by Vince Vacketta, DPM My Gospel: Open debridement of diseased tendon, resection of the osseous deformity, and reanchoring of the Achilles with tendon transfer when needed. ​ The heterodoxy ​ More developing literature refutes the significance of the Achilles tendon and instead treats insertional disease as little more than “bump pain”: ​ Open vs. MIS repair: Minimally invasive tendon debridement and reinsertion achieves excellent outcomes comparable to open surgery, with les

Blood Flow Restriction Training (BFRT) and Achilles Tendinopathy BFRT is a lower-load path to recovery when heavy resistance training is too painful or when progress has plateaued. The study that tested BFRT A 2021 study investigated the effects of BFRT on Achilles tendon thickness by comparing exercise protocols. 52 participants were split into three groups: low-intensity resistance exercise (LI), high-intensity resistance exercise (HI), and low-intensity resistance with BFR

Achilles tendon ruptures are common in active adults. While return-to-play stats exist, a recent study specifically focused on...

by Vince Vacketta, DPM The dilemma: Surgical repair for acute Achilles tendon (AAT) rupture or non-operative care? The research: A new...

by Vince Vacketta, DPM Since the infamous Aaron Rodgers Achilles rupture on Sept. 11, we have seen a litany of similar tendon injuries...

The great challenge of MSK imaging is using static images like MRI to diagnose a dynamic element such as the achilles tendon. Ultrasound...

Concern has been raised regarding the quality of foot and ankle research. Authors have eloquently highlighted inherent biases in study design, effects on data presentation, as well as statistical manipulation i.e. “P-hacking.” Some have even called for statistical significance to be moved from P <0.05 to P <0.005. Catch the biases if you can Continuing the critical appraisal of the data is the recently published “The Statistical Fragility of Operative vs. Nonoperative Manag