Volume 29, Issue 163, September 2025

Modern approaches in the treatment of Achilles tendinopathy: future technologies and standards of modern therapy

Przemysław Ciszewski^1,2♦, Alicja Drelichowska^1,2, Michał Azierski^1,2,3, Emilia Wiśniewska^1,2

¹Student Scientific Association of MedTech at the Center for Remote Learning and Educational Effects Analysis, Faculty of Medical Sciences in Katowice, Silesian Medical University, Katowice, Poland
²Student Scientific Association for General Surgery at the Department of General Surgery, Vascular Surgery, Angiology and Phlebology, Faculty of Medical Sciences, Katowice, Silesian Medical University, Katowice, Poland
³Student Scientific Association for Computer Analysis and Artificial Intelligence at the Department of Radiology and Nuclear Medicine, Faculty of Medical Sciences in Katowice, Silesian Medical University, Katowice, Poland

^♦Corresponding author
Przemysław Ciszewski, Student Scientific Association of MedTech at the Center for Remote Learning and Educational Effects Analysis, Faculty of Medical Sciences in Katowice, Silesian Medical University, Katowice, Poland, Medyków 18, 40-762 Katowice, Poland

ABSTRACT

Achilles tendon tendinopathy is a common musculoskeletal condition with clinical difficulties for both clinicians and patients. This review describes current management modalities, ranging from traditional methods such as eccentric exercises, corticosteroid injection and shock wave therapy to more recent approaches including biomaterials, nanotechnology, gene therapy and stem cells. The advantages and limitations of the various approaches were highlighted, as well as favorable research reports on the use of personalised treatments in chronic diseases. The role of new technologies in improving therapeutic efficacy and patients' quality of life, especially in the context of drug-resistant diseases, was highlighted further. While significant issues were enumerated, such as high cost, lesser accessibility of new therapies and lack of long-term follow-up to confirm their efficacy and safety. The path of future research should involve the implementation of these innovations into clinical practice, refinement of the treatment protocol to optimize outcomes and the development of targeted medicine to improve the management of Achilles tendinopathy.

Keywords: Tendinopathy, Achilles tendon, Conservative treatment, New technologies

Medical Science, 2025, 29, e192ms3684

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DOI: https://doi.org/10.54905/disssi.v29i163.e192ms3684

Published: 29 September 2025