Progressive Achilles Loading Via Clinician E-support
Trial Parameters
Brief Summary
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
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, ESWT 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 * Diagnos