Treatment of Achilles tendinopathy with combined loading programs

Eccentric muscle strengthening has become the primary conservative management approach for Achilles tendinopathy and popularized by the Alfredson program, however up to 45% of patients do not respond to this approach. Other loading programs such as Silbernagel-combined loading program incorporates eccentric-concentric, eccentric and then faster loading. The purpose of this blog is to review this combined loading program in the treatment of Achilles Tendinopathy.

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