In fact, patients with Achilles tendinopathy showed pain decreases of as much as 29-94% when the lower leg was loaded with high eccentric force 1. More specifically, eccentric exercise was the single most effective treatment for all joints in the study 1. But exercise was the most consistently effective option. The data and patient reports showed that each treatment intervention provided some level of improvement. Eccentric Exercise Is the Most Effective Treatment for All Joints The study looked at eccentric exercise, surgery, dry needling, shockwave therapy, splints, Platelet Rich Plasma Therapy, laser therapy, ultrasound, iontophoresis, ultrasound guided lavage and corticosteroids for treating the various tendinopathies. Patients reported their experience using pain scales, which determined how effectively various treatments worked. Twenty-five reviews met the authors’ criteria, looking at tendinopathies at various areas in the body. This systemic review of systemic reviews aimed to “determine the ability of therapeutic interventions to improve pain and dysfunction in patients with tendinopathy regardless of type or location.” The review only included randomized control trials looking at treatments for tendinopathy. In May of 2020, researchers at the University of Nebraska and Temple University produced a study looking at clinical management of tendinopathy 1. Subscribe to receive email updates from TherapySpark. One particular way we can achieve effective and strong outcomes is with eccentric exercise. During this time, we must make the most productive use of our time and our patients’ time. People will continue to need expert clinicians to help facilitate a return to function and health. One thing that WILL NOT change moving forward is the need for evidence-based solutions to clinical problems.
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Telehealth, home health, decreased frequency and length of visits, and of course PPE have all become somewhat commonplace today.
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Many clinics have had to try new methods of therapy. Every level of medical care has been impacted by COVID-19 and some may have changed for more than just the short term. It is certain that the year 2020 will be forever remembered for countless reasons. More specifically, eccentric exercise was the single most effective treatment for all joints in the study The data showed that each intervention provided some level of improvement.