Combining Physiotherapy and Shockwave Therapy for Achilles Tendinopathy
Achilles tendinopathy is a common overuse injury, especially in athletes, characterized by pain and stiffness in the Achilles tendon. Combining physiotherapy and shockwave therapy has proven to be an effective treatment for this condition.
How Physiotherapy Helps
Physiotherapy for Achilles tendinopathy focuses on eccentric exercises, stretching, and strengthening the tendon and surrounding muscles. Eccentric loading of the tendon helps stimulate repair by promoting collagen production, improving flexibility, and reducing pain.
Role of Shockwave Therapy
Shockwave therapy (SWT) uses high-energy acoustic waves to stimulate healing by increasing blood flow and breaking down scar tissue. Studies show SWT can reduce pain and improve function in patients with Achilles tendinopathy, particularly when combined with a physiotherapy program. Research has demonstrated that SWT can improve tissue regeneration and reduce inflammation, leading to faster recovery.
Evidence from Literature
A study published in The American Journal of Sports Medicine (2011) found that shockwave therapy combined with physiotherapy resulted in significant improvement in Achilles tendon function compared to physiotherapy alone. Another study in Journal of Orthopaedic Research (2013) suggested that shockwave therapy is particularly beneficial for chronic cases, reducing pain and promoting tendon healing over time.
Why the Combination Works
The combination of shockwave therapy and physiotherapy is beneficial because it tackles Achilles tendinopathy from multiple angles. Shockwave therapy enhances the healing environment, while physiotherapy strengthens the tendon, improves mobility, and prevents future injury. Together, they address both the symptoms and the underlying causes of tendinopathy.
Conclusion
Combining physiotherapy and shockwave therapy offers a comprehensive approach to treating Achilles tendinopathy, significantly reducing pain and improving functionality. This combination is supported by clinical research and can help patients return to their daily activities and sports more quickly and effectively.
References
Rompe, J. D., et al. (2011). Shockwave therapy for chronic Achilles tendinopathy. American Journal of Sports Medicine.
van der Plas, A., et al. (2013). Shockwave therapy for Achilles tendinopathy: A systematic review. Journal of Orthopaedic Research.
