scholarly journals Prospective Analysis of the Beneficial Effects of Intratissue Percutaneous Electrolysis (EPI) Combined with Eccentric Exercise in the Treatment of Chronic Achilles Tendinopathy

2020 ◽  
Keyword(s):  
Eccentric Exercise ◽  
Achilles Tendinopathy ◽  
Prospective Analysis ◽  
Beneficial Effects ◽  
Chronic Achilles Tendinopathy

scholarly journals Effectiveness of percutaneous needle electrolysis and eccentric exercise in chronic Achilles tendinopathy. A case series

2019 ◽  
Vol 02 (02) ◽  
pp. 127-127
Author(s):  
Cerdán Fabregat FJ
Keyword(s):  
Achilles Tendon ◽  
Eccentric Exercise ◽  
Ultrasound Examination ◽  
Case Series ◽  
Achilles Tendinopathy ◽  
The Body ◽  
Sports Activity ◽  
The Mean ◽  
Eccentric Overload ◽  
Chronic Achilles Tendinopathy

Abstract Objective The objective of the study was to evaluate percutaneous needle electrolysis (PNE) and exercise with eccentric overload on the tendon body in chronic Achilles tendinopathy. Material and Methods An experimental study involving seven subjects with a total of seven tendons with a medical diagnosis of chronic tendinopathy on the body of the Achilles tendon. A sample of five men (71.43%) and two women (28.57%) with a laterality of five right tendons and two left tendons. The mean age was 34 years (SD: 7.22), 42.86% of the sample was active, practicing regular sports activity (57.14%) at the amateur level. All tendons had over six-weeks evolution. Pain was assessed using the visual analogue scale (VAS) and functionality was analyzed using the VISA-A scale, whereas tendon structure was evaluated using musculoskeletal ultrasound. All subjects belonged to the same group and were applied the same treatment; three sessions of PNE, additionally, eccentric exercise was added every 48 hours after each intervention. This involved a total of six eccentric sessions. A seven-day period was allowed between the first and second session of PNE, whereas between the second and third session, 14 days were allowed. Results In the initial evaluation, the VAS score was 7.14 points (SD: 0.83) and the VISA-A scale was 34.86 points (SD: 3.72). On the ultrasound examination, the VAS presented changes as a degenerative process. After five weeks, the values on the VAS scale decreased by 75.4% and on the VISA-A scale they increased by 35.2%. Conclusions The combined programs of PNE plus eccentric exercises are an effective treatment for chronic tendinopathy of the Achilles tendon body.

BET 2: ECCENTRIC EXERCISE IN THE TREATMENT OF ACHILLES TENDINOPATHY

2009 ◽  
Vol 26 (11) ◽  
pp. 815-818 ◽  
Author(s):  
D. Flint ◽  
S. Pugh ◽  
M. Callaghan
Keyword(s):  
Eccentric Exercise ◽  
Achilles Tendinopathy

Chronic Achilles Tendinopathy

2007 ◽  
Vol 35 (10) ◽  
pp. 1659-1667 ◽  
Author(s):  
Wolf Petersen ◽  
Robert Welp ◽  
Dieter Rosenbaum
Keyword(s):  
Synergistic Effect ◽  
Short Form ◽  
Achilles Tendinopathy ◽  
Eccentric Training ◽  
Treatment Groups ◽  
Alternative Treatment Option ◽  
Sf 36 ◽  
Significant Difference ◽  
Chronic Achilles Tendinopathy

Background Previous studies have shown that eccentric training has a positive effect on chronic Achilles tendinopathy. A new strategy for the treatment of chronic Achilles tendinopathy is the AirHeel brace. Hypothesis AirHeel brace treatment improves the clinical outcome of patients with chronic Achilles tendinopathy. The combination of the AirHeel brace and an eccentric training program has a synergistic effect. Study Design Randomized controlled clinical trial; Level of evidence, 1. Methods One hundred patients were randomly assigned to 1 of 3 treatment groups: (1) eccentric training, (2) AirHeel brace, and (3) combination of eccentric training and AirHeel brace. Patients were evaluated at 6, 12, and 54 weeks after the beginning of the treatment protocol with ultrasonography, visual analog scale (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) ankle score, and Short Form-36 (SF-36). Results The VAS score for pain, AOFAS score, and SF-36 improved significantly in all 3 groups at all 3 follow-up examinations. At the 3 time points (6 weeks, 12 weeks, and 54 weeks) of follow-up, there was no significant difference between all 3 treatment groups. In all 3 groups, there was no significant difference in tendon thickness after treatment. Conclusions The AirHeel brace is as effective as eccentric training in the treatment of chronic Achilles tendinopathy. There is no synergistic effect when both treatment strategies are combined. Clinical Relevance The AirHeel brace is an alternative treatment option for chronic Achilles tendinopathy.

Flexor Hallucis Longus Transfer for Repair of Chronic Achilles Tendinopathy

2003 ◽  
Vol 24 (9) ◽  
pp. 673-676 ◽  
Author(s):  
Robert Z. Tashjian ◽  
John Hur ◽  
Raymond J. Sullivan ◽  
John T. Campbell ◽  
Christopher W. DiGiovanni
Keyword(s):  
Achilles Tendinopathy ◽  
Flexor Hallucis Longus ◽  
Flexor Hallucis Longus Transfer ◽  
Chronic Achilles Tendinopathy

C0088 Ultrasound-guided intratissue percutaneous electrolysis, dry-needling, diathermy and eccentric exercise in achilles tendinopathy in runners. a case series

2018 ◽  
Author(s):  
Javier González Iglesias ◽  
Aitor Ruiz de Lara Osacar ◽  
Carlos Fernandez Gonzalez ◽  
Javier Teijeiro López ◽  
Manuel Mira Llopis ◽  
...  
Keyword(s):  
Eccentric Exercise ◽  
Case Series ◽  
Achilles Tendinopathy ◽  
Dry Needling ◽  
Ultrasound Guided

scholarly journals Gastrocnemius Recession to Treat Chronic Insertional and Noninsertional Achilles Tendinopathy

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0022
Author(s):  
Robert Graham ◽  
Collin Innis ◽  
Benjamin Stevens
Keyword(s):  
Patient Satisfaction ◽  
Achilles Tendinopathy ◽  
Foot Deformities ◽  
Preoperative Pain ◽  
Patient Satisfaction Questionnaire ◽  
Gastrocnemius Recession ◽  
Equinus Contracture ◽  
Time Required ◽  
Chronic Achilles Tendinopathy

Category: Hindfoot Introduction/Purpose: Small studies on gastrocnemius recession for Achilles tendinopathy with associated contracture of the gastrocnemius muscle are encouraging. The analyses have demonstrated fewer postoperative complications, shortened recovery time, and earlier return to work as compared to traditional surgical management of Achilles debridement and repair. Investigators have reported good patient satisfaction, substantial pain reduction, and restoration of dorsiflexion. However, there have been no large studies specifically looking at the outcomes of gastrocnemius recession for either chronic insertional or noninsertional Achilles tendinopathy. The purpose of this study was to review the efficacy of the gastrocnemius recession in mitigating pain for patients who have chronic Achilles tendinopathy with isolated gastrocnemius contracture and have failed nonoperative management. Methods: The records of patients with isolated gastrocnemius contracture were retrospectively reviewed who underwent an isolated gastrocnemius recession to treat insertional or noninsertional Achilles tendinopathy as performed by a single surgeon spanning from 2011 to 2017. Minimum follow-up time required was 6 months with an average of 25.5 months follow-up among all responders with a range from 6 to 63 months. Patients were excluded by the criteria of any other concomitant foot deformities, diagnoses, or surgical procedures performed. Clinical outcome was evaluated using a mail-in patient satisfaction questionnaire. One hundred and thirty-nine patients were identified to have underwent an isolated gastrocnemius recession to treat chronic insertional or noninsertional Achilles tendinopathy that was refractory to conservative management for a minimum of six months. Sixty-six patients (76 legs) of those eligible responded. Results: Sixty-three out of 66 patients (95.5%) were satisfied with the results of the procedure overall. Sixty-two out of 66 patients (93.9%) would elect to repeat the surgery if they knew their results in advance. Sixty-one out of 66 patients (92.4%) would recommend the surgery to a family or friend with the same diagnosis. The most frequently reported postoperative complication was 9 accounts of swelling (out of 76 legs; 11.8%). There were no reports of sural nerve injury. Responses for Visual Analogue scale (VAS) for pain were only eligible if they had reported a preoperative VAS score on their preoperative intake form. This made 23 patients eligible with an average preoperative pain of 8.43/10 and an average postoperative pain of 0.91/10. Conclusion: Gastrocnemius recession for treating chronic Achilles tendinopathy was found to be an effective procedure to mitigate pain in patients with isolated equinus contracture. To our knowledge, this is the largest study assessing gastrocnemius recession for treatment of chronic Achilles tendinopathy.

scholarly journals Eccentric Exercise for Achilles Tendinopathy: A Narrative Review and Clinical Decision-Making Considerations

2019 ◽  
Vol 4 (2) ◽  
pp. 34 ◽  
Author(s):  
Dhinu J. Jayaseelan ◽  
John J. Mischke ◽  
Raymond L. Strazzulla
Keyword(s):  
Decision Making ◽  
Eccentric Exercise ◽  
Sports Medicine ◽  
Randomized Clinical Trials ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Health Condition ◽  
Achilles Tendinopathy ◽  
Narrative Review ◽  
Control Group

Background: Achilles tendinopathy is a common health condition encountered in the orthopedic and sports medicine settings. Eccentric exercise is a common intervention in the management of pain and limited function for this patient population, although contemporary evidence suggests additional exercise methods may be effective as well. Study design: Narrative review: Methods: A literature review was performed using the electronic databases Pubmed and PEDRO for articles through February 2019. Randomized clinical trials integrating eccentric exercise, with or without co-interventions, were evaluated. Outcomes related to pain and/or function were considered. A patient case is provided to highlight decision making processes related to clinical prescription of eccentrics for Achilles tendinopathy. Results: After screening titles and abstracts, seven studies were included for full review. Two articles compared eccentric exercise to a control group, four compared eccentrics to the use of modalities, while one used eccentric exercise as part of a multimodal intervention. In each case, eccentric exercise was effective in reducing pain and improving function. In comparison to other forms of exercise or additional interventions, eccentric exercise was frequently not more effective than other options. Discussion: Eccentric exercise has been associated with clinical benefit in improving pain and function for patients with Achilles tendinopathy. Despite the available evidence reporting effectiveness of eccentrics, other options may be equally useful. Appropriate load modification and exercise prescription for patients with Achilles tendinopathy requires systematic clinical reasoning and incorporation of patient values to optimize outcomes.

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