Drug Ther Bull. 2012 Aug;50(8):93-6. doi: 10.1136/dtb.2012.08.0124.
Tendons transmit force between muscles and bones and, when stretched, store elastic energy that contributes to movement.(1) The tendinous portion of the gastrocnemius and soleus muscles merge to form the Achilles tendon, which is the largest and strongest in the body, but one of the most frequently injured.(2,3) Conservative management options for chronic Achilles tendinopathy include eccentric (lengthening) exercises, extracorporeal shockwave therapy (ESWT), topical nitroglycerin, low level laser therapy, orthoses, splints or injections (e.g. corticosteroids, hyperosmolar dextrose, polidocanol, platelet-rich plasma), while a minority of patients require surgery (using open, percutaneous or endoscopic methods).(4-8) Here we assess the management options for patients with chronic Achilles tendinopathy (lasting over 6 weeks).
肌腱在肌肉和骨骼之间传递力量，拉伸时会储存有助于运动的弹性能量。（1）腓肠肌和比目鱼肌的腱性部分融合形成跟腱，跟腱是人体最大、最强壮的肌腱，但也是最常受伤的肌腱之一。（2,3）慢性跟腱病的保守治疗方法包括离心（拉长）运动、体外冲击波疗法（ESWT）、局部使用硝酸甘油、低强度激光疗法、矫形器、夹板或注射（如皮质类固醇、高渗葡萄糖、聚多卡醇、富血小板血浆），而少数患者需要手术（采用开放、经皮或内镜方法）。（4-8）在此，我们评估慢性跟腱病（持续超过6周）患者的治疗选择。
