The relationship between changes in the neural mechanisms associated with pain and the improvement in clinical symptoms of Achilles tendon pain.

Not Applicable

• Conditions: Mid-Portion Achilles Tendinopathy; Musculoskeletal - Other muscular and skeletal disorders; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12617000675325
• Lead Sponsor: The University of Notre Dame Australia

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-05-10
• Study Completion: 2020-03-31
• Last Update Posted: 5 July 2021

Recruitment & Eligibility

• Status: Stopped early
• Sex: All
• Target Recruitment: 9

Inclusion Criteria

Recreational or competitive runner
*Can have ceased running due to AT
*No limit on distance or running duration per week
Reported pain for greater than 3 months
Reported local Achilles Pain (<2 fingers width)
Reported local Achilles Stiffness
Reported impairment of functional activity
Ultrasound
*Local A-P Thickening of the mid-portion AT
*Hyperechoic area of the mid-tendon with colour Doppler signal within the area
Ability to given informed consent
Able to complete questionnaires
Able to begin Baseline Testing and Intervention within 2 weeks of recruitment

Exclusion Criteria

- VISA-A score of greater than 80/100, 12 week wash out from other treatments,
- Corticosteroid injection within the past 12 months,
- Bilateral Achilles Tendinopathy,
- Insertional Achilles Tendinopathy,
- Previous Fracture lower limb within 12 months,
- Systemic Disease (Diabetes, Rheumatic Conditions, Circulatory Disorders, Neurological Disorders),
- Foot or Ankle Surgery in the previous 6 months,
- Regular intake of medication which may have an influence on outcome (Statins, Fluoroquinolones),
- Confounding lower limb or ankle injury,
- Confounding Injury for CPM (chronic lumbar pain, recurrent or chronic tension headache, migraine, whiplash, painful OA etc),
- Current Radiculopathy
- Contra-indications to Cold application (Cold Uticaria, Raynaud’s Phenomenon, Skin Conditions).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Change in chronic Mid-Portion Achilles tendon pain and function using the VISA-A Scale[Weeks: 0, 3, 6, 9, 12]