Laser Therapy in the Treatment of Achilles Tendinopathy: A Pilot Study

Tumilty, Steve; Munn, Joanne; Abbott, J. Haxby; McDonough, Suzanne; Hurley, Deirdre A.; Baxter, G. David

doi:10.1089/pho.2007.2126

Cited by 72 publications

(81 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mean VISA-A change after 3 months was 31 (SD 30.54) points despite the foot being immobilised for approximately half this period. A minimum clinically important change (MCIC) has not yet been set but previous studies have proposed values between 10 and 25, suggesting that this study demonstrates a very good clinical improvement [18][19][20][21]29,30 . Return to sport is an essential outcome measure in the athletic population and although only 10% were competing at their previous level after 3 months, this had increased to 37% at long-term follow-up (12.6 months).…”

Section: Strengths and Weaknessesmentioning

confidence: 99%

Outcomes of prolotherapy for intra-tendinous Achilles tears: a case series

Chan

Havard

Morton

et al. 2017

MLTJ

View full text Add to dashboard Cite

SummaryBackground: The intra-tendinous tear is a new pathology that is defined as a discontinuity of fibres situated entirely within the tendon. Prolotherapy involves injecting an irritant, such as hyperosmolar dextrose, to stimulate a tissue healing response and ultimately reduce pain. Methods: 43 consecutive patients diagnosed with an intra-tendinous tear were included (27 males: 16 females, mean (SD) age 41 (11.3). Patients were injected with 0.4ml-1.5ml (mean 0.8ml) of 50% dextrose and 0.5% marcaine mixed in a 1:1 ratio. A 4-6 week period of walking boot immobilisation was followed by progressive rehabilitation (6-8 weeks). Outcomes were assessed with a VISA-A questionnaire at baseline, 3 months and a mean 12.6 (7.0) months post-treatment. Ultrasound scans were conducted before treatment and 5.2 (2.3) weeks later to assess sonographic changes.

show abstract

Section: Strengths and Weaknessesmentioning

confidence: 99%

Outcomes of prolotherapy for intra-tendinous Achilles tears: a case series

Chan

Havard

Morton

et al. 2017

MLTJ

View full text Add to dashboard Cite

show abstract

“…Despite a lack of consensus over its ideal use, specific test and protocols for LLLT suggest it is effective in relieving shortterm pain for rheumatoid and osteoarthritis (OA) (Brosseau et al, 2000a,b,c;Gur et al, 2003), acute and chronic neck pain (Chow et al, 2009), tendinopathy (Bjordal et al, 2008;Tumilty et al, 2008), and possibly chronic joint disorders (Bjordal et al, 2003). The evidence of LLLT being useful in the treatment of is equivocal A systematic review on the effectiveness of physical and rehabilitation interventions for chronic nonspecific low back pain (van Middelkoop et al, 2010).…”

Section: Light Therapymentioning

confidence: 99%

Orthopedic Physical Therapy

Lin

Lin²,

Jan³

et al. 2014

Comprehensive Biomedical Physics

View full text Add to dashboard Cite

“…A systematic review evaluating the effect of Low-level laser therapy (LLLT) on tendinopathy indicated favourable outcome with this treatment but the results varies between different studies [ 45 ]. In general this treatment has been combined with eccentric exercise, and it has been found to be more benefi cial then eccentric exercise alone [ 46 ]. However, none of the studies has evaluated the effect of LLLT on patients with the distal type injury.…”

Section: Lasermentioning

confidence: 99%

Treatment of Chronic Achilles Tendinopathies

Karlsson

Brorsson

Silbernagel

2014

European Instructional Lectures

View full text Add to dashboard Cite

The overuse type of injury to the Achilles tendon is the painful type of injury that occurs when the body's reparative capability is exceeded by repetitive microtrauma [ 1 ]. The injury can be in an acute or chronic phase. The exact time criteria that are used to classify the injury as acute or chronic are arbitrary. In the literature, defi nitions for the injury to be chronic range from 4 weeks to 3 months or pain on and off for more than 6 months [ 2 -5 ]. The acute phase injury consists of partial ruptures, bursitis or paratendonitis. The chronic phase injury can be divided into distal Achilles tendinopathy and midportion Achilles tendinopathy depending on the location of the pain.In 163 patients with chronic Achilles tendinopathy, surgical and histopathological fi ndings showed that 90 % had degenerative changes, socalled tendinosis [ 6 ]. On the other hand, degenerative changes were also found in 20 % of non-symptomatic tendons. Another fi nding was Treatment of Chronic Achilles TendinopathiesJon Karlsson , Annelie Brorsson , and Karin Grävare Silbernagel AbstractAchilles tendinopathy is a common and often diffi cult to treat problem. The best known and best researched treatment is rehabilitation exercises either concentric or concentric-eccentric exercises. To experience a favourable outcome from exercise, the exercises are allowed to cause pain. Therefore, the use of a pain-monitoring model together with a training log help the patient and the clinician to balance between overloading and loading enough to achieve a positive response to the exercises. The exercise programme needs to continue for at least 12 weeks, and often it needs to be continued for up to a year. It might also be benefi cial to combine the exercise treatment with other treatments, such as shockwave therapy, laser therapy and the use of orthotics. Surgery is considered as the last option. Patients with insertional Achilles tendinopathy are more likely to need surgery compared with patients with mid-portion Achilles tendinopathy

show abstract

Laser Therapy in the Treatment of Achilles Tendinopathy: A Pilot Study

Abstract: This study has demonstrated the feasibility of undertaking a randomized controlled trial of LLLT for Achilles tendinopathy. Conclusions regarding effectiveness cannot be made due to the low statistical power of this pilot study.

Cited by 72 publications

References 28 publications

Outcomes of prolotherapy for intra-tendinous Achilles tears: a case series

Outcomes of prolotherapy for intra-tendinous Achilles tears: a case series

Orthopedic Physical Therapy

Treatment of Chronic Achilles Tendinopathies

Contact Info

Product

Resources

About