3 Essential Principles for Managing Achilles Tendonopathy in Clinical Practice 🦶

Tendon Adaptability and Load Response: The Achilles tendon, bridging the calf muscles to the heel, excels in force transmission during movement. Its collagen fibers realign under specific mechanical loads, crucial for targeted rehabilitation strategies. Proper load progression prevents pathological adaptations, maintaining tendon integrity.

Precision in Load Management: Rehabilitation demands a nuanced approach to incrementally increase load, encouraging collagen realignment and enhancing tendon resilience. Practitioners must carefully navigate the threshold between underloading, which impedes recovery, and overloading, which risks further damage.

Targeting Neovascularization: Chronic Achilles tendonopathy often involves neovascularization, linked to pain due to nociceptive fiber growth. Advanced interventions like sclerosing therapy or high-volume image-guided injections can effectively mitigate pain and aid tissue recovery by addressing these pathological vascular changes.

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