Table 1 Treatment options

From: Effectiveness of dry needling and high-volume image-guided injection in the management of chronic mid-portion Achilles tendinopathy in adult population: a literature review

Non-operative options Operative options
Physical therapies Tenotomies
Eccentric exercises Multiple percutaneous longitudinal tenotomies
Shock wave therapy Radiofrequency microtenotomy
  Neovessel destruction
Injectable substances Arthroscopic
High-volume injections Arthroscopic debridement
Corticosteroids Surgery
Local anaesthetic agents Tendon debridement
Platelet-rich plasma Tendon decompression
Autologous blood injection Tendon transfer
LMW heparin Gastrocnemius lengthening
Sclerotherapy  
Other  
GTN Patches  
  1. Source [3, 12]