High volume injection with and without corticosteroid in chronic midportion achilles tendinopathy
Autor: | Anders Ploug Boesen, Peter Malliaras, Morten Ilum Boesen, Henning Langberg, Rudi Hansen |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.drug_class medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation 030204 cardiovascular system & hematology Achilles Tendon law.invention 03 medical and health sciences 0302 clinical medicine Double-Blind Method Randomized controlled trial Adrenal Cortex Hormones law medicine Humans Orthopedics and Sports Medicine Prospective Studies Saline business.industry Local anesthetic 030229 sport sciences Middle Aged medicine.disease Tendon medicine.anatomical_structure Anesthesia Tendinopathy Ultrasound imaging Eccentric training Corticosteroid Saline Solution business |
Zdroj: | Scandinavian Journal of Medicine & Science in Sports. 29:1223-1231 |
ISSN: | 1600-0838 0905-7188 |
Popis: | BACKGROUND High volume injection (HVI) shows promising results in the treatment of chronic midportion Achilles tendinopathy (AT). HVI consists of a large volume of saline with a small amount of corticosteroid and local anesthetic. OBJECTIVE To determine the effect of corticosteroid in HVI in AT. METHODS A total of 28 men (18-59 years) with chronic (>3 months) AT were included in a double-blinded RCT and followed for 24 weeks. All performed eccentric training and randomized to either (a) HVI injection with corticosteroid or (b) HVI injection without corticosteroid. Outcomes included self-reported function (VISA-A score) and pain (VAS score) and ultrasound imaging (tendon thickness, Doppler flow). RESULTS VISA-A and VAS score improved in both groups at all time-points (P |
Databáze: | OpenAIRE |
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