跟腱病的保守治疗：一例报告
Conservative management of Achilles Tendinopathy: a case report.
作者信息
Papa John A
机构信息
Private Practice, 338 Waterloo Street Unit 9, New Hamburg, Ontario, N3A 0C5. E-mail:
出版信息
J Can Chiropr Assoc. 2012 Sep;56(3):216-24.
Abstract
OBJECTIVE
To chronicle the conservative treatment and management of a 77-year old female patient presenting with chronic pain of 8 months duration in the midportion of the achilles tendon diagnosed as achilles tendinopathy.
CLINICAL FEATURES
The main clinical feature was pain in the midportion of the achilles tendon, 2 to 6 cm proximal to the calcaneal insertion. Symptom onset was gradual and unrelated to any acute trauma or overt injury mechanism.
INTERVENTION AND OUTCOME
The conservative treatment approach consisted of medical acupuncture with electrical stimulation, Graston Technique®, eccentric calf training, and rehabilitative exercise prescription. Outcome measures included verbal pain rating scale, lower extremity functional scale (LEFS), and a return to activities of daily living (ADLs). The patient attained long-term resolution of her complaint and at 12 month follow-up reported no recurrence of symptoms.
CONCLUSION
A combination of conservative rehabilitation strategies may be used by chiropractors to treat midportion achilles tendinopathy and allow an individual to return to pain free ADLs in a timely manner.
摘要
目的
记录一名77岁女性患者的保守治疗过程，该患者跟腱中部出现持续8个月的慢性疼痛，诊断为跟腱病。
临床特征
主要临床特征为跟腱中部疼痛，位于跟骨附着点近端2至6厘米处。症状起病缓慢，与任何急性创伤或明显的损伤机制无关。
干预措施及结果
保守治疗方法包括电刺激医用针灸、格拉森技术、小腿离心训练和康复运动处方。疗效评估指标包括口头疼痛评分量表、下肢功能量表（LEFS）以及恢复日常生活活动（ADL）的情况。患者的主诉得到长期缓解，在12个月的随访中未报告症状复发。
结论
脊医可采用多种保守康复策略来治疗跟腱中部肌腱病，并使患者及时恢复无痛的日常生活活动。
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