Journal of Science and Medicine in Sport
Volume 13, Issue 3 , Pages 295-298 , May 2010

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

  • Joel Humphrey

      Affiliations

    • Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
    • ,
  • Otto Chan

      Affiliations

    • Department of Imaging, The London Independent Hospital, London, UK
    • ,
  • Tom Crisp

      Affiliations

    • Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
    • Department of Imaging, The London Independent Hospital, London, UK
    • ,
  • Nat Padhiar

      Affiliations

    • Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
    • Department of Imaging, The London Independent Hospital, London, UK
    • ,
  • Dylan Morrissey

      Affiliations

    • Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
    • ,
  • Richard Twycross-Lewis

      Affiliations

    • Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
    • ,
  • John King

      Affiliations

    • Department of Imaging, The London Independent Hospital, London, UK
    • ,
  • Nicola Maffulli

      Affiliations

    • Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
    • Corresponding Author InformationCorresponding author.

Received 16 January 2009 ,Revised 24 September 2009 ,Accepted 25 September 2009.

References 

  1. Zanetti M, Metzdorf A, Kundert HP, Zollinger H, Vienne P, Seifert B, et al. Achilles tendons: clinical relevance of neovascularisation diagnosed with power Doppler US. Radiology. 2003;227(2):556–560
  2. Maffulli N. Tendon problems: a basic science primer. J Sports Traumatol. 1999;21:3–10
  3. Chan O, O’Dowd D, Padhiar N, Morrissey D, King J, Jalan R, et al. High volume image guided injections in chronic Achilles tendinopathy. Disabil Rehabil. 2008;30(20):1697–1708
  4. Malliaras P, Richards PJ, Garau G, Maffulli N. Achilles tendon Doppler flow may be associated with mechanical loading among active athletes. Am J Sports Med. 2008;36:2210–2215
  5. Robinson JM, Cook JL, Purdam C, Visentini PJ, Ross J, Maffulli N, et al. The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy. Br J Sports Med. 2001;35:335–341
  6. Maffulli N, Walley G, Sayana MK, Longo UG, Denaro V. Eccentric calf muscle training in athletic patients with Achilles tendinopathy. Disabil Rehabil. 2008;30(20):1677–1684
  7. Paavola M, Kannus P, Paakkala T, Pasanen M, Järvinen M. Long-term prognosis of patients with Achilles tendinopathy. An observational 8-year follow-up study. Am J Sports Med. 2000;28:634–642
  8. Alfredson H, Ohberg L. Increased intratendinous vascularity in the early period after sclerosing injection treatment in Achilles tendinosis: a healing response?. Knee Surg Sports Traumatol Arthrosc. 2006;14(4):399–401
  9. Lind B, Ohberg L, Alfredson H. Sclerosing polidocanol injections in mid-portion Achilles tendinosis: remaining good clinical results and decreased tendon thickness at 2-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2006;14(12):1327–1332
  10. Peers KH, Brys PP, Lysens RJ. Correlation between power Doppler ultrasonography and clinical severity in Achilles tendinopathy. Int Orthop. 2003;27:180–183

PII: S1440-2440(09)00223-0

doi: 10.1016/j.jsams.2009.09.007

Journal of Science and Medicine in Sport
Volume 13, Issue 3 , Pages 295-298 , May 2010

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