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/mm2 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). All patients were evaluated at 0, 2-, 4-, 6-month follow-up after therapy. The outcome measures were VISA-A, VAS, Patient Satisfaction. RESULTS: Intra-group analysis showed a significant improvement of VISA-A and VAS scores in both groups at all time-points. No differences between groups were observed for VAS and VISA-A scores at all time-points, excepted for VISA-A at 4-months in favour of ESWT group (P=0.049). Patient satisfaction increased progressively (>70% at 6 months) and with no differences between two groups. CONCLUSION: Both ESWT and PRP therapy are effective and safe. Our study confirms the success of these conservative treatments in Achilles tendinopathy, even in the insertional one.

Conservative treatment for insertional achilles tendinopathy. platelet-rich plasma and focused shock waves. a retrospective study / Erroi, Davide; Sigona, Matilde; Suarez, Tania; Trischitta, Donatella; Pavan, Antonio; Vulpiani, MARIA CHIARA; Vetrano, Mario. - In: M.L.T.J. MUSCLES, LIGAMENTS AND TENDONS JOURNAL. - ISSN 2240-4554. - 7:1(2017), pp. 98-106. [10.11138/mltj/2017.7.1.098]

Conservative treatment for insertional achilles tendinopathy. platelet-rich plasma and focused shock waves. a retrospective study

ERROI, DAVIDE;SIGONA, MATILDE;SUAREZ, TANIA;TRISCHITTA, DONATELLA;PAVAN, Antonio;VULPIANI, MARIA CHIARA;VETRANO, MARIO
2017

Abstract

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/mm2 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). All patients were evaluated at 0, 2-, 4-, 6-month follow-up after therapy. The outcome measures were VISA-A, VAS, Patient Satisfaction. RESULTS: Intra-group analysis showed a significant improvement of VISA-A and VAS scores in both groups at all time-points. No differences between groups were observed for VAS and VISA-A scores at all time-points, excepted for VISA-A at 4-months in favour of ESWT group (P=0.049). Patient satisfaction increased progressively (>70% at 6 months) and with no differences between two groups. CONCLUSION: Both ESWT and PRP therapy are effective and safe. Our study confirms the success of these conservative treatments in Achilles tendinopathy, even in the insertional one.
2017
conservative treatment; foot pain. physical therapy; sport rehabilitation; orthopedics and sports medicine
01 Pubblicazione su rivista::01a Articolo in rivista
Conservative treatment for insertional achilles tendinopathy. platelet-rich plasma and focused shock waves. a retrospective study / Erroi, Davide; Sigona, Matilde; Suarez, Tania; Trischitta, Donatella; Pavan, Antonio; Vulpiani, MARIA CHIARA; Vetrano, Mario. - In: M.L.T.J. MUSCLES, LIGAMENTS AND TENDONS JOURNAL. - ISSN 2240-4554. - 7:1(2017), pp. 98-106. [10.11138/mltj/2017.7.1.098]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1011929
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