Treatment of Achilles Tendinopathies

  • Jon KarlssonEmail author
  • Annelie Brorsson
  • Unnur Jónsdóttir
  • Karin Grävare Silbernagel


Achilles tendinopathy is a common problem and often difficult to treat. The best-known and best-researched treatment is mechanical loading, either with eccentric or concentric-eccentric exercises or with a heavy-load, slow-speed (concentric-eccentric) rehabilitation program. To experience a favorable outcome from exercise, the exercises are allowed to cause pain. Therefore, the use of a pain-monitoring model together with a training log will help the patient and the clinician in the balance between overloading and loading enough to achieve a positive response to the exercises. The exercise program needs to continue for at least 12 weeks, and often it needs to be continued for up to a year. It might also be beneficial to combine the exercise treatment with other treatments, such as shock wave therapy, laser therapy, and the use of orthotics. Surgery is considered to be the last option. Patients with insertional Achilles tendinopathy are more likely to need surgery compared with patients with midportion Achilles tendinopathy.


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Copyright information

© ISAKOS 2019

Authors and Affiliations

  • Jon Karlsson
    • 1
    Email author
  • Annelie Brorsson
    • 1
  • Unnur Jónsdóttir
    • 1
  • Karin Grävare Silbernagel
    • 2
  1. 1.Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska AcademyGothenburg UniversityGothenburgSweden
  2. 2.Department of Physical TherapyUniversity of DelawareNewarkUSA

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