Physical therapist management of fluoroquinolone-induced Achilles tendinopathy.

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  • Author(s): Greene BL;Greene BL
  • Source:
    Physical therapy [Phys Ther] 2002 Dec; Vol. 82 (12), pp. 1224-31.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: United States NLM ID: 0022623 Publication Model: Print Cited Medium: Print ISSN: 0031-9023 (Print) Linking ISSN: 00319023 NLM ISO Abbreviation: Phys Ther Subsets: MEDLINE
    • Publication Information:
      Publication: 2017- : New York : Oxford University Press
      Original Publication: Alexandria, VA : American Physical Therapy Association
    • Subject Terms:
      Levofloxacin* ; Physical Therapy Modalities*; Achilles Tendon/*injuries ; Anti-Infective Agents/*adverse effects ; Ofloxacin/*adverse effects; Adult ; Anti-Infective Agents/therapeutic use ; Humans ; Male ; Maxillary Sinusitis/drug therapy ; Ofloxacin/therapeutic use ; Orthotic Devices ; Rupture ; Treatment Outcome
    • Abstract:
      Background and Purpose: Use of fluoroquinolone antibiotics is reported to be a cause of adverse musculoskeletal effects, such as tendinopathies and tendon ruptures. The purpose of this case report is to describe the management and outcomes of a patient with bilateral Achilles tendinopathy secondary to fluoroquinolone antibiotic use.
      Case Description: The patient was a 41-year-old man who developed bilateral Achilles tendon pain on the third day of levofloxacin use. The physical therapy intervention consisted of an initial phase to reduce stress on the tendon through the use of crutches and orthoses and a second phase to progressively stress the tendon through exercise and functional activities.
      Outcomes: After 11 weeks of physical therapy (14 treatments), the patient's pain decreased from 3/10 to 1/10 on a visual analog scale and his Lower Extremity Functional Scale score increased from 28/80 to 71/80.
      Discussion: An overlapping 2-phased intervention approach based on connective tissue remodeling principles may be effective in elimination of pain and restoration of function following fluoroquinolone-induced Achilles tendinopathy.
    • Comments:
      Comment in: J Urol. 2003 Jul;170(1):338. (PMID: 14567344)
    • Accession Number:
      0 (Anti-Infective Agents)
      6GNT3Y5LMF (Levofloxacin)
      A4P49JAZ9H (Ofloxacin)
    • Publication Date:
      Date Created: 20021126 Date Completed: 20030110 Latest Revision: 20131121
    • Publication Date:
      20231215
    • Accession Number:
      12444881