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Prospective randomized controlled study using radio-frequency microtenotomy or physical therapy (eccentric training) for treatment of Achilles tendinose
Achilless tendinosis is a major clinical problem. There is a need for new studies to map the effectiveness of treatment. This study will compare treatment effectiveness between traditional physical therapy with surgical treatment using (RFM). The tendinosis grade will be evaluated using MRI and /or ultrasound before and after intervention. The outcome measurment include VAS and function using ( FAOS FOOT & ANKLE SURVEY) at 6,12 weeks and 6, 12 months after intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radiofrequency microtenotomy | Active Comparator | Treatment of Achilles tendinose with radio-frequency microtenotomy |
|
| Phusical therapy | Active Comparator | Supervised eccentric training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RFM | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain reduction | Pain reduction. Change of pain from baseline measured with VAS | 6.12 weeks and 6,12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Function | Change from baseline in functionality measured by (FAOS) FOOT & ANKLE SURVEY | 6.12 weeks and 6,12 months |
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Inclusion Criteria:
Exclusion Criteria:
Other co-morbidity that constitutes contraindication for surgery, serious illness, bad compliance
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of North Norway | Tromsø | 9038 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34988234 | Derived | Al-Ani Z, Meknas D, Kartus JT, Lyngedal O, Meknas K. Radiofrequency Microtenotomy or Physical Therapy for Achilles Tendinopathy: Results of a Randomized Clinical Trial. Orthop J Sports Med. 2021 Dec 20;9(12):23259671211062555. doi: 10.1177/23259671211062555. eCollection 2021 Dec. |
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| ID | Term |
|---|---|
| D052256 | Tendinopathy |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D013708 | Tendon Injuries |
| D014947 | Wounds and Injuries |
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To evaluate improvement of VAS and functionality before and after treatment of Achilles tendinosis using radiofrequency-plasma based microtenotomy in comparison to traditional physical therapy.
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| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |