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Immobilisation in patients with painful achilles tendon

Three Part Question

In [patients presenting with achilles tendonitis] is [immobilisation] likely to [improve outcome]?

Clinical Scenario

A woman in her early thirties presents to the emergency department's minor injuries unit with a history of pains in the back of her right ankle since the previous night. She noticed it a problem after she had been dancing on a night out. There was no previous history of similar pains in either ankle. On examination there was tenderness confined to the achilles tendon and Simmons test was negative. You wonder whether you should treat her with immobilisation.

Search Strategy

Medline 1966- week 3/09/04 using the OVID interface.
[(exp Achilles tendon OR AND (exp immobilization OR immobili$.mp OR exp casts, surgical OR exp splint OR OR AND (exp Athletic Injuries OR exp Tendinitis OR exp Tendon Injuries)] LIMIT to human AND English language.

Search Outcome

Altogether 79 papers were found none of which looked at the treatment of Achilles tendinitis, all looked at complete rupture.