Evidence-Based Clinical Review  |   November 2015
Achilles Tendon Disorders
Author Notes
  • From the Department of Orthopedic Surgery at the Rowan University School of Osteopathic Medicine in Stratford, New Jersey (Drs Saini, Reb, and Chapter), and the Rothman Institute at Jefferson Medical College in Philadelphia, Pennsylvania (Dr Daniel). 
  •  *Address correspondence to Joseph N. Daniel, DO, The Rothman Institute, Jefferson Medical College, Foot and Ankle Service, 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4206. E-mail: joe.daniel@rothmaninstitute.com
     
Article Information
Evidence-Based Medicine / Neuromusculoskeletal Disorders
Evidence-Based Clinical Review   |   November 2015
Achilles Tendon Disorders
The Journal of the American Osteopathic Association, November 2015, Vol. 115, 670-676. doi:10.7556/jaoa.2015.138
The Journal of the American Osteopathic Association, November 2015, Vol. 115, 670-676. doi:10.7556/jaoa.2015.138
Abstract

Disorders of the Achilles tendon, the largest tendon in the human body, are common and occur in both active and sedentary persons. A thorough history and physical examination allow primary care physicians to make an accurate diagnosis and to initiate appropriate management. Mismanaged or neglected injuries markedly decrease a patient’s quality of life. A growing body of related literature is the basis for current therapeutic regimens, which use a multimodal conservative approach, including osteopathic manipulative treatment. Although primary care physicians can manage most cases of Achilles tendon disorders, specialty care may be needed in certain instances. Procedural intervention should consider any comorbid conditions in addition to patients’ lifestyle to help guide decision making. When appropriately managed, Achilles tendon disorders generally carry a favorable prognosis.

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