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CASE REPORT

Improved Pressure Pain Thresholds and Function Following Noxious Electrical Stimulation on a Runner with Chronic Achilles Tendinopathy: A Case Report

Authors:  Eckenrode BJ, Stackhouse SK

Achilles tendinopathy is a common overuse injury sustained by athletes including runners. The use of noxious electrical stimulation for the treatment of chronic tendinopathies is a novel treatment intervention, which may alter pain perception and serve as adjunct technique in the recovery of painfree function. The purpose of this case report is to demonstrate the use of noxious electrical stimulation for the treatment of chronic, bilateral Achilles tendinopathy that was resistant to conservative treatment using plantarflexor eccentric exercise. The case illustrates the successful pain reduction and return to progressive sports activity in a runner with chronic Achilles tendinopathy.  The utilization of noxious electric stimulation may have altered the pain perception of the nervous system as evidenced by the improvement in pain pressure threshold testing.

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