Using the pain-monitoring model in the management of achilles tendinopathy.

Siibernagel et al 2007 used the pain-monitoring model in a study on Achilles tendinopathy that showed that you can safely continue some activity like running.  ( see picture below)

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Pain-monitoring model

We know that tendinopathy does not improve with rest as the tendon weakens. One way of gradually increasing activity in a safe way is using the pain-monitoring model.

The 24 hour response to exercise is important. If the pain is increased the next day then the amount of exercise should be decreased. If the pain is gone the next day then you should be safely able to repeat the same exercise load or slightly increase it.

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