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Conservative Treatment of Chronic Achilles Tendinopathy: A Systematic Review

Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-Vittorio Emanuele, University of Catania, Via Santa Sofia 78, 95123 Catania, Italy
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J. Funct. Morphol. Kinesiol. 2019, 4(3), 46; https://doi.org/10.3390/jfmk4030046
Received: 30 June 2019 / Revised: 19 July 2019 / Accepted: 21 July 2019 / Published: 22 July 2019
(This article belongs to the Section Musculoskeletal Disorders)
Achilles tendinopathy is a common musculoskeletal disorder. Athletes, runners and jumpers, and the sedentary are frequently affected. Numerous are the therapeutic choices to manage these kinds of disorders. The aim of this review is to analyze the available literature to document the up-to-date evidence on conservative management of Achilles tendinopathy. A systematic review of two medical electronic databases was performed by three independent authors, using the following inclusion criteria: conservative treatment consisted of pharmacologic, physical therapy without operative treatment, with more of 6 months symptoms and a minimum average of 6-months follow-up. Studies of any level of evidence, reporting clinical results, and dealing with Achilles tendinopathy and conservative treatment were searched for. A total of n = 1228 articles were found. At the end of the first screening, following the previously described selection criteria, we selected n = 94 articles eligible for full-text reading. Ultimately, after full-text reading and a reference list check, we selected n = 29 articles. Achilles tendinopathy is a frequent musculoskeletal disorder and several conservative treatments have been proposed, but no therapy is universally accepted, except for eccentric exercise training, which is the gold standard and a commonly used protocol. View Full-Text
Keywords: Achilles tendinopathy; Achilles tendon; conservative treatment; ESWT; Extracorporeal shockwave therapy; platelet rich plasma; PRP; leukocyte- and platelet-rich plasma; L-PRP; pharmacology therapy Achilles tendinopathy; Achilles tendon; conservative treatment; ESWT; Extracorporeal shockwave therapy; platelet rich plasma; PRP; leukocyte- and platelet-rich plasma; L-PRP; pharmacology therapy
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Pavone, V.; Vescio, A.; Mobilia, G.; Dimartino, S.; Di Stefano, G.; Culmone, A.; Testa, G. Conservative Treatment of Chronic Achilles Tendinopathy: A Systematic Review. J. Funct. Morphol. Kinesiol. 2019, 4, 46.

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