Knee Surg Sports Traumatol Arthrosc (2016) 24:2112–2118 DOI 10.1007/s00167-014-3458-7 ANKLE Ultrasound‑guided dry needling with percutaneous paratenon decompression for chronic Achilles tendinopathy Andrea Yeo · Namita Kendall · Sunderarajan Jayaraman Received: 19 May 2014 / Accepted: 20 November 2014 / Published online: 2 December 2014 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014 Abstract of patients were highly satisfied with their outcome with Purpose Chronic Achilles tendinopathy is a common nearly half reporting complete resolution of their symp- overuse injury. There are several modalities of treatment, toms. >85 % were also able to return to their sporting reflecting difficulties in management. In particular, due interests. to the well-recognised surgical morbidity, treatment has Conclusion Combined therapy of dry needling with per- steered towards less invasive routes. Previous studies have cutaneous hydrostatic paratenon decompression under targeted pathology either inside or outside the tendon in ultrasound guidance is a well-tolerated procedure with isolation with varying results. This study aimed to target good short- and long-term pain and functional outcomes. both pathological sites by combining dry needling with per- Level of evidence Prospective case series, Level IV. cutaneous hydrostatic decompression as a novel treatment. Methods Twenty-one patients with 26 chronic, non-inser-
Knee Surgery, Sports Traumatology, Arthroscopy – Springer Journals
Published: Dec 2, 2014
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