{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:16:18Z","timestamp":1782206178695,"version":"3.54.5"},"reference-count":28,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T00:00:00Z","timestamp":1314835200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p> Background: This study assessed the efficacy of a modified eccentric heel-drop program (reduced time and increased duration of stretch) in treating chronic Achilles tendinopathy. Methods: Athletes with at least 12 weeks of symptoms diagnosed clinically as chronic Achilles tendinopathy were enrolled in the study. The only treatment recommended was a 6-week eccentric stretching regimen, with each stretch being maintained for at least 15 seconds. Athletes were followed to assess the response to treatment using a Visual Analogue Scale (VAS) for pain and a patient effectiveness rating for treatment satisfaction as well as time to return to pre-injury activity level. Followup was successful in 156 (82%) of the athletes. A total of 190 athletes were seen with chronic Achilles tendinopathy. Results: Mid-substance injuries were diagnosed in 168 (88%) with the remainder 22 (12%) having distal insertional injuries. Pain as assessed by VAS reduced from mean of 7.2 at commencement of the regimen to 2.9 ( p &lt; 0.01) after 6 weeks of stretching. Six months post commencement of program mean pain was 1.1. Patient satisfaction was rated at 7 or above (excellent) in 124 (80%) of the athletes. For mid-substance injuries the satisfaction rating was excellent in 86%. Overall mean time to return to pre-morbid activity was 10 weeks. Conclusion: A modified 6-week eccentric heel-drop training regimen as the only treatment for chronic Achilles tendinopathy resulted in a high degree of patient satisfaction, reduced pain and a successful return to pre-morbid activity levels. These results were best for mid-substance rather than insertional tendinopathy. <\/jats:p><jats:p> Level of Evidence: IV, Retrospective Case Control Study <\/jats:p>","DOI":"10.3113\/fai.2011.0843","type":"journal-article","created":{"date-parts":[[2012,3,9]],"date-time":"2012-03-09T23:15:18Z","timestamp":1331334918000},"page":"843-849","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":41,"title":["Chronic Achilles Tendinopathy Treated With Eccentric Stretching Program"],"prefix":"10.1177","volume":"32","author":[{"given":"Geoffrey","family":"Verrall","sequence":"first","affiliation":[{"name":"SPORTSMED.SA Sports Medicine Clinic, Adelaide, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Schofield","sequence":"additional","affiliation":[{"name":"University of Adelaide, Adelaide, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terese","family":"Brustad","sequence":"additional","affiliation":[{"name":"Sunnaas Rehabilitation Hospital, Askim, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dip","family":"Physio","sequence":"additional","affiliation":[{"name":"Sunnaas Rehabilitation Hospital, Askim, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,9,1]]},"reference":[{"key":"bibr1-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260030301"},{"key":"bibr2-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199507000-00021"},{"key":"bibr3-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2007.05.014"},{"key":"bibr4-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300810"},{"key":"bibr5-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200301"},{"key":"bibr6-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.052142"},{"key":"bibr7-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0418-z"},{"key":"bibr8-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.039545"},{"key":"bibr9-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701786658"},{"key":"bibr10-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1080\/02640410400022029"},{"key":"bibr11-FAI.2011.0843","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1111\/j.1600-0838.2006.00522.x","volume":"17","author":"Langberg H","year":"2007","journal-title":"Scand J Med Science Sports"},{"key":"bibr12-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B1.12792"},{"key":"bibr13-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701786427"},{"key":"bibr14-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000148"},{"key":"bibr15-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e31818ef090"},{"key":"bibr16-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.031732"},{"key":"bibr17-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2009.00981.x"},{"key":"bibr18-FAI.2011.0843","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/j.1600-0838.2006.00545.x","volume":"17","author":"Norregaard J","year":"2007","journal-title":"Scand J Med Science Sports"},{"key":"bibr19-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507303558"},{"key":"bibr20-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01494"},{"key":"bibr21-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508326983"},{"key":"bibr22-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506295940"},{"key":"bibr23-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506298279"},{"key":"bibr24-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-002-0322-y"},{"key":"bibr25-FAI.2011.0843","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/00003086-198607000-00014","volume":"208","author":"Stanish WD","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"bibr26-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1152\/ajplegacy.1959.196.5.1088"},{"key":"bibr27-FAI.2011.0843","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2004.01.005"},{"key":"bibr28-FAI.2011.0843","volume":"6","author":"Yelland MJ","year":"2010","journal-title":"Br J Sports Med. 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