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Title: A comparison of two different high-volume image-guided injection procedures for patients with chronic noninsertional achilles tendinopathy: a pragmatic retrospective cohort study
Authors: Wheeler, Patrick C.
Mahadevan, Dev
Bhatt, Raj
Bhatia, Maneesh
Keywords: Achilles tendon
Dry needling
Injection
Outcome study
Patient assessment
Tendon disorder
Issue Date: 2016
Publisher: Elsevier / © the American College of Foot and Ankle Surgeons
Citation: WHEELER, P.C. ...et al., 2016. A comparison of two different high-volume image-guided injection procedures for patients with chronic noninsertional achilles tendinopathy: a pragmatic retrospective cohort study. Journal of Foot and Ankle Surgery, 55 (5), pp. 976-979.
Abstract: © 2016 American College of Foot and Ankle Surgeons.We undertook a comparison evaluation of outcomes after 2 different high-volume image-guided injection (HVIGI) procedures performed under direct ultrasound guidance in patients with chronic noninsertional Achilles tendinopathy. In group A, the HVIGI involved high-volume (10 mL of 1% lidocaine combined with 40 mL of saline) and no dry needling. In group B, the HVIGI involved a smaller volume (10 mL of 1% lidocaine combined with 20 mL of saline) and dry needling of the Achilles tendon. A total of 34 patients were identified from the clinical records, with a mean overall age of 50.6 (range 26 to 83) years and an overall mean follow-up duration of 277 (range 49 to 596) days. The change between the preinjection and postinjection Victorian Institute of Sports Assessment-Achilles scores of 33.4 ± 22.5 points in group A and 6.94 ± 22.2 points in group B, was statistically significant (p = .002). In group A, 3 patients (16.7%) required surgical treatment compared with 6 patients (37.5%) in group B requiring surgical treatment (p = .180). Our results indicated that a higher volume without dry needling compared with a lower volume with dry needling resulted in greater improvement in noninsertional Achilles tendinopathy. However, confounding factors mean it is not possible to categorically state that this difference was solely due to different injection techniques.
Description: This paper is in closed access.
Version: Published
DOI: 10.1053/j.jfas.2016.04.017
URI: https://dspace.lboro.ac.uk/2134/21849
Publisher Link: http://dx.doi.org/10.1053/j.jfas.2016.04.017
ISSN: 1067-2516
Appears in Collections:Closed Access (Sport, Exercise and Health Sciences)

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