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Achilles tendinopathy

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https://www.readbyqxmd.com/read/28921035/-midportion-achilles-tendinopathy
#1
REVIEW
J Weber, T Buchhorn
Although the incidence of midportion Achilles tendinopathy is under 1% in the general population, it is quite a common disease in runners that is characterized by the symptom triad of pain, swelling and impaired physical performance. Pain and swelling are located in the area 2 to 7 cm proximal the tendon insertion onto the calcaneus.Diagnosis is made by adequate clinical symptoms and corresponding findings in sonography and/or magnetic resonance imaging scans. Histopathologically, mostly degenerative changes in the tendon structure are found, sometimes accompanied by intra- and paratendinous inflammation...
September 18, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28901991/dose-dependent-achilles-tendinopathy-in-a-patient-on-aripiprazole
#2
Arash Javanbakht, Victor Ajluni
No abstract text is available yet for this article.
September 10, 2017: Journal of Clinical Psychopharmacology
https://www.readbyqxmd.com/read/28901376/mechanical-loading-modulates-heterotopic-ossification-in-calcific-tendinopathy-through-the-mtorc1-signaling-pathway
#3
Guorong Chen, Huaji Jiang, Xinggui Tian, Jiajun Tang, Xiaochun Bai, Zhongmin Zhang, Liang Wang
Excessive mechanical loading is a major factor affecting heterotopic ossification (HO), which is a major pathological alteration in calcific tendinopathy. However, physical therapies with mechanical loading as the functional element have exhibited promising results in the treatment of calcific tendinopathy. The dual effects that mechanical loading may have on the pathogenesis and rehabilitation of calcified tendinopathy remain unclear. The present study was designed to investigate the effects of mechanical loading on HO in calcific tendinopathy...
August 29, 2017: Molecular Medicine Reports
https://www.readbyqxmd.com/read/28875153/three-months-of-progressive-high-load-versus-traditional-low-load-strength-training-among-patients-with-rotator-cuff-tendinopathy-primary-results-from-the-double-blind-randomized-controlled-roctex-trial
#4
Kim Gordon Ingwersen, Steen Lund Jensen, Lilli Sørensen, Hans Ri Jørgensen, Robin Christensen, Karen Søgaard, Birgit Juul-Kristensen
BACKGROUND: Progressive high-load exercise (PHLE) has led to positive clinical results in patients with patellar and Achilles tendinopathy. However, its effects on rotator cuff tendinopathy still need to be investigated. PURPOSE: To assess the clinical effects of PHLE versus low-load exercise (LLE) among patients with rotator cuff tendinopathy. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: Patients with rotator cuff tendinopathy were recruited and randomized to 12 weeks of PHLE or LLE, stratified for concomitant administration of corticosteroid injection...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28860425/marked-expression-of-tnf-receptors-in-human-peritendinous-tissues-including-in-nerve-fascicles-with-axonal-damage-studies-on-tendinopathy-and-tennis-elbow
#5
C Spang, L Renström, H Alfredson, S Forsgren
BACKGROUND: The peritendinous connective tissues can have importance in chronic tendon pain. Recently cytokine TNF-α has been suggested to be involved in tendinopathic processes. It is not known how TNF-α and its receptors TNFR1 and TNFR2 are expressed in peritendinous tissues. METHODS: The objective for this study was to immunohistochemically evaluate the expression patterns of these in the peritendinous tissue located between the plantaris and Achilles tendons and the one located superficially to the extensor origin at the elbow region for patients with tendinopathy/tennis elbow...
September 1, 2017: Journal of Musculoskeletal & Neuronal Interactions
https://www.readbyqxmd.com/read/28860166/effects-of-anti-inflammatory-nsaid-treatment-on-human-tendinopathic-tissue
#6
Katja Maria Heinemeier, Tommy F Øhlenschlæger, Ulla Ramer Mikkelsen, Freja Sønder, Peter Schjerling, Rene Brüggebusch Svensson, Michael Kjaer
Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat tendinopathy, but evidence for this treatment is lacking, and little is known regarding effects of NSAIDs on human tendinopathic tendon. This study investigated effects of NSAID treatment (ibuprofen) on human tendinopathic tendon, with changes in gene expression as the primary outcome, and tendon pain, function and blood flow as secondary outcomes. Twenty-six adults (16 male, 10 female) diagnosed with chronic Achilles tendinopathy were randomized to one-week treatment with ibuprofen (600mgx3/day) (n=13) or placebo (n=13) (double-blinded)...
August 31, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28857901/two-unique-cases-of-ciprofloxacin-associated-avulsion-of-ligament-and-tendon
#7
Jeffrey David Smith, Robert W Irwin, Erin T Wolff
Ciprofloxacin is recognized to have a deleterious relationship with tendons, particularly Achilles tendinopathy, which makes up most case reports. Tendinopathy seems to occur because of induction of collagen-degrading enzymes causing damage and ischemia of the poorly vascularized regions preventing repair. The focus on the relationship of ciprofloxacin and the Achilles tendon leaves patients on fluoroquinolones with non-Achilles tendinopathy symptoms at risk of misdiagnosis. There have not been any documented instances of ligament damage with ciprofloxacin administration in the literature, although ligament and tendon compositions are similar and should have similar susceptibility...
August 25, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28856388/no-beneficial-effect-of-polidocanol-treatment-in-achilles-tendinopathy-a-randomised-controlled-trial
#8
B H Ebbesen, C M Mølgaard, J L Olesen, H E Gregersen, O Simonsen
PURPOSE: Polidocanol injections have been used to treat chronic Achilles tendinopathy in clinical settings, but the few studies published show inconsistent results. The aim of this study was to evaluate the mid-term effect of Polidocanol in patients with chronic Achilles tendinopathy. It was hypothesised that patients treated with Polidocanol would have significant improvements in the outcome measures investigated compared to patients treated with a placebo treatment at mid-term follow-up...
August 30, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28855793/the-use-of-compression-tack-and-flossing-along-with-lacrosse-ball-massage-to-treat-chronic-achilles-tendinopathy-in-an-adolescent-athlete-a-case-report
#9
Jennifer Borda, Mitchell Selhorst
BACKGROUND: Achilles tendinopathy is an overuse injury that often affects individuals engaged in recreational or competitive level activity. Although most patients experience satisfactory results with therapy, a substantial portion fail to respond to traditional treatment. The purpose of this case study is to describe the successful use of compression tack and flossing (CTF) with lacrosse ball massage (LBM) in the treatment of an adolescent athlete with Achilles tendinopathy who had failed to respond to traditional treatment...
February 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/28842108/percutaneous-ultrasonic-tenotomy-for-achilles-tendinopathy-is-a-surgical-procedure-with-similar-complications
#10
Patrick J Sanchez, John F Grady, Amol Saxena
Percutaneous ultrasonic tenotomy is a relatively new treatment option for multiple types of tendinopathy. However, a paucity of high-level data is available on its use for chronic Achilles tendinosis. The present case series details the complications associated with the use of this technique. When considering percutaneous ultrasonic tenotomy, the surgeon should be cognizant that it is a surgical procedure with complications similar to those of other Achilles tendon surgeries.
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28842106/electromagnetic-transduction-therapy-for-achilles-tendinopathy-a-preliminary-report-on-a-new-technology
#11
Ludger Gerdesmeyer, Amol Saxena, Tim Klueter, Norbert Harrasser, Brian Fullem, Andre Krath
A parallel prospective feasibility study was performed on 53 patients with chronic mid-portion Achilles tendinopathy (age 44.7 ± 9.1 years). Of the 53 patients, 28 (active group) were treated using a new electromagnetic (pulsed electromagnetic field) transduction therapy device (Cellactor(®) MT1) and heel cushions. The device produces an electromagnetic field of 80 milliTesla; a total of 8 treatments was performed within 4 weeks in an outpatient setting, without anesthesia, immobilization, or rest. A control group of 25 patients with a similar duration of symptoms was treated with heel cushions only...
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28842099/surgery-for-tendinopathy-of-the-main-body-of-the-achilles-tendon-no-need-to-look-for-new-solutions-when-the-old-ones-work-if-performed-well
#12
EDITORIAL
Nicola Maffulli
No abstract text is available yet for this article.
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28822636/endoscopic-treatment-of-mid-portion-achilles-tendinopathy-a-retrospective-case-series-of-patient-satisfaction-and-functional-outcome-at-a-2-to-8-year-follow-up
#13
Kim T M Opdam, Thomas P A Baltes, Ruben Zwiers, Jan Joost I Wiegerinck, C Niek van Dijk
PURPOSE: To evaluate the results of endoscopic treatment in patients affected by mid-portion Achilles tendinopathy, by release of the paratenon combined with a resection of the plantaris tendon, regarding patient satisfaction, functional outcome, and pain scores. METHODS: This retrospective study evaluated patients endoscopically treated for mid-portion Achilles tendinopathy between 2000 and 2013. Patient satisfaction, functional outcome, pain scores, and health-related quality of life were measured by the use of a numeric rating scale, the Foot and Ankle Outcome Score, the Victorian Institute of Sport assessment for the Achilles tendon, the numeric rating scale for pain during running and during sports, and the EuroQol 5D (EQ-5D-3L) standardized questionnaire...
August 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28821728/dynamic-weight-bearing-analysis-is-effective-for-evaluation-of-tendinopathy-using-a-customized-corridor-with-multi-directional-force-sensors-in-a-rat-model
#14
Po-Ting Wu, Chieh-Hsiang Hsu, Fong-Chin Su, I-Ming Jou, Shih-Yao Chen, Chao-Liang Wu, Wei-Ren Su, Li-Chieh Kuo
Few studies discuss kinetic changes in tendinopathy models. We propose a customized corridor to evaluate dynamic weight bearing (DWB) and shearing forces. Sixty rats were randomly given ultrasound-assisted collagenase injections (Collagenase rats) or needle punctures (Control rats) in their left Achilles tendons, and then evaluated 1, 4, and 8 weeks later. The Collagenase rats always had significantly (p < 0.001) higher histopathological and ultrasound feature scores than did the Controls, significantly lower DWB values in the injured than in the right hindlimbs, and compensatorily higher (p < 0...
August 18, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28789557/current-concepts-review-update-insertional-achilles-tendinopathy
#15
Ruth L Chimenti, Chris C Cychosz, Mederic M Hall, Phinit Phisitkul
No abstract text is available yet for this article.
August 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28740756/sonographic-evaluation-of-the-immediate-effects-of-eccentric-heel-drop-exercise-on-achilles-tendon-and-gastrocnemius-muscle-stiffness-using-shear-wave-elastography
#16
Wilson K C Leung, K L Chu, Christopher Lai
BACKGROUND: Mechanical loading is crucial for muscle and tendon tissue remodeling. Eccentric heel drop exercise has been proven to be effective in the management of Achilles tendinopathy, yet its induced change in the mechanical property (i.e., stiffness) of the Achilles tendon (AT), medial and lateral gastrocnemius muscles (MG and LG) was unknown. Given that shear wave elastography has emerged as a powerful tool in assessing soft tissue stiffness with promising intra- and inter-operator reliability, the objective of this study was hence to characterize the stiffness of the AT, MG and LG in response to an acute bout of eccentric heel drop exercise...
2017: PeerJ
https://www.readbyqxmd.com/read/28736593/successful-treatment-of-achilles-tendinopathy-with-electroacupuncture-two-cases
#17
Matthew Kendall Hawks
Background: Achilles tendinopathy is a common injury for active patient populations and is challenging to treat. Acupuncture tendon-based therapy was first described in the Yellow Emperor's Classic of Internal Medicine. In modern times, specific techniques have been described poorly in the literature. The aim of this case report is to describe a new technique of acupuncture for the treatment of Achilles tendinopathy and provide 2 illustrative cases. Cases: Treatments for the 2 patients were performed in a deployed military treatment facility...
June 1, 2017: Medical Acupuncture
https://www.readbyqxmd.com/read/28727745/evaluation-of-tissue-displacement-and-regional-strain-in-the-achilles-tendon-using-quantitative-high-frequency-ultrasound
#18
Stijn Bogaerts, Catarina De Brito Carvalho, Lennart Scheys, Kaat Desloovere, Jan D'hooge, Frederik Maes, Paul Suetens, Koen Peers
The Achilles tendon has a unique structure-function relationship thanks to its innate hierarchical architecture in combination with the rotational anatomy of the sub-tendons from the triceps surae muscles. Previous research has provided valuable insight in global Achilles tendon mechanics, but limitations with the technique used remain. Furthermore, given the global approach evaluating muscle-tendon junction to insertion, regional differences in tendon mechanical properties might be overlooked. However, recent advancements in the field of ultrasound imaging in combination with speckle tracking have made an intratendinous evaluation possible...
2017: PloS One
https://www.readbyqxmd.com/read/28717617/conservative-treatment-for-insertional-achilles-tendinopathy-platelet-rich-plasma-and-focused-shock-waves-a-retrospective-study
#19
Davide Erroi, Matilde Sigona, Tania Suarez, Donatella Trischitta, Antonio Pavan, Maria Chiara Vulpiani, Mario Vetrano
BACKGROUND: Insertional Achilles tendinopathy (IAT) represents a serious challenge for both physiatrists and surgeons. Here we analyse the results obtained by two conservative treatments [platelet-rich plasma (PRP) injections and focused extracorporeal shock-wave therapy (ESWT)] in physically active patients with IAT. METHODS: During two consecutive periods, 45 consecutive patients with IAT were treated with 3 sessions of ESWT (2400 impulses at 0.17-0.25 mJ/mm(2) per session) (24 cases between September 2011 and July 2013) or with 2 autologous PRP injections over two weeks (21 cases between September 2013 and July 2015)...
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28717616/topical-polidocanol-application-in-combination-with-static-stretching-in-tendinopathies-a-prospective-pilot-study
#20
Matthias Gatz, Simone Schrading, Timm Dirrichs, Marcel Betsch, Markus Tingart, Björn Rath, Christiane Kuhl, Valentin Quack
BACKGROUND: Highly operator-based injection therapy with vasosclerosing and anesthetic polidocanol is used for tendinopathies. This pilot-study evaluates the topical application of polidocanol gel. METHODS: Prospective case series. 39 patients with tendinopathies (14 Achilles, 14 patella, 11 wrist extensors) with a symptom duration > 6 months were included. Polidocanol and static stretching were the therapy in the first 2 weeks, while static stretching was continuously performed for 6 months...
January 2017: Muscles, Ligaments and Tendons Journal
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