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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
48
2 ml Aethoxysclerol 10 mg/ml 2 ml. lidocaine 10mg/ml
Aalborg University Hospital
Aalborg, Denmark
Pain during physical activity which usually causes pain
Time frame: 3 and 6 months
Achilles tendon pressure measuring until pain release.
Time frame: 3 and 6 months
Pain while resting.
Time frame: 3 and 6 months
Patient evaluation of treatment efficacy
Time frame: 3 and 6 months
FAOS
Time frame: 3 and 6 months
AOFAS
Time frame: 3 and 6 months
Number of neo-vascularisation.
Time frame: day 0, 1 and 3 months
Localisation of the neo-vascularisation
Time frame: day 0, 1 and 3 months
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