SPORTSMEDUPDATE
SportsMedUpdate
University of Cape Town, South Africa
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Hoksrud A, Ohberg L, Alfredson H, et al. Am J Sports Med 2006;34:1738–46
Neovascularisation is frequently observed in chronic painful Achilles and patellar tendinopathy, and sclerosing the area of vascular ingrowth using polidocanol has been shown to reduce pain.
Does sclerosing treatment using polidocanol reduce pain and improve function in elite athletes suffering from patellar tendinopathy?
33 patients (42 tendons) with documented patellar tendinopathy.
Subjects were randomly assigned to either a sclerosing group (SCL = 17 patients (23 knees) receiving polidocanol injections in the area of neovascularisation) or a control (CON = 16 patients (20 knees) receiving similar injections with lidocaine/epinephrine)—the control group was crossed over to active treatment after 4 months. Subjects were assessed at 0, 4, 8 and 12 months after the first injection. Training volumes were recorded in the two groups over the time period and were similar.
Pain and function (Victorian Institute of Sport
et al. Med Sci Sports Exerc 2006;38:1571–7
Clin Rehabil 2006;20:835–46
Med Sci Sports Exerc 2006;38:1578–83
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