The Efficacy of Brisement Compared to Physical Therapy for the Treatment of Achilles Tendinosis

Brigham and Women's Hospital

Overview

The purpose of this study is to compare the effectiveness of ultrasound guided brisement, brisement without ultrasound guidance and standard conservative treatment in patients who have been diagnosed with Achilles tendinosis. We are asking you to take part in this research study because you are a patient of the Brigham Foot and Ankle Clinic who has been diagnosed with Achilles tendinosis. About 100 people will take part in this research study, all at Brigham and Women's Hospital (BWH). To our knowledge, there has been very little research in the efficacy of the addition of briesment injections to standard, conservative treatment of Achilles tendinosis. We hope our results will show which method is the most effective conservative treatment for Achilles tendinosis. This information will help doctors make decisions in the future.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Conditions

Achilles Tendinopathy

Interventions

Brisement injectionBIOLOGICAL

An injection of Lidocaine into the tendon sheath to break up adhesions that could be causing the condition.

Physical TherapyPROCEDURE

Patients will receive a prescription for physical therapy.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All patients enrolled in the study must have a diagnosis of Achilles tendinosis with at least 2 weeks of pain at the distal Achilles tendon which is typically worsened with activity. Only cases of non-insertional Achilles tendinosis (tendinosis occurring above the point of tendon insertion) will be included. Exclusion Criteria: * Patients with a prior Achilles tendon tear, chronic inflammatory disease, or history of posterior calf surgery will be excluded from the study. Additionally, patients with prior injuries or fractures to the ankle and hind foot (talus and calcaneus) requiring surgery will be excluded.

Locations (1)

Brigham and Women's Hospital

Boston, Massachusetts, United States

Outcomes

Primary Outcomes

VISA - A

Time frame: 3 months

Secondary Outcomes

PROMIS

Time frame: 6 weeks, 3 months, 6 months, 1 year

VAS Pain Scale

Time frame: Weekly for 3 months, 6 months, 1 year

Data from ClinicalTrials.gov

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