The goal of this clinical trial is to learn more about and compare the effectiveness of standard of care (SOC) physical therapy (PT), PT with photobiomodulation therapy (PBMT; low-level laser therapy), PT with shockwave therapy (SWT; high-energy acoustic wave therapy), and PT with PBMT and SWT, to improve function, decrease pain, and resolve symptoms in individuals with non-insertional Achilles tendinopathy. The main question it aims to answer is: • What is the most effective treatment method for non-insertional Achilles tendinopathy? Participants will Researchers will compare PT, PT + SWT, PT + SWT and PBMT to assess the most effective treatment for Achilles tendinopathy.
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Victorian Institute of Sports Assessment - Achilles (VISA-A)
Timeframe: Baseline
Victorian Institute of Sports Assessment - Achilles (VISA-A)
Timeframe: 3-week
Victorian Institute of Sports Assessment - Achilles (VISA-A)
Timeframe: 6-week
Victorian Institute of Sports Assessment - Achilles (VISA-A)
Timeframe: 12-week
Victorian Institute of Sports Assessment - Achilles (VISA-A)
Timeframe: 6-month
Lower Extremity Functional Scale (LEFS)
Timeframe: Baseline
Lower Extremity Functional Scale (LEFS)
Timeframe: 3-week
Lower Extremity Functional Scale (LEFS)
Timeframe: 6-week
Lower Extremity Functional Scale (LEFS)
Timeframe: 12-week
Lower Extremity Functional Scale (LEFS)
Timeframe: 6-month
Defense and Veteran's Pain Rating Scale (DVPRS)
Timeframe: Baseline
Defense and Veteran's Pain Rating Scale (DVPRS)
Timeframe: 3-week
Defense and Veteran's Pain Rating Scale (DVPRS)
Timeframe: 6-week
Defense and Veteran's Pain Rating Scale (DVPRS)
Timeframe: 12-week
Defense and Veteran's Pain Rating Scale (DVPRS)
Timeframe: 6-month
University of Wisconsin Running Injury and Recovery Index (UWRI)
Timeframe: Baseline
University of Wisconsin Running Injury and Recovery Index (UWRI)
Timeframe: 3-week
University of Wisconsin Running Injury and Recovery Index (UWRI)
Timeframe: 6-week
University of Wisconsin Running Injury and Recovery Index (UWRI)
Timeframe: 12-week
University of Wisconsin Running Injury and Recovery Index (UWRI)
Timeframe: 6-month
Patient-Reported Outcomes Measurement Information System (PROMIS-29)
Timeframe: Baseline
Patient-Reported Outcomes Measurement Information System (PROMIS-29)
Timeframe: 3-week
Patient-Reported Outcomes Measurement Information System (PROMIS-29)
Timeframe: 6-week
Patient-Reported Outcomes Measurement Information System (PROMIS-29)
Timeframe: 12-week
Patient-Reported Outcomes Measurement Information System (PROMIS-29)
Timeframe: 6-month
Cross-sectional Area
Timeframe: Baseline
Cross-sectional Area
Timeframe: 12-week
Cross Sectional Area
Timeframe: 6-month
Width
Timeframe: Baseline
Width
Timeframe: 12-week
Width
Timeframe: 6-month
Degree of Thickening
Timeframe: Baseline
Degree of Thickening
Timeframe: 12-week
Degree of Thickening
Timeframe: 6-month
Relative Neovascularity
Timeframe: Baseline
Relative Neovascularity
Timeframe: 12-week
Relative Neovascularity
Timeframe: 6-months
Elastography
Timeframe: Baseline
Elastography
Timeframe: 12-week
Elastography
Timeframe: 6 Months
Heel Raises-Quantitative Function in Heel Raises to Fatigue.
Timeframe: Baseline
Heel Raises-Quantitative Function in Heel Raises to Fatigue.
Timeframe: 12-week
Heel Raises-Quantitative Function in Heel Raises to Fatigue.
Timeframe: 6 Months
Hops
Timeframe: Baseline
Hops
Timeframe: 12-week
Hops
Timeframe: 6 Months
Ankle Range of Motion (ROM)
Timeframe: Baseline
Ankle Range of Motion (ROM)
Timeframe: 12-week
Ankle Range of Motion (ROM)
Timeframe: 6 Months