TITLE:
Successful Painful Treatment of the Painful Achilles Was the Start for Research Providing New Knowledge about Tendon Pain and New Treatment Methods
AUTHORS:
Håkan Alfredson
KEYWORDS:
Achilles, Patellar, Tendinopathy, Research, Ultrasound + Doppler, Eccentric Training, Sclerosing Injections, Surgical Scraping, Arthroscopic Shaving
JOURNAL NAME:
Pain Studies and Treatment,
Vol.2 No.2,
April
15,
2014
ABSTRACT: Successful treatment with painful eccentric training for patients with chronic painful midportion Achilles tendinosis started research on pain mechanisms involving ultrasound + Doppler investigations and immunohistochemical analyses of tendon tissue specimens. This research has resulted in a better understanding of the pain mechanisms involved in the chronic painful Achilles and patellar tendon, and based on these findings new non tendon-invasive treatment methods beneficial for the patients have been invented. This is a mini review showing the background and research that resulted in the highly successful mini surgical treatments for mid-portion Achilles tendinopathy and proximal patellar tendinopathy.