Progressive Achilles Loading Via Clinician E-support

Launched by RUTH CHIMENTI · Dec 12, 2024

Keywords

ClinConnect Summary

This clinical trial, called "Progressive Achilles Loading Via Clinician E-support," is looking to find the best rehabilitation program for people suffering from Achilles tendon pain, especially those in the military. The goal is to help these individuals access effective treatment more quickly, which is important for those in busy military clinics or deployed in tough environments. The study aims to find out which programs can help reduce pain and get participants back to their normal activities faster.

To participate in this trial, you must be between 18 and 60 years old and have pain specifically in the Achilles tendon that is at least a 3 out of 10 during certain exercises. However, there are some conditions that would exclude you from the study, such as recent treatments for the tendon or certain medical conditions. Participants will engage in virtual visits and complete surveys to assess their progress. This is a great opportunity for those eligible to contribute to important research while receiving support for their Achilles tendon pain.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Pain localized to the Achilles tendon (insertion or midportion)
• • AT pain greater than or equal to 3/10 with tendon-loading exercise
• Exclusion Criteria:
• • 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
• • Attended physical therapy for AT in the past 3 months
• • History of steroid injection to lower extremity tendons/fascia or any injection to the Achilles tendon region in the past 3 months
• • History of taking fluoroquinolones in the past 6 months
• • History of surgery or invasive procedure for AT on side enrolling for treatment
• • Diagnosed systemic inflammatory conditions (e.g., rheumatoid arthritis, ankylosing spondylitis), endocrine disorder with complications (e.g., uncontrolled Type I or II diabetes, diabetic peripheral neuropathy), connective tissue disorder (e.g., Marfan's syndrome, Ehlers Danlos), or pregnancy
• • At high risk for falls (four step square test \>15 seconds)
• • Refusal of randomization or unable or uninterested in completing virtual visits with a webcam or smart phone or completing quizzes and surveys