The value of a High-Volume Image-Guided Injection in chronic midportion Achilles tendinopathy: a double-blind, placebo-controlled, randomised clinical trial - HAT-Study

Haaglanden Medisch Centrum0 个研究点目标入组 84 人开始时间: 待定最近更新: 2024年2月28日

适应症

试验速览

暂无简介。

•- Age 18-70 years.
•- Clinical diagnosis of chronic midportion Achilles tendinopathy: Painfull swelling of the Achilles tendon, 2-7 cm proximal to it*s calcaneal insertion.
•- Non-response to excercise program for 6 weeks.
•- Painfull Achilles tendon for more than 2 months.
•- Neovascularisation is present on Power Doppler Ultrasonography examination

•- Clinical suspicion of insertional disorders.
•- Clinical suspicion of Achilles tendon rupture.
•- Clinical suspicion of plantar flexor tenosynovitis.
•- Clinical suspicion of peroneal tendinopathy or subluxation.
•- Clicical suspicion of sural nerve pathology.
•- Condition of the Achilles tendon caused by medication, such as quinolones and statins.
•- Known to have the following disorders: spondylarthropathy, gout, hyperlipidemia, rheumatoid arthritis and sarcoïdosis.
•- Inability to perform a heavy load eccentric exercise program.
•- Recently prescribed drugs (within 2 years) with a putative effect on symptoms and tendon healing (quinolone antibiotics, corticosteroids).
•- Presence of pregancy.
•- Previous Achilles tendon rupture.
•- Patient has received surgical intervention for his injury.
•- A medical condition that would affect safety of injection (e.g. peripheral vascular disease, use of anticoagulant medication)
•- Inability to give informed consent.
•- Participation in other concomitant treatment programs.
•- Patient has already one side included in this study.
•- Patient does not wish, for whatever reason, to undergo one of the two treatments.
•- Allergy for lidocain.

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