High volume image guided injections in chronic Achilles tendinopathy

@article{Chan2008HighVI,
  title={High volume image guided injections in chronic Achilles tendinopathy},
  author={Otto Chan and Dominic O’Dowd and Nat Padhiar and Dylan Morrissey and John King and Rosy Jalan and Nicola Maffulli and Tom Crisp},
  journal={Disability and Rehabilitation},
  year={2008},
  volume={30},
  pages={1697 - 1708}
}
Purpose. To determine the effectiveness of high volume image guided injections (HVIGI) for chronic Achilles tendinopathy. Methods. We included in the study 30 consecutive patients (mean age 37.2 years, range 24 – 58 years) with Achilles tendinopathy for a mean of 35.8 months (range 2 – 276 months) who had failed to improve after a three-month programme of eccentric loading of the gastro-soleus complex. Patients were injected with 10 ml of 0.5% Bupivacaine Hydrochloride, 25 mg Hydrocortisone… 
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143 Citations
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143 Citations

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High volume image guided injections for the management of chronic tendinopathy of the main body of the Achilles tendon.
The short-term effects of high volume image guided injections in resistant non-insertional Achilles tendinopathy.
High Volume Image Guided Injections with or without Steroid for Mid-Portion Achilles Tendinopathy: A Pilot Study
TLDR
The results suggest that the effects of the injection may be mechanical rather than chemical, and that the steroid can be omitted, in comparison to HVIGI and SR with steroid.
High-Volume Image-Guided Injection for Recalcitrant Patellar Tendinopathy in Athletes
TLDR
High-volume injection at the interface between the deep surface of the patellar tendon and Hoffa body improves in the short-term symptoms and function of the knee.
The effect of high-volume image-guided injection in the chronic non-insertional Achilles tendinopathy: a retrospective case series
TLDR
In this retrospective case-study, only 10 patients did benefit of a single HVIGI treatment at 12-months and an 11-point significant improvement was seen at on the VISA-A score.
The use of high-volume image-guided injections (HVIGI) for Achilles tendinopathy – A case series and pilot study
TLDR
HVIGI without corticosteroid appears to be an effective procedure for patients with recalcitrant Achilles tendon symptoms, and small sub-group numbers limit formal analysis, but suggest that there may be more benefit of HVIGi in patients with Achilles symptoms of less than 3 years.
High volume image-guided Injections for patellar tendinopathy: a combined retrospective and prospective case series.
TLDR
HVIGI should be considered in the management of recalcitrant patellar tendinopathy and Randomised controlled trials are warranted.
High-volume image-guided injection in the chronic recalcitrant non-insertional patellar tendinopathy: a retrospective case series
TLDR
In this retrospective case-study, only 9 patients did benefit of a single HVIGI treatment at 16-months and a 33-point significant improvement was seen on the VISA-P score.
High volume distension injection (HVDI) for chronic mid-portion Achilles tendinopathy: A service evaluation of clinical outcomes
TLDR
Significant reduction in pain, tendon thickness and neovascularity was observed in 78% of patients, and HVDI with eccentric training is safe and effective intervention in outpatient clinic setting.
US-guided high-volume injection for Achilles tendinopathy
TLDR
High-volume image-guided injection is a relatively new technique where a high volume of liquid is injected between the anterior aspect of the Achilles tendon and the Kager’s fat pad, used to strip away the neovascularity and disrupt the nerve ingrowth seen in chronic cases of Achilles tendinopathy.
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References

SHOWING 1-10 OF 32 REFERENCES
Ultrasound guided sclerosis of neovessels in painful chronic Achilles tendinosis: pilot study of a new treatment
TLDR
Sclerosing neovessels appears to be an effective treatment for painful chronic Achilles tendinosis, suggesting that neovessel play a key part in causing chronic tendon pain.
Neovascularisation in chronic painful patellar tendinosis—promising results after sclerosing neovessels outside the tendon challenge the need for surgery
TLDR
Treatment with sclerosing injections, targeting the area with neovessels in patellar tendinosis, has the potential to cure the pain in the tendons and also allow the patients to go back to full patellAR-tendon loading activity.
Long-term prognosis of patients with achilles tendinopathy. An observational 8-year follow-up study.
TLDR
The results of the 8-year follow-up showed that the long-term prognosis of patients with acute-to-subchronic Achilles tendinopathy is favorable as determined by subjective and functional assessments.
Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up
TLDR
Ulasonographic follow up of patients with mid-portion painful chronic Achilles tendinosis treated with eccentric calf muscle training showed a localised decrease in tendon thickness and a normalised tendon structure in most patients.
Eccentric calf muscle training in non-athletic patients with Achilles tendinopathy.
Achilles Tendon and Paratendon Microcirculation in Midportion and Insertional Tendinopathy in Athletes
TLDR
Microcirculatory blood flow is significantly elevated at the point of pain in insertional and midportion tendinopathy and postcapillary venous filling pressures are increased at both the midportion Achilles tendon and the mid proportion paratendon, whereas tissue oxygen saturation is not different among the studied groups.
Surgery for Chronic Achilles Tendinopathy Yields Worse Results in Nonathletic Patients
  • N. Maffulli, V. Testa, +5 authors J. King
  • Medicine
    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 2006
TLDR
Nonathletic subjects experience more prolonged recovery, more complications, and a greater risk of further surgery than athletic subjects with recalcitrant Achilles tendinopathy.
The distribution of microvascular response in Achilles tendonopathy assessed by colour and power Doppler
TLDR
PD shows more tendon microvascularity than CD in TA tendonopathy, and all microvessels arise on the ventral side of the TA, and were 16-fold more frequent around the margins.
Etiology, Histopathology, and Outcome of Surgery in Achillodynia
TLDR
Surgical treatment was beneficial in most cases, despite a relatively high complication rate, and achillodynia is not always associated with excessive physical activity.
Clinical improvement after 6 weeks of eccentric exercise in patients with mid‐portion Achilles tendinopathy – a randomized trial with 1‐year follow‐up
TLDR
It is concluded that eccentric exercises seem to reduce pain and improve function in patients with Achilles tendinopathy, and the recommendation that patients should undergo an eccentric exercise program prior to considering other treatments such as surgery is strengthened.
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