Penatalaksanaan Tendinopati Achilles

Oleh :

Bianda Pramudita MSc

Penatalaksanaan tendinopati achilles secara konservatif merupakan lini pertama atau terapi baku emas, di antaranya pengurangan aktivitas fisik, latihan peregangan, extracorporeal shock wave therapy (ESWT), dan terapi orthosis. Sementara, obat antiinflamasi nonsteroid (OAINS)hanya memberikan efek jangka pendek. Keputusan pembedahan tergantung dari kondisi dan derajat keparahan.[13,14]

Terapi Konservatif

Terapi konservatif cukup baik hasilnya bahkan setelah dilakukan follow up selama 5 tahun, tetapi perlu dikombinasikan dengan evaluasi terhadap nyeri seperti dengan kuesioner Victoria Institute of Sports Assessment – Achilles (VISA-A).[13,14]

Referensi

1. Lohrer H, David S, et al. Surgical treatment for achilles tendinopathy – a systematic review. BMC Musculoskelet Disord 2016;17. https://doi.org/10.1186/s12891-016-1061-4.
2. Medina Pabón MA, Naqvi U. Achilles Tendinopathy. Treasure Island (FL): StatPearls Publishing; 2023 Jan. https://www.ncbi.nlm.nih.gov/books/NBK538149/
4. Loppini M, Maffulli N. Conservative management of tendinopathy: an evidence-based approach. Muscles Ligaments Tendons J 2012;1:134–7.
6. Knapik JJ, Pope R. Achilles Tendinopathy: Pathophysiology, Epidemiology, Diagnosis, Treatment, Prevention, and Screening. J Spec Oper Med 2020;20:125–40.
8. Baltes TPA, Zwiers R, et al. Surgical treatment for midportion Achilles tendinopathy: a systematic review. Knee Surg Sports Traumatol Arthrosc 2017;25:1817–38. https://doi.org/10.1007/s00167-016-4062-9.
11. Maffulli N, Oliva F, et al. The Royal London Hospital Test for the clinical diagnosis of patellar tendinopathy. Muscles Ligaments Tendons J 2017;7:315–22. https://doi.org/10.11138/mltj/2017.7.2.315.
12. Saglimbeni AJ. Medscape. Achilles Tendon Injuries. 2022. https://emedicine.medscape.com/article/309393-overview
13. Traina F, Perna F, et al. Surgical treatment of insertional Achilles tendinopathy: a systematic review. J Biol Regul Homeost Agents 2016;30:131–8.
14. Mead MP, Gumucio JP, et al. Pathogenesis and Management of Tendinopathies in Sports Medicine. Transl Sports Med 2018;1:5–13. https://doi.org/10.1002/tsm2.6.
15. Heinemeier KM, Øhlenschlæger TF, et al. Effects of anti-inflammatory (NSAID) treatment on human tendinopathic tissue. J Appl Physiol. 2017;123:1397–405. https://doi.org/10.1152/japplphysiol.00281.2017.
16. Zhang Y-J, Xu S-Z, et al. Is Platelet-rich Plasma Injection Effective for Chronic Achilles Tendinopathy? A Meta-analysis. Clin Orthop Relat Res 2018;476:1633–41. https://doi.org/10.1007/s11999.0000000000000258.
17. de Jonge S, de Vos RJ, et al. One-year follow-up of platelet-rich plasma treatment in chronic Achilles tendinopathy: a double-blind randomized placebo-controlled trial. Am J Sports Med 2011;39:1623–9. https://doi.org/10.1177/0363546511404877.

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