Achilles tendinopathy imaging — MRCGP AKT MCQ
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Correct answer: C — Combine local strengthening with aerobic exercise
The best answer is “Combine local strengthening with aerobic exercise”. Therapeutic exercise for osteoarthritis includes local muscle strengthening and general aerobic fitness, tailored to ability and comorbidity. Pain can increase temporarily when starting, but consistent adherence improves pain and function. Exercise is a core treatment rather than something postponed until surgery.
Reference: NICE NG226: Osteoarthritis: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations