Background
From a classical academic medicine perspective, an acute Achilles tendon rupture is an injury with a demonstrable structural defect and possible serious consequences, which is associated with several weeks of immobilization after both conservative and surgical treatment. The aim was to determine whether treatment according to the fascial distortion model (FDM), without any immobilization, is suitable to restore the functional capacity of a ruptured Achilles tendon and to reduce or eliminate pain, particularly under physical stress.
Patient
A 40-year-old man partaking in little sporting activity, who suffered an acute Achilles tendon rupture when playing football.
Diagnosis and treatment
After confirming the diagnosis by clinical examination and magnetic resonance imaging (MRI), the patient decided against the classical conservative treatment with immobilization for at least 6 weeks. Instead, immobilization was omitted and the patient treated according to FDM. The focus was on trigger bands, and continuum and cylinder distortions, which were treated several times a week over a period of 5 weeks. In addition, the patient completed functional training almost daily.
Results
A very good clinically functional result could be achieved by treatment according to FDM. The control MRI shows almost complete regeneration of the Achilles tendon.
Conclusions
The advantages of FDM treatment over the academic medicine approach are the shortened convalescence time and the possibility to save costs. The treatment effect of FDM in acute injuries such as Achilles tendon rupture should be confirmed in larger studies.