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For most tendon problems, the interventions with better support are less dramatic but more dependable: Establish the correct diagnosis Use progressive, condition-specific mechanical loading Manage training volume and recovery Restore calf, foot and kinetic-chain strength Address smoking, diabetes and other modifiable risks Ensure adequate energy, protein and clinically relevant nutrition Use surgery selectively when structural disease and failed nonsurgical care justify it Apply objective criteria before return to running or sport Achilles rehabilitation should also be matched to the diagnosis

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The recommendation is non-binding and did not itself complete FDA rulemaking