About this trial
This is a randomized controlled trial with individuals who have Achilles tendon pain. This study is designed to identify an effective rehabilitation program for Achilles tendon pain that expands access to care for military personnel and to predict treatment response. Limited or delayed access to healthcare can exacerbate the severity of pain and duration of disability due to AT. This is particularly relevant for individuals deployed to battlefield settings or are being seen in busy military treatment facilities. Therefore, it is crucial to identify efficient and effective treatment pathways that maximize healthcare access and facilitate a rapid and pain-free return to full duty.
Eligibility criteria
Qualifiers
Pain localized to the Achilles tendon (insertion or midportion)
AT pain greater than or equal to 3/10 with tendon-loading exercise
Disqualifiers
Younger than 18 years of age or older than 60 years of age
BMI > 45 kg/m2
Pain primarily due to a differential diagnosis, including paratendonitis, bursitis (retrocalcaneal or subcutaneous), posterior ankle impingement or os trigonum, irritation or neuropathy of the sural nerve, plantaris tendon involvement)
Presence of a partial Achilles tendon tear or rupture on imaging or a history of Achilles tendon rupture that was verified by surgical or conservative management
Trial design
Treatments tested in this trial
- Exercise
- Education
Treatment groups
Sponsors and collaborators
Ruth Chimenti
Lead sponsor
University of Iowa
Sponsor institution
C.R.Darnall Army Medical Center
Collaborator
United States Department of Defense
Collaborator