Sports Medicine Unit, Umeå universitet, Umeå, Sweden.
Braz J Phys Ther. 2015 Sep-Oct;19(5):429-32. doi: 10.1590/bjpt-rbf.2014.0117. Epub 2015 Oct 6.
The chronic painful Achilles tendon mid-portion was for many years, and still is in many countries, treated with intratendinous revision surgery. However, by coincidence, painful eccentric calf muscle training was tried, and it showed very good clinical results. This finding was unexpected and led to research into the pain mechanisms involved in this condition. Today we know that there are very few nerves inside, but multiple nerves outside, the ventral side of the chronic painful Achilles tendon mid-portion. These research findings have resulted in new treatment methods targeting the regions with nerves outside the tendon, methods that allow for a rapid rehabilitation and fast return to sports.
慢性疼痛的跟腱中段多年来，在许多国家仍然采用跟腱内修正手术进行治疗。然而，碰巧的是，人们尝试了疼痛的离心小腿肌肉训练，结果显示出非常好的临床效果。这一发现出人意料，促使人们对这种病症的疼痛机制进行研究。今天我们知道，在慢性疼痛的跟腱中段内部神经很少，但在跟腱腹侧外部有许多神经。这些研究结果导致了针对肌腱外部有神经区域的新治疗方法，这些方法可以实现快速康复和快速重返运动。
