{"id":2256,"date":"2009-05-05T22:09:56","date_gmt":"2009-05-05T22:09:56","guid":{"rendered":"https:\/\/dpfr.org.uk\/wp_dpfr\/?p=2256"},"modified":"2009-05-05T22:09:56","modified_gmt":"2009-05-05T22:09:56","slug":"","status":"publish","type":"post","link":"https:\/\/dpfr.org.uk\/wp_dpfr\/2256","title":{"rendered":"Down at heel research"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt;\"><span style=\"mso-ansi-language: EN-GB;\" lang=\"EN-GB\"><span style=\"font-size: small; font-family: Times New Roman;\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-1582\" src=\"https:\/\/www.dpfr.org.uk\/blog\/wp-content\/uploads\/2009\/05\/achilles-florathexplora1.jpg\" alt=\"achilles-florathexplora1\" width=\"211\" height=\"319\" \/><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt;\"><span style=\"mso-ansi-language: EN-GB;\" lang=\"EN-GB\"><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt;\"><span style=\"mso-ansi-language: EN-GB;\" lang=\"EN-GB\"><span style=\"font-size: small; font-family: Times New Roman;\">A recent article got me thinking about the subject of that bane of many runners Achilles tendonitis and why there is so little good quality research into its causes and treatment. <span style=\"mso-spacerun: yes;\">\u00a0\u00a0<\/span>There is a huge variety of treatments, including injections of all sorts of compounds into and around the tendon, blasting it with ultrasound, striping it from the surrounding tissues, scooping the centre out and making cuts in the tendon to name a few.<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>Most of these have no rationale behind them and little or no evidence.<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>What passes for research is usually very poor quality with <span style=\"mso-spacerun: yes;\">\u00a0<\/span>small numbers of subjects, short follow up and lack of randomisation, there is reasonable <\/span><a href=\"http:\/\/www.library.nhs.uk\/MUSCULOSKELETAL\/ViewResource.aspx?resID=292947th\"><span style=\"font-size: small; font-family: Times New Roman;\">evidence<\/span><\/a><span style=\"font-size: small; font-family: Times New Roman;\">, at least in motivated individuals with tendonitis affecting the mid position of the Achilles tendon, a series of exercises when the tendon is stretched under tension (<\/span><a href=\"http:\/\/www.med.umich.edu\/1libr\/sma\/sma_achilles_rex.htm\"><span style=\"font-size: small; color: #800080; font-family: Times New Roman;\">eccentric exercise<\/span><\/a><span style=\"font-size: small;\"><span style=\"font-family: Times New Roman;\">) is effective.<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>There is little evidence of how it might work but it seems to lengthen the tendon muscle unit, increases the tendon stiffness and increases the quantity of type 1 collagen. <\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt;\"><span style=\"mso-ansi-language: EN-GB;\" lang=\"EN-GB\"><span style=\"font-size: small;\"><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt;\"><span style=\"mso-ansi-language: EN-GB;\" lang=\"EN-GB\"><span style=\"font-size: small;\"><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A recent article got me thinking about the subject of that bane of many runners Achilles tendonitis and why there is so little good quality research into its causes and treatment. \u00a0\u00a0There is a huge variety of treatments, including injections of all sorts of compounds into and around the tendon, [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[154],"tags":[],"class_list":["post-2256","post","type-post","status-publish","format-standard","hentry","category-carshare"],"_links":{"self":[{"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/posts\/2256","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/comments?post=2256"}],"version-history":[{"count":0,"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/posts\/2256\/revisions"}],"wp:attachment":[{"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/media?parent=2256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/categories?post=2256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dpfr.org.uk\/wp_dpfr\/wp-json\/wp\/v2\/tags?post=2256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}