The short-term effects of high volume image guided injections in resistant non-insertional Achilles tendinopathy

Journal of Science and Medicine in Sport
Joel HumphreyNicola Maffulli

Abstract

We investigated neovascularisation, tendon thickness and clinical function in chronic resistant Achilles tendinopathy following high volume image guided injections (HVIGI). The subjects involved 11 athletes (mean age 43.5 years+/-11.6, range 22-59) with resistant tendinopathy of the main body of the Achilles tendon for a mean of 51.4 months (+/-55.56, range 4-144) who failed to improve with an eccentric loading program (mean 11.8 months+/-2.6, range 8-16). The morphological features, neovascularisation and maximal tendon thickness were assessed with power Doppler ultrasound. Clinical function was measured with the Victorian Institute of Sports Assessment-Achilles tendon (VISA-A) questionnaire. All the tendinopathic Achilles tendons were injected with 10 mL of 0.5% bupivacaine hydrochloride, 25 mg of hydrocortisone acetate, and 40 mL of 0.9% NaCl saline solution under real time ultrasound guidance. All outcome measures were recorded at baseline and after a short-term follow-up (mean 2.9 weeks, range 2-4). The results showed a statistically significant difference between baseline and 3-week follow-up in all the outcome measures after HVIGI. The grade of neovascularisation reduced (3-1.1, p=0.003), the maximal tendon diameter decr...Continue Reading

References

Oct 2, 2001·British Journal of Sports Medicine·J M RobinsonUNKNOWN Victorian Institute Of Sport Tendon Study Group
Mar 16, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Håkan Alfredson, Lars Ohberg
Sep 13, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Bengt LindHåkan Alfredson
Jul 9, 2008·Disability and Rehabilitation·Otto ChanTom Crisp
Jul 9, 2008·Disability and Rehabilitation·Nicola MaffulliVincenzo Denaro

❮ Previous
Next ❯

Citations

Aug 15, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Johannes L TolNicola Maffulli
Nov 8, 2012·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Nicola MaffulliGayle D Maffulli
May 4, 2012·The British Journal of Radiology·R S D Campbell, A J Dunn
Mar 13, 2014·Skeletal Radiology·Atul K Taneja, Durval C B Santos
May 14, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Maayke N van Sterkenburg, C Niek van Dijk
Nov 5, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Noel PollockRobin Chakraverty
Nov 5, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ruben ZwiersC Niek van Dijk
Aug 20, 2010·Expert Opinion on Biological Therapy·Isabel AndiaNicola Maffulli
Apr 30, 2013·Radiologic Clinics of North America·Howard R Galloway
Jan 23, 2016·British Medical Bulletin·Francesco OlivaNicola Maffulli
Feb 2, 2012·Scandinavian Journal of Medicine & Science in Sports·L J BackmanP Danielson
May 26, 2016·AJR. American Journal of Roentgenology·Christopher J Burke, Ronald S Adler
Jun 12, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Patrick C WheelerManeesh Bhatia
Jul 30, 2016·Physical Medicine and Rehabilitation Clinics of North America·Evan PeckKentaro Onishi
May 3, 2013·Foot & Ankle International·Christopher E GrossGeorge B Holmes
Apr 21, 2011·The American Journal of Sports Medicine·Johannes I WiegerinckGino M Kerkhoffs
Jun 24, 2010·Expert Opinion on Pharmacotherapy·Nicola MaffulliVincenzo Denaro
May 22, 2018·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Patrick C Wheeler, Chloe Tattersall
Jan 16, 2020·Medicina·Peter FrancisMark I Johnson
Sep 30, 2014·JBJS Reviews·Nicola MaffulliAngelo Del Buono
May 3, 2019·Scandinavian Journal of Medicine & Science in Sports·Anders P BoesenMorten I Boesen
Jul 1, 2020·Journal of Experimental Orthopaedics·Torsten Grønbech NielsenMartin Lind
Sep 4, 2015·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Nicola MaffulliGayle Maffulli
Dec 15, 2020·BMJ : British Medical Journal·Arco C van der VlistRobert-Jan de Vos
Jun 9, 2021·Disease-a-month : DM·Carlos Romero-MoralesEmmanuel Navarro-Flores

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.