment (control group C). Before and after treatment, all patients underwent a treadmill test and a plantar flexion strength exercise. Subjective pain (Pain Disability Index, Pain Experience Scale), as well as strength performance capacity (peak torque), was analysed (mean, 95% CI, repeated measures analysis of variance, alpha = 0.05).

Results: Pain was reduced to <50% of the baseline value after physiotherapy or after wearing insoles (p<0.05). Individual pain reduction was >50% (25%) in 89% (100%) of subjects in I and 55% (73%) in P. Higher eccentric plantar flexion peak torques after treatment were observed in I and P.

Conclusions: Most patients with AT experience a reduction in pain after only 4 weeks of differentiated, non-surgical treatment consisting of physiotherapy or semirigid insoles.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Achilles Tendon / injuries*
  • Adolescent
  • Adult
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Pain / etiology
  • Pain Management
  • Pain Measurement
  • Physical Therapy Modalities*
  • Running / injuries*
  • Tendinopathy / therapy*
  • Time Factors
  • Treatment Outcome