TDN, Manual Therapy and Exercise For the Management of Achilles Tendinopathy

Completed · Not applicable

Conditions studied: Achilles Tendon Injury

In brief

Conflicting evidence exists regarding the recommendations from the Orthopaedic section of the American Physical Therapy Association for treatment of Achilles tendinitis. Trigger point dry needling is effective in reducing pain in several body regions, but no published (TDN) studies are found reporting the effect on Achilles tendinopathy. The purpose of this study is to investigate whether a treatment program performed including TDN, manual therapy and exercise will result in a significant improvement in pain, strength and function compared to a treatment program including manual therapy and exercise for Achilles tendinopathy. Subjects with Achilles tendinopathy that receive treatment including TDN, manual therapy and exercise will demonstrate a significant improvement in pain, strength and functional outcomes compared to the group that receives manual therapy and exercise.

Key facts

Study ID

NCT02532595

Run by

Nova Southeastern University

People needed

18

Starts

2015-05-01

Expected to finish

2018-12-31

Last updated by the study team

2021-06-30

Who can join

Age: 18 and older, up to 70. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• pain onset greater than 4 weeks
• primary region of pain 2-6 cm proximal to the insertion on the calcaneus
• read and write in english

You may not qualify if…

• Fear of needles or unwilling to have needling performed due to fear or personal beliefs.
• Vascular or sensory disturbances in the lower leg which include but is not limited to injury to the nerve root or peripheral nerve in the affected lower leg, inflammatory diseases, bleeding or clotting disorders, lymphedema, peripheral vascular or peripheral arterial disease. Diabetes is included in this group due to the progressive changes to the sensation and circulation in the lower extremities.
• Recent infection.
• Previous surgery to the foot/ankle.
• Steroid by injection or transdermal delivery to the posterior heel within three months.
• Full rupture of the Achilles tendon.
• Pregnant or may be pregnant.
• Participants with a work related injury insured by the bureau of worker's compensation or involved in litigation related to injury of the lower leg, foot or ankle.

Where it is running

• Breakthrough Physical Therapy — Fayetteville, North Carolina, United States

Full record on ClinicalTrials.gov

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