Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background: Achilles tendon injuries occur frequently in runners and in athletes who play sports that involve jumping, and they are also common in the general population. Tendons have a limited capacity for self-repair due to the low density and mitotic activity of tenocytes. Conservative treatment for Achilles tendinopathy should include rest, application of ice, nonsteroidal anti-inflammatory drugs, orthotic devices, physiotherapy, and corticosteroid injections. Previous clinical research has shown good results with ESWT in the treatment of insertional Achilles tendinopathy Purpose: This study was conducted to determine the effect of Shock wave therapy for improving functional activity and for decreasing pain in patients with Achilles tendinopathy. Methods: Fifty patients of both sexes with age range (18 to 40) years were randomized into two equal groups. Patients in study group (Group A) were exposed to extracorporeal shock wave therapy and received conservative physical therapy treatments. Group (B) received physical therapy treatment only. The treatment sessions were conducted once per week every other day for four successive weeks. All subjects assessed for pain using Visual Analog Scale and for functional mobility using The Victorian Institute of Sport Assessment -Achilles. Results: Significant improvement of functional activity was obtained at post treatment compared to pre-treatment and reduction of the median values of VAS were also acquired at post treatment compared to pre-treatment. Conclusion: combined ESWT with stretching is very effective for Achilles tendinopathy

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