Current Concepts in Achilles Tendinopathy


Contributing Authors:

James D. Calder
Jón Karlsson
Nicola Maffulli
Hajo Thermann
C. Niek van Dijk

Paul W. Ackermann
Håkan Alfredson
Ösgür A. Atay
Murat Bozkurt
Annelie Brorsson
James D. Calder
Otto Chan
David A. Connell
Tom Crisp
Kay Crossley
Brian Donley
Gürhan Dönmez
Mahmut N. Doral
Nicholas R. Forsyth
Rodney B. Hammett
David A. Hart
Jeremiah C Healy
Rebecca J. Kampa
Jón Karlsson
Defne Kaya
Karim Khan
John B. King
Justin C. Lee
Umile G. Longo
Nicola Maffulli
Adam W.M. Mitchell
Francesco Oliva
Mikaa Paavola
Nat Padhiar
Christopher J. Pearce
Claudio Rosso
Paul T. Salo
Terrence S. Saxby
Pankaj Sharma
Karin G. Silbernagel
Hajo Thermann
Roland Thomée
Egemen Turhan
Victor Valderrabano
C. Niek van Dijk
Maayke N. van Sterkenburg


This book on Achilles tendinopathy is the second production of the Achilles Tendon Study Group (ATSG) and is part of a current concepts series on Achilles tendon problems. The ATSG has recruited world leaders who have an interest in the Achilles tendon and reviewed the literature in an attempt to provide a balanced consensus on what is known about non-insertional Achilles tendinopathy. The available treatments, the basis on which they are founded, and the available outcome measures to standardise future clinical studies and future treatments are discussed.

Non-insertional Achilles tendinopathy is an over-use injury and is increasing in incidence in-part due to the rise in sporting activities. It is said to effect up to 9% of recreational runners and 3-5% of professional athletes with Achilles tendinopathy who are then forced to give up their sporting career. The cause of the tendinopathy is multifactorial and the underlying pathophysiology complex. Therefore, the treatment is controversial and has a far from certain outcome – “treatment is more of an art than a science”.

Many different treatment modalities have been put forward over the years with varying reported rates of success. Many of these treatments may be based upon sound scientific theory but most have little clinical evidence to support their use.

It is acknowledged that some chapters are controversial as they report on treatments that may be widely used but have little clinical support in terms of controlled or independent studies. The editors have specifically included such chapters to promote debate and highlight areas where future clinical research is required or is in progress. The authors also wish to promote new studies on Achilles tendon pathology, especially controversial topics.

DJO Publications, Guildford, UK 

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