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Oliver Micke, Eyup Ugrak, Stefan Bartmann, Irenaeus A Adamietz, Ulrich Schaefer, Rebecca Bueker, Klaus Kisters, M Heinrich Seegenschmiedt, Khashayar Fakhrian, Ralph Muecke
BACKGROUND: The aim of this prospective clinical quality assessment was to evaluate the short-term and long-term efficacy of low dose radiotherapy (RT) for calcaneodynia, achillodynia, painful gonarthrosis, painful bursitis trochanterica, and painful shoulder syndrome. METHODS: Between October 2011 and October 2013, patients with calcaneodynia, achillodynia, painful gonarthrosis, painful bursitis trochanterica, and painful shoulder syndrome were recruited for this prospective clinical quality assessment...
April 19, 2018: Radiation Oncology
Otto Chan, Sarah Morton, Mel Pritchard, Tina Parkes, Peter Malliaras, Tom Crisp, Nat Padhiar, Nicola Maffulli, John King, Dylan Morrissey
BACKGROUND: Achillodynia is common and includes Achilles tendinopathy, partial Achilles tears and Achilles tendon ruptures. However, we believe an additional pathology should be considered for Achillodynia differentials - the intratendinous tear (ITT). METHODS: Examinations of 740 achillodynic patients in one specialist centre were reviewed. ITTs were defined as a clearly visualised echopoor area situated centrally and extending to, but not through the tendon periphery, with pain on palpation and no clinical findings consistent with Achilles rupture...
January 2017: Muscles, Ligaments and Tendons Journal
Oliver Micke, M Heinrich Seegenschmiedt, Irenaeus A Adamietz, Guenter Kundt, Khashayar Fakhrian, Ulrich Schaefer, Ralph Muecke
PURPOSE: To prospectively evaluate the short-term and long-term efficacy of low-dose radiation therapy (RT) for calcaneodynia, achillodynia, painful gonarthrosis, and painful bursitis trochanterica in elderly patients aged ≥70 years. METHODS AND MATERIALS: Between October 2011 and October 2013, patients aged ≥70 years with painful degenerative disorders of joints were recruited for a prospective trial. Single doses of 0.5 to 1.0 Gy and a total dose of 6.0 Gy per series were used...
July 15, 2017: International Journal of Radiation Oncology, Biology, Physics
Norbert Harrasser, R von Eisenhart-Rothe, A Toepfer
No abstract text is available yet for this article.
August 2016: MMW Fortschritte der Medizin
Sarah Morton, Otto Chan, Nick Webborn, Melanie Pritchard, Dylan Morrissey
BACKGROUND: fascia cruris (FC) tears have recently been recognised in the literature, although little is known about their characteristic ultrasound findings. The aim was to describe the echo-graphic features of FC tears in order to improve recognition and diagnosis. METHODS: the ultrasound reports and images of >600 patients attending a specialist musculoskeletal clinic for Achilles tendon ultrasound scans between October 2010-May 2014 were reviewed. Any patient diagnosed with a FC tear had a structured data set extracted...
October 2015: Muscles, Ligaments and Tendons Journal
Oliver J Ott, Carolin Jeremias, Udo S Gaipl, Benjamin Frey, Manfred Schmidt, Rainer Fietkau
BACKGROUND: The aim of this study was to evaluate the long-term efficacy of two dose-fractionation schedules for radiotherapy of achillodynia. PATIENTS AND METHODS: Between February 2006 and February 2010, 112 evaluable patients were recruited for this prospective trial. All patients received orthovoltage radiotherapy. One course consisted of 6 fractions/3 weeks. In the case of insufficient remission of pain after 6 weeks, a second series was performed. Patients were randomly assigned to receive either single doses of 0...
December 2015: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
Dishan Singh
Familial hypercholesterolaemia is an autosomal dominant disease, with a prevalence of 1 in 500, where lipid deposits occur in the skin, tendons (particularly Achilles tendon) and arteries. It has a high risk of early coronary artery disease and mortality but is treatable with cholesterol lowering strategies if patients are diagnosed early. Studies in patients attending lipid clinics have shown that half the patients may have suffered from Achilles tendon symptoms 20 years earlier and it has been proposed that all patients presenting with Achilles tendon pain should have a serum cholesterol test...
December 2015: Foot
Jitka Fricová, Richard Rokyta
The method of shock wave therapy (ESWT) was used for the treatment of several symptoms of chronic pain. There were especially: cervical syndromes, lumbago, plantar fasciitis, achillodynia, metatarsalgia and humeral epicondylitis. We confirmed the positive effect of shock wave therapy for pain relief on these syndromes. This method is also effective in other pain syndromes. The effect of this application is very individual and therefore it is necessary to indicate differing numbers of therapeutic applications...
2015: Neuro Endocrinology Letters
Nick Webborn, Dylan Morrissey, Kasthuri Sarvananthan, Otto Chan
BACKGROUND: The fascia cruris encloses the posterior structures of the calf and connects to the paratenon and the Achilles tendon. We describe the clinical presentation, ultrasound imaging characteristics and the time to the recovery of tears of the fascia cruris at the attachment to the Achilles tendon. METHODS: Retrospective review of 11 tears of the fascia cruris in the different legs as separate events in 9 patients (6 male and 3 female, mean age 35.52 years, range 11-48) identified using diagnostic ultrasound, after presenting with Achillodynia...
November 2015: British Journal of Sports Medicine
A Stecco, F Busoni, C Stecco, M Mattioli-Belmonte, P Soldani, S Condino, A Ermolao, M Zaccaria, M Gesi
Achilles tendon analysis represents one of the most frequently requested ultrasonographic evaluations, due to the high incidence of tendinopathy. Various authors have described inflammatory features of the paratenon recruited 22 subjects complaining of pain in the mid-portion of the Achilles tendon and 22 healthy subjects. Both groups underwent ultrasonographic examination and Victorian Institute of Sport Assessment-Achilles questionnaire administration. It was found statistically significant inter-group differences of the paratenon (p = 0...
April 2015: Surgical and Radiologic Anatomy: SRA
Michael A Fischer, Christian W A Pfirrmann, Norman Espinosa, Dimitri A Raptis, Florian M Buck
OBJECTIVES: To quantify the muscle fat-content (MFC) in phantoms, volunteers and patients with achillodynia using two-point Dixon-based magnetic resonance imaging (2pt-MRIDIXON) in comparison to MR spectroscopy (MRS) and visual assessment of MFC. METHODS: Two-point Dixon-based MRI was used to measure the MFC of 15 phantoms containing 0-100 % fat-content and calf muscles in 30 patients (13 women; 57 ± 15 years) with achillodynia and in 20 volunteers (10 women; 30 ± 14 years) at 1...
June 2014: European Radiology
R Syha, F Springer, D Ketelsen, I Ipach, U Kramer, M Horger, F Schick, U Grosse
In the past decades the incidence of acute and chronic disorders of the Achilles tendon associated with sport-induced overuse has steadily increased. Besides acute complete or partial ruptures, achillodynia (Achilles tendon pain syndrome), which is often associated with tendon degeneration, represents the most challenging entity regarding clinical diagnostics and therapy. Therefore, the use of imaging techniques to differentiate tendon disorders and even characterize structure alterations is of growing interest...
November 2013: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
Aynur Turan, Abdurrahman Tufan, Rıdvan Mercan, Mehmet Akif Teber, Mehmet Engin Tezcan, Berivan Bitik, Berna Goker, Seminur Haznedaroğlu
OBJECTIVE: Real-time sonoelastography (SE) is a new ultrasound-based imaging technique that provides information on tissue elasticity and stiffness. We determined the efficacy of SE for assessing Achilles tendon abnormalities in patients with ankylosing spondylitis (AS). MATERIALS AND METHODS: Forty-one consecutive AS patients and 32 asymptomatic healthy subjects were enrolled. Achillodynia was scored on a 0- to 100-mm visual analog scale. A high-resolution ultrasound machine equipped with an elastography-compatible linear probe was used to perform bilateral B-mode ultrasound, Doppler ultrasound, and SE examinations of Achilles tendons...
August 2013: Skeletal Radiology
O J Ott, C Jeremias, U S Gaipl, B Frey, M Schmidt, R Fietkau
BACKGROUND AND PURPOSE: The aim of this study was to compare the efficacy of two different dose-fractionation schedules for radiotherapy of patients with achillodynia. PATIENTS AND METHODS: Between February 2006 and February 2010, 112 consecutive evaluable patients were recruited for this prospective randomized trial. All patients underwent radiotherapy with an orthovoltage technique. One radiotherapy course consisted of 6 single fractions over 3 weeks. In case of insufficient remission of pain after 6 weeks, a second radiation series was performed...
February 2013: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
Adrienne Hoffmann, Nadja Mamisch, Florian M Buck, Norman Espinosa, Christian W A Pfirrmann, Marco Zanetti
OBJECTIVE: The purpose of this study was to evaluate the frequency of oedema and fatty degeneration of the soleus and gastrocnemius muscles in patients with Achilles tendon abnormalities. METHODS: Forty-five consecutive patients (mean 51 years; range 14-84 years) with achillodynia were examined with magnetic resonance (MR) images of the calf. The frequency of oedema and fatty degeneration in the soleus and gastrocnemius muscles was determined in patients with normal tendons, tendinopathy and in patients with a partial tear or a complete tear of the Achilles tendon...
September 2011: European Radiology
M Wilmes, H von Piekartz
BACKGROUND AND AIM: Achillodynia is often seen as a sign of repetitive strain of dorsal tissue of the calf. A neurogene component is also considered for this disease pattern. This association haven`t been investigated yet. The major goal of this study was the investigation of the dynamics of the sural nerve by ultrasonography with regard to movements of ankle, knee and hip. This concerns the physiological situation and pathological aspects of achillodynia. SUBJECTS/METHOD: In this cross sectional study without a blinding-assay 29 sural nerves of 15 healthy subjects (group A) and 6 sural nerves of 3 subjects with pain or dysaesthesia at the achilles tendon or the lateral foot (group B) have been investigated by diagnostic ultrasonography...
December 2010: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
Finn Elkjaer Johannsen, Arne Nyholm Gam
INTRODUCTION: A descriptive study of patients referred to two rheumatology clinics. MATERIAL AND METHODS: Over a period of eight months, all patients with Achilles tendon pain (AT) were registered. All patients were clinically investigated and an ultrasound scan (US) was performed. RESULTS: A total of 113 patients were included (3.65% of all patients) with 132 AT. In all, 85 patients were sports active and the AT could be explained by overuse...
November 29, 2010: Ugeskrift for Laeger
R Aliyev, Q Muslimov, G Geiger
Achillodynia describes it as an expression of chronic pain in the Achilles tendon. Pain in the Achilles tendon can be the cause of wear and tear in the tendon tissue, or following an inflammation of the peritendineum, the underlying bursa and/or the tendon insertion at the heel bone. It often occurs after sporting unusual stress and heal after complex conservative treatment by rest, (partial) relief and physical exercise within several weeks to months. The aim was to turn knowledge on the effectiveness of complex conservative treatment measures, in particular to gain by additional stimulation in the treatment of Achilles tendon...
October 2010: Georgian Medical News
K Urban, P Svoboda
The authors investigated a group of 29 patients, incl. 21 sportsmen with achillodynias. Athletes and football players predominated. Peritenonectomy was indicated when conservative treatment was exhausted and did not achieve marked improvement. The above mentioned operation was, depending on pathological changes of the tendon and its surrounding structures, supplemented by other provisions. After operation the plaster splint was applied only before the surgical wound healed. The follow-up period was 9 months to 5 years...
1992: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
J Nørregaard, C C Larsen, T Bieler, H Langberg
AIM: Prognosis and treatment of Achilles tendon pain (achillodynia) has been insufficiently studied. The purpose of the present study was to examine the long-term effect of eccentric exercises compared with stretching exercises on patients with achillodynia. METHODS: Patients with achillodynia for at least 3 months were randomly allocated to one of two exercise regimens. Exercise was performed daily for a 3-month period. Symptom severity was evaluated by tendon tenderness, ultrasonography, a questionnaire on pain and other symptoms, and a global assessment of improvement...
April 2007: Scandinavian Journal of Medicine & Science in Sports
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