New data suggests that PRP injections may not be as effective as previously thought to treat Achilles pain


The Achilles tendon connects the calf and calf muscles with the heel bone and is the largest tendon in the body.

Acute injury or overuse of the tendon can cause tenderness and pain when walking, running, or bending the foot. The two most common causes of Achilles tendon pain are Achilles tendinitis and Achilles tendinitis.

Platelet-rich plasma injection is a popular form of regenerative medicine, and some people with Achilles tendon pain will turn to it for pain relief. However, the latest research shows that these injections do not have any real benefits for patients.

Achilles tendinitis is an acute inflammatory disease that most often affects athletes, especially runners.Pain is often described, according to very healthy, Burning sensation along the tendon or near the heel bone. It tends to deteriorate with activity. Many patients also experience mild swelling and morning stiffness.

Achilles tendinopathy is an overuse injury caused by a chronically degenerated tendon. In most cases, it is the result of untreated tendinitis, so early diagnosis is important.

The most serious Achilles tendon injury is the rupture of the tendon tear. The patient may hear a popping sound accompanied by severe heel pain.

If you have any stiffness or tenderness in your legs or ankles, or any signs of swelling or infection, you should be evaluated by your doctor. Any severe pain that indicates a possible rupture should seek immediate medical attention.

The most common treatment for Achilles tendinitis is rest or reduced activity. Physical therapy usually prescribed includes gentle stretching and strengthening exercises. If your condition progresses to tendon degeneration, you will need a more professional rehabilitation plan. Ice can also help in the early stages of pain and after exercise.

Achilles tendon ruptures sometimes require surgical repair. However, partial tendon ruptures are usually treated more conservatively with fixation and physical therapy.

Some patients also try to inject platelet-rich plasma to speed up recovery. Special Surgery Hospital.

Platelet-rich plasma injection is a form Regenerative Medicine Or self-repair, which is popular in recent years.Basically, the patient’s own platelet-rich plasma is injected into the injured tendon or ligament, such as the Achilles tendon Improve healing And relieve pain.

Previous study It has been shown that this type of treatment can effectively heal soft tissues and bones, especially in chronic diseases, including tennis elbow, rotator cuff tear, and Achilles tendinopathy.

Nevertheless, the researchers said that more clinical studies are needed to weigh the benefits and risks of this treatment. A recent study contradicts the results of previous studies, that PRP injection can effectively treat Achilles tendinopathy.

The researchers found that these patients had no real benefit and recommended that this treatment should not be used on them.In their research, published in Journal of the American Medical Association, They randomly assigned 240 Achilles tendinopathy patients to receive PRP treatment or sham injections.

The patients were then asked to complete a self-assessment of their pain, function, and activity three and six months after the injection. The researchers found that overall, the average scores of each group were not statistically different.

“The only reason for treating tendinopathy is whether the patient feels pain, because this condition does not cause pain in all cases. What is important for patients is that they want to relieve pain so that they can perform activities that were previously possible. We set A clinically important difference, which was not realized in the trial,” Say Rebecca Kearney, the lead author and professor at the University of Warwick.

“Achilles tendinopathy can cause significant pain and prevent people from staying active. The results of this study show that injection of platelet-rich plasma does not improve pain or function, and therefore should not be recommended as a treatment for this disease. More Research is needed to ensure that we find effective treatments for people with persistent painful Achilles tendinopathy,” added Caroline Aylott, research delivery leader of Versus Arthritis, the research funder.



Source link