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Outcome of Ultrasound Guided Sclerosis in Treatment of Chronic Achilles Tendinopathy

Introduction: Chronic Achilles Tendinopathy (CAT) is a common sports injury that affects a substantial portion of the population. One of the clinical treatments of CAT is ultrasound guided sclerosis (UGS), the efficacy of which is both supported and contested in a numberof previous reports.  Aim: The aim of the study was to assess current and former CAT diagnosed patients’ experiences of stiffness, pain and function of the Achilles tendon (AT) before and after UGS, in order to determine the treatment efficacy. Methods: A retrospective study based on a modified Victorian Institute of Sports Assessment – Achilles – Survey (VISA-A-S). VISA-A-S questionnaire, with 123 study participants, allof whom were treated at Uppsala University Hospital between 2016-2020 and who had experienced stiffness, pain, and dysfunction of AT before and after UGS. Statistical analysis was performed Wilcoxon Signed-Rank tests. Results: The response rate to the survey questionnaire was 62%. In total, 80% of all study participants reported that they were satisfied with the treatment. After UGS, 74% reported shorter period of morning stiffness, 85% had less pain and 84% experienced improved function, as compared to before the treatment (P<0.0001 for all). Conclusion: The results of this study were both statistically and clinically significant. Based on the results of this retrospective study, it is reasonable to conclude that UGS is an effective clinical procedure in treating CAT. This means that this study confirms conclusions of a part of previous studies on the effectiveness of the UGS treatment, which had indicated that UGS is an effective treatment of CAT.

Identiferoai:union.ndltd.org:UPSALLA1/oai:DiVA.org:uu-455959
Date January 2021
CreatorsAbdi Poljarevic, Maimun
PublisherUppsala universitet, Institutionen för kvinnors och barns hälsa
Source SetsDiVA Archive at Upsalla University
LanguageEnglish
Detected LanguageEnglish
TypeStudent thesis, info:eu-repo/semantics/bachelorThesis, text
Formatapplication/pdf
Rightsinfo:eu-repo/semantics/openAccess

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