Midsubstance Tendinopathy, Percutaneous Techniques (Platelet-Rich Plasma, Extracorporeal Shock Wave Therapy, Prolotherapy, Radiofrequency Ablation)

William Bret Smith; Will Melton; James Davies

doi:10.1016/j.cpm.2016.10.005

Midsubstance Tendinopathy, Percutaneous Techniques (Platelet-Rich Plasma, Extracorporeal Shock Wave Therapy, Prolotherapy, Radiofrequency Ablation)

Clin Podiatr Med Surg. 2017 Apr;34(2):161-174. doi: 10.1016/j.cpm.2016.10.005. Epub 2017 Jan 18.

Authors

William Bret Smith¹, Will Melton², James Davies²

Affiliations

¹ Department of Orthopedics, University of South Carolina, 2 Medical Park, Columbia, SC, USA. Electronic address: wbsmithdo@yahoo.com.
² Department of Orthopedics, University of South Carolina, 2 Medical Park, Columbia, SC, USA.

PMID: 28257672
DOI: 10.1016/j.cpm.2016.10.005

Abstract

The focus of this article is to present the current options available for noninvasive and percutaneous treatment options for noninsertional Achilles tendinopathy. An attempt is made to offer recommendations for both the treatment techniques as well as postprocedure protocols to be considered. Additionally, because there are numerous treatment options in this category, the different techniques are summarized in a chart format with a short list of pros and cons as well as the levels of evidence in the literature to support the different modalities.

Keywords: Achilles; Alternative treatment; Injections; Percutaneous; Ultrasound.

Publication types

Comparative Study
Review

MeSH terms

Achilles Tendon / physiopathology*
Catheter Ablation / methods*
Chronic Pain / physiopathology
Chronic Pain / therapy
Female
High-Energy Shock Waves / therapeutic use*
Humans
Injections, Intralesional
Male
Pain Measurement
Platelet-Rich Plasma*
Sclerosing Solutions / administration & dosage
Sclerotherapy / methods*
Tendinopathy / diagnosis
Tendinopathy / therapy*
Treatment Outcome

Substances

Sclerosing Solutions