Chronic Achilles Tendinopathy
Conditions
Keywords
Chronic Achilles tendinopathy, Polidocanol, Ultrasound, Efficacy, RCT
Brief summary
Chronic achilles tendinopathy is a common disease especially in adults. The golden standard in treatment has up to now been excentric exercises but with varying success. A new hypothesis is that this chronic pain is due to neo vascularisation. In a pilot study sclerosing injections with polidocanol have had a successful efficacy. Our aim is to study the efficacy of polidocanol as a treatment in a randomised controlled setting on a larger scale.
Detailed description
48 patients with chronic achilles tendinopathy for more than 3 months who have tried excentric exercises without success will be randomised to either polidocanol or lidocaine injections if having ultrasound verified neo-vascularisation.
Interventions
2 ml Aethoxysclerol 10 mg/ml 2 ml. lidocaine 10mg/ml
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 year old, Ultrasound verified Achilles tendinopathy with neo-vascularisation, pain duration more than three months, excentric exercises for at least three months, women: negative pregnancy test, safe anticonceptive
Exclusion criteria
* Dementia, mental disease or other illness incompatible with participation, no ultrasound verified neo-vascularisation, any illness which contraindicate the use of Polidocanol or Lidocaine, granulation tissue of more than 50 % of the Achilles tendon, ability of lying in prone position, women: pregnancy or breastfeeding,
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain during physical activity which usually causes pain | 3 and 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Pain while resting. | 3 and 6 months |
| Patient evaluation of treatment efficacy | 3 and 6 months |
| FAOS | 3 and 6 months |
| Achilles tendon pressure measuring until pain release. | 3 and 6 months |
| Number of neo-vascularisation. | day 0, 1 and 3 months |
| Localisation of the neo-vascularisation | day 0, 1 and 3 months |
| AOFAS | 3 and 6 months |
Countries
Denmark