Progressive Achilles Loading Via Clinician E-support
Recruiting now · Not applicable
Conditions studied: Achilles Tendon Pain, Achilles Tendinopathy
In brief
This is a randomized controlled trial with individuals who have Achilles tendon pain. This study is designed to identify an effective rehabilitation program for Achilles tendon pain that expands access to care for military personnel and to predict treatment response. Limited or delayed access to healthcare can exacerbate the severity of pain and duration of disability due to AT. This is particularly relevant for individuals deployed to battlefield settings or are being seen in busy military treatment facilities. Therefore, it is crucial to identify efficient and effective treatment pathways that maximize healthcare access and facilitate a rapid and pain-free return to full duty.
Key facts
- Study ID
- NCT06736795
- Run by
- Ruth Chimenti
- People needed
- 160
- Starts
- 2025-08-20
- Expected to finish
- 2028-07-01
- Last updated by the study team
- 2025-10-07
Who can join
Age: 18 and older, up to 60. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Pain localized to the Achilles tendon (insertion or midportion)
- AT pain greater than or equal to 3/10 with tendon-loading exercise
You may not qualify if…
- Younger than 18 years of age or older than 60 years of age
- BMI > 45 kg/m2
- Pain primarily due to a differential diagnosis, including paratendonitis, bursitis (retrocalcaneal or subcutaneous), posterior ankle impingement or os trigonum, irritation or neuropathy of the sural nerve, plantaris tendon involvement)
- Presence of a partial Achilles tendon tear or rupture on imaging or a history of Achilles tendon rupture that was verified by surgical or conservative management
- Attended physical therapy for AT in the past 3 months
- History of steroid injection to lower extremity tendons/fascia, ESWT or any injection to the Achilles tendon region in the past 3 months
- History of taking fluoroquinolones in the past 6 months
- History of surgery or invasive procedure for AT on side enrolling for treatment
- Diagnosed systemic conditions affecting the foot and ankle (e.g., rheumatoid arthritis, ankylosing spondylitis), endocrine disorder with complications (e.g., uncontrolled Type I or II diabetes, diabetic peripheral neuropathy), connective tissue disorder (e.g., Marfan's syndrome, Ehlers Danlos), or pregnancy
- At high risk for falls (four step square test >15 seconds)
- Refusal of randomization or unable or uninterested in completing virtual visits with a webcam or smart phone or completing quizzes and surveys
Where it is running
- University of Iowa Health Care - Gait Analysis Laboratory — Iowa City, Iowa, United States (enrolling)
- Carl R. Darnall Army Medical Center (CRDAMC) — Fort Cavazos, Texas, United States
Full record on ClinicalTrials.gov
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