What intervention is appropriate for treating Achilles Tendonosis?

• A. Cortisone injections
• B. Heavy-load eccentric exercise and stretching
• C. Rest and ice therapy
• D. Only strength training

Answer: (B)

Heavy-load eccentric exercise and stretching are considered the most effective interventions for treating Achilles Tendonosis due to the nature of the condition. Achilles Tendonosis is associated with degenerative changes in the tendon rather than inflammatory processes, which means that traditional approaches that might include cortisone injections may not be beneficial. Instead, heavy-load eccentric exercise specifically targets the tendon, promoting collagen synthesis and improving the tensile strength of the tendon over time. This form of exercise helps to stimulate the repair processes within the tendon and has been supported by research showing its effectiveness in reducing pain and improving function in individuals with this condition.

Stretching is also a valuable component of the treatment, as it helps to maintain the flexibility of the calf muscles and the Achilles tendon, potentially preventing further injuries or complications. Together, these interventions address both strength and flexibility, making them a comprehensive approach to managing Achilles Tendonosis and supporting rehabilitation.

Rest and ice therapy can provide temporary relief, but they do not address the underlying issues of tendon degeneration and are not a long-term solution. Strength training alone, while beneficial, does not encompass the full approach needed to effectively treat tendon pain, as it may neglect the necessary eccentric loading and flexibility enhancement provided by a more holistic treatment strategy including stretching.