Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis

Review written by Dr. Adam Loiacono info

Key Points

  1. Eccentric exercise exhibited higher effectiveness in treating mid-portion Achilles tendinopathy compared to other exercise modalities.
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Achilles Tendinopathy is one of the most frequent overuse injuries in the ankle and foot (1-3). Most individuals who suffer from Achilles tendinopathy are active individuals who are involved in either recreational or competitive sports (4,5).

This research article investigated the efficacy of eccentric exercise for treating mid-portion Achilles tendinopathy. It compared eccentric exercise against other treatments and exercises. Achilles tendinopathy often requires effective interventions (6-8). The authors examined existing literature to determine whether eccentric exercise stands out as a superior treatment option.

The study aimed to provide a comprehensive analysis of the available evidence regarding the effectiveness of eccentric exercise in addressing mid-portion Achilles tendinopathy, contributing valuable insights for clinical practice and further research.

Achilles Tendinopathy is one of the most frequent overuse injuries in the ankle and foot.
Eccentric exercises in rehabilitation protocols for patients with mid-portion Achilles tendinopathy could potentially lead to reduced pain and improved functionality.


  • The authors conducted a comprehensive search across various electronic databases to identify relevant studies.
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