title: Results of conservative treatment of achillodynia with application micro-current therapy.
abstract: Achillodynia describes it as an expression of chronic pain in the Achilles tendon. Pain in the Achilles tendon can be the cause of wear and tear in the tendon tissue, or following an inflammation of the peritendineum, the underlying bursa and/or the tendon insertion at the heel bone. It often occurs after sporting unusual stress and heal after complex conservative treatment by rest, (partial) relief and physical exercise within several weeks to months. The aim was to turn knowledge on the effectiveness of complex conservative treatment measures, in particular to gain by additional stimulation in the treatment of Achilles tendon. 20 patients with a diagnosis of achillodynia were treated 05-2009 to 12-2009 in the orthopedic outpatient therapy center with the help of the extra, micro-current therapy (CellVAS® device) and a complex conservative treatment measures. The analysis was conducted using a questionnaire, clinical examinations, magnetic resonance imaging (MRI) and a radiological examination of the Achilles tendon with the ankle joint. At the beginning and end of the intervention to the Board of subjective symptoms scores (NRS scale) and assessment of treatment results by the doctor for 4-step rating scale were collected. The study compares the treatment response in Achillodynia from a control group. The average age of patients was 46.3 years at the time of treatment. Of these patients: 14 (70%) were females and 6 (30%) male. Of 20 patients were 8 (40%) patients with very good, 7 (35%) patients with good, two (10%) patients with satisfactory and three (15%) patients with poor results. In addition, 17 of 20 patients (85%) with conservative treatment measures were satisfied, 3 patients (15%) were dissatisfied. The subjective assessment of the complaints numerical rating scale (NRS scale) improved significantly (p <0.001) from 8.9 to 2.3 points after treatment. An objective evaluation by the attending physician based on various clinical parameters was assessed in 75% of the cases as good or very good. The study shows that the described complex conservative therapy is the integration of a micro-current treatment is a very good method for the treatment of Achillodynia/Achilles tendon disorders in athletes. The primary goal of treatment is to achieve freedom from pain and was achieved consistently, as the subjective assessment of the complaints was proved using the NRS scale. The high patient satisfaction with the treatment suggests in addition, any therapy must keep in action the long-term development of athletes in mind. In individual must be questioned what treatment method for long-term sports development but also the health history (this is not inevitably always the same) is an advantage. The conservative treatment seems to be advantageous because it leaves open for therapy-resistant complaints, the option of surgical treatment, and has generally very good chance of recovery.
authors.affiliation: Clinic of orthopedy and traumatology, Bethlehem Hospital, Steinfeldstr, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Aliyev
authors.forename: Q
authors.initials: Q
authors.lastname: Muslimov
authors.forename: G
authors.initials: G
authors.lastname: Geiger
mesh_terms: D000125:Achilles Tendon / Q000503:physiopathology*; D003131:Combined Modality Therapy; D004599:Electric Stimulation Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D052256:Tendinopathy / Q000150:complications* / Q000628:therapy*; D016896:Treatment Outcome