Is Percutaneous Radiofrequency Coblation for Treatment of Achilles Tendinosis Safe and Effective?

Computed Tomography‐Guided Percutaneously Controlled Ablation of the Thoracic Paravertebral Nerve Due to Thoracic Neuropathic Pain

“…The tiny pieces are then removed through the tunnel of an introducer needle, which results in a volumetric removal of the target tissue and the creation of a lower pressure region. Coblation has been used for the treatment of discogenic pain, painful bone diseases, and Achilles tendinosis . Although coblation has been successful in alleviating discogenic pain, with the majority of patients achieving excellent clinical outcomes, to date, only 1 case of phantom limb pain has been treated successfully with coblation …”

Comparison of Clinical Efficacy Among Endoscopy-Assisted Radio-Frequency Ablation, Extracorporeal Shockwaves, and Eccentric Exercises in Treatment of Insertional Achilles Tendinosis

“…However, Van Dijk 28 performed percutaneous radio-frequency coblation in 47 patients with insertional Achilles tendinosis and demonstrated that seven required surgical treatment and three had tendon rupture, suggesting that this technique should be applied cautiously in patients with a high body mass index. In contrast, another study 29 has shown that radio-frequency ablation yields high efficacy in treating insertional Achilles tendinosis, probably resulting from the reason that radiofrequency ablation promotes tenocyte activity, initiates cell proliferation, facilitates the healing process, and, thus, restores the blood supply of muscular tendons during the process of creating holes. Then, abnormal nerve fiber degenerates and subsequently initiates a cascade of repairing responses, thereby alleviating topical symptoms.…”

Does Additional Extracorporeal Shock Wave Therapy Improve the Effect of Isolated Percutaneous Radiofreqency Coblation in Patients with Insertional Achilles Tendinopathy? Study Protocol for A Randomized Controlled Clinical Trial

“…In addition, all the patients will be encouraged to begin range of motion and isometric strength exercises immediately after surgery, and eccentric training will begin 6 weeks after surgery. 36 At 4-week follow-up, the patients will be advised to wear regular shoe gear and continue the exercises. Patients shall be able to walk normally without any assistive device since the seventh week.…”