false
Catalog
Virtual Didactic - Achilles Tendinopathy: From Bas ...
Virtual Didactic-Achilles Tendinopathy: From Basic ...
Virtual Didactic-Achilles Tendinopathy: From Basic Tendon Concepts to Novel Treatments Led by Stephen Schaaf, MD
Back to course
[Please upgrade your browser to play this video content]
Video Transcription
Video Summary
In this video, Dr. Steve Schaaf discusses Achilles tendinopathy from basic tendon concepts to novel treatments. He explains that tendinopathy is a clinical syndrome of tendon-related pain and impaired performance. It can be further broken down into tendinitis and tendinosis, with tendinosis being the more common form. Risk factors for Achilles tendinopathy include training errors, such as sudden increases in mileage or intensity, biomechanical malalignments like forefoot hyperpigmentation, and extrinsic factors like improper footwear. The diagnosis of Achilles tendinopathy is made based on clinical presentation, including pain in the Achilles tendon area worsened by loading, and findings on physical examination, such as thickening and tenderness of the tendon. Imaging modalities, including x-ray, MRI, and ultrasound, can help confirm the diagnosis and estimate severity. The standard of care for Achilles tendinopathy is eccentric heavy loading physical therapy, which encourages healing and improves tendon fiber orientation and muscle strength. This involves three sets of 15 slow repetitions of eccentric unilateral loading, performed twice a day for three months. Dr. Schaaf also discusses other treatment options such as topical nitroglycerin patches, extracorporeal shockwave therapy, interventional techniques like percutaneous sonographically guided tendon scraping, high volume image-guided injections, and percutaneous ultrasonic tenotomy. Surgical options are also available if conservative treatments fail. Dr. Schaaf concludes by providing a few board-relevant questions and answering them. He also invites viewers to contact him for any further questions or discussion.
Keywords
Achilles tendinopathy
tendon-related pain
impaired performance
tendinitis
tendinosis
risk factors
diagnosis
imaging modalities
treatment options
surgical options
×
Please select your language
1
English