Shockwave Conditions Ems Insertional Achilles Tendinopathy

The Achilles tendon is the combination of tendons of the soleus and gastrocnemius muscles and connects these muscles to the back of the heel. Insertional Achilles tendinopathy (IAT) is a painful acute or chronic disorder of the Achilles tendon at its insertion onto the foot bone called the calcaneus.

It is a very stubborn condition that can become long term (sometimes years) and resistant to treatment. There is usually reduced foot flexion and pain on walking, using stairs and running on hard surfaces.

Some causes would be poor foot ware on rough terrains, and predisposition to loose ligaments or foot and ankle hypermobility, either from sprains or inherited flat feet. Athletes may be affected when training schedules increase or by poor posture or technique. It can effect individuals involved in all levels of activities.

A heel lift wedge can be used to take further pressure off the tendon and arch supports can improve foot positioning and added strain on the affected ankle and tendon.

Diagnostic imaging is useful to assess findings such as rupture, spurs, degree and position of hypervascularity and it can look for other causes of Achilles tendon pain. Diagnosis is usually based simply on clinical features and location of the pain.

Rompe JD, Nafe B, Furia JP, Maffulli N
Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achillis: a randomized controlled trial. Am J Sports Med 2007;35:374-383
http://ajs.sagepub.com/content/35/3/374.abstract

Rompe JD, Furia JP, Maffulli N
Eccentric loading, versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: A randomized controlled trial. J Bone Joint Surg Am 2009;37:463-470
http://ajs.sagepub.com/content/early/2008/12/15/0363546508326983.abstract