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The purpose of this study is to compare the effectiveness of ultrasound guided brisement, brisement without ultrasound guidance and standard conservative treatment in patients who have been diagnosed with Achilles tendinosis. We are asking you to take part in this research study because you are a patient of the Brigham Foot and Ankle Clinic who has been diagnosed with Achilles tendinosis. About 100 people will take part in this research study, all at Brigham and Women's Hospital (BWH).
To our knowledge, there has been very little research in the efficacy of the addition of briesment injections to standard, conservative treatment of Achilles tendinosis. We hope our results will show which method is the most effective conservative treatment for Achilles tendinosis. This information will help doctors make decisions in the future.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brisement | Active Comparator | Patients will receive a series of brisement injections for treatment of non insertional Achilles tendinosis. |
|
| Physical Therapy | Active Comparator | Patients will undergo physical therapy for treatment of non insertional Achilles tendinosis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brisement injection | Biological | An injection of Lidocaine into the tendon sheath to break up adhesions that could be causing the condition. |
|
| Measure | Description | Time Frame |
|---|---|---|
| VISA - A | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| PROMIS | 6 weeks, 3 months, 6 months, 1 year | |
| VAS Pain Scale | Weekly for 3 months, 6 months, 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christopher Chiodo, MD | Brigham and Women's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02130 | United States |
IPD will not be available to other researchers.
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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Randomized Control Trial
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The outcomes assessor will analyze the data as group 1 and 2, not knowing which group received what treatment.
| Physical Therapy | Procedure | Patients will receive a prescription for physical therapy. |
|