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Achilles Tendinopathy: Management and Rehabilitation

This lecture will discuss how to develop comprehensive first-line treatment strategies for people with Achilles Tendinopathy. Read more ↓
5 Episodes 59m
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Episodes
01
Assessing Load Tolerance, Fear and Calf Capacity in the Achilles

How to assess load tolerance, pain expectation, participation and kinesiophobia in Achilles tendinopathy, and how to test calf capacity with a standardized calf raise test and a seated six repetition maximum.

11:58
02
Educating the Achilles Patient, Activity Modification and Expectations

How to educate a patient with Achilles tendinopathy around three questions: what is wrong, what can be done and what to expect, including activity modification, acceptable pain and realistic recovery timelines.

10:25
03
Graded Exercise Progression, Dosage and Isometric to Isotonic Loading

A graded exercise approach for Achilles tendinopathy that moves from isometric to isotonic to stretch-shortening loading based on pain, with dosage, OMNI scale intensity targets and home and gym options for each level.

13:31
04
Insertional Tendinopathy, Calf Rehab Strategies and Power Training

How to load insertional Achilles tendinopathy into dorsiflexion safely, strategies for patients who struggle with single leg calf raises or inner range plantarflexion, and how power training and stretch-shortening work fit into the weekly program.

13:27
05
Rehab for Very Weak Calves, Adjuncts, Screening and a Case Study

Rehabilitation for calves too weak to lift body weight after rupture or severe tendinopathy, the evidence for common adjuncts such as heel wedges, screening for systemic causes and a multidisciplinary case example.

09:47

This lecture will discuss how to develop comprehensive first line treatment strategies for people with Achilles Tendinopathy. This will include specifics of exercise and exercise dosage, what education should be considered, as well as the evidence for common adjuncts therapies.

The lecture includes practical strategies that clinicians can implement immediately with their patients. 

Learning outcomes

  • Plan a progressive rehabilitation program for Achilles tendinopathy
  • Discuss how to address various biopsychosocial aspects of Achilles tendinopathy
  • Develop individualized education for people with Achilles tendinopathy
  • Discuss effective adjunct therapies for Achilles tendinopathy
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