Treatment of midportion Achilles tendinopathy: an evidence-based overview

Knee Surg Sports Traumatol Arthrosc. 2016 Jul;24(7):2103-11. doi: 10.1007/s00167-014-3407-5. Epub 2014 Nov 1.


In Achilles tendinopathy, differentiation should be made between paratendinopathy, insertional- and midportion Achilles tendinopathy. Midportion Achilles tendinopathy is clinically characterized by a combination of pain and swelling at the affected site, with impaired performance as an important consequence. The treatment of midportion Achilles tendinopathy contains both non-surgical and surgical options. Eccentric exercise has shown to be an effective treatment modality. Promising results are demonstrated for extracorporeal shockwave therapy. In terms of the surgical treatment of midportion Achilles tendinopathy, no definite recommendations can be made.

Level of evidence: IV.

Keywords: Achilles tendinopathy; Conservative; Surgical; Treatment.

Publication types

  • Review

MeSH terms

  • Achilles Tendon*
  • Humans
  • Orthopedic Procedures / methods*
  • Tendinopathy / therapy*
  • Treatment Outcome