| Title |
Mid‐portion Achilles tendinopathy: why painful? An evidence‐based philosophy
|
|---|---|
| Published in |
Knee Surgery, Sports Traumatology, Arthroscopy, May 2011
|
| DOI | 10.1007/s00167-011-1535-8 |
| Pubmed ID | |
| Authors |
Maayke N. van Sterkenburg, C. Niek van Dijk |
| Abstract |
Chronic mid-portion Achilles tendinopathy is generally difficult to treat as the background to the pain mechanisms has not yet been clarified. A wide range of conservative and surgical treatment options are available. Most address intratendinous degenerative changes when present, as it is believed that these changes are responsible for the symptoms. Since up to 34% of asymptomatic tendons show histopathological changes, we believe that the tendon proper is not the cause of pain in the majority of patients. Chronic painful tendons show the ingrowth of sensory and sympathetic nerves from the paratenon with release of nociceptive substances. Denervating the Achilles tendon by release of the paratenon is sufficient to cause pain relief in the majority of patients. This type of treatment has the additional advantage that it is associated with a shorter recovery time when compared with treatment options that address the tendon itself. An evidence-based philosophy on the cause of pain in chronic mid-portion Achilles tendinopathy is presented. Level of evidence V. |
X Demographics
The data shown below were collected from the profiles of 12 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 4 | 33% |
| Spain | 2 | 17% |
| United States | 2 | 17% |
| Unknown | 4 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 9 | 75% |
| Practitioners (doctors, other healthcare professionals) | 2 | 17% |
| Scientists | 1 | 8% |
Mendeley readers
The data shown below were compiled from readership statistics for 277 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 2 | <1% |
| Finland | 1 | <1% |
| Unknown | 274 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 55 | 20% |
| Student > Bachelor | 49 | 18% |
| Student > Ph. D. Student | 23 | 8% |
| Other | 22 | 8% |
| Researcher | 20 | 7% |
| Other | 61 | 22% |
| Unknown | 47 | 17% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 111 | 40% |
| Nursing and Health Professions | 48 | 17% |
| Sports and Recreations | 30 | 11% |
| Agricultural and Biological Sciences | 10 | 4% |
| Engineering | 5 | 2% |
| Other | 14 | 5% |
| Unknown | 59 | 21% |
Attention Score in Context
This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 March 2017.
All research outputs
#3,687,270
of 25,027,753 outputs
Outputs from Knee Surgery, Sports Traumatology, Arthroscopy
#429
of 2,869 outputs
Outputs of similar age
#17,004
of 115,165 outputs
Outputs of similar age from Knee Surgery, Sports Traumatology, Arthroscopy
#3
of 15 outputs
Altmetric has tracked 25,027,753 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,869 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.1. This one has done well, scoring higher than 84% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 115,165 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.