Anziano Antonio
Private practice, Hamilton, ON.
J Can Chiropr Assoc. 2024 Apr;68(1):68-74.
Although most cases of Achilles tendinitis are caused by some form of biomechanical stress, other factors may play a role in its etiology. Fluoroquinolone use is a well-known contributing factor to Achilles tendon pathology. This report describes a case of fluoroquinolone-induced Achilles tendinitis in a 77-year-old woman. Eight weeks after she presented to our office, the patient reported significant improvements after a course of care that included low level laser therapy (LLLT), activity modification and graduated exercises. Management can include many of the treatment tools used for biomechanically induced tendinopathy, with particular consideration given to delaying more advanced weight-bearing rehabilitative exercise due to the increased risk of rupture.
虽然大多数跟腱炎病例是由某种形式的生物力学应力引起的，但其他因素可能在其病因中起作用。使用氟喹诺酮类药物是导致跟腱病变的一个众所周知的因素。本报告描述了一名77岁女性因使用氟喹诺酮类药物引发跟腱炎的病例。患者到我们诊所就诊八周后，经过一个疗程的治疗，包括低强度激光治疗（LLLT）、调整活动和循序渐进的锻炼，报告称有显著改善。治疗方法可包括许多用于治疗生物力学性肌腱病的工具，尤其要考虑到由于破裂风险增加而推迟更高级的负重康复锻炼。
