title: Autologous blood injection to treat achilles tendinopathy? A randomized controlled trial.
abstract: BACKGROUND
  Achilles tendinopathy is a common and often debilitating condition, and autologous blood injection is a promising treatment option.
  
  
  OBJECTIVE
  To determine whether autologous blood injection added to standard management was effective in alleviating symptoms of Achilles tendinopathy.
  
  
  METHODS
  A prospective randomized controlled trial.
  
  
  METHODS
  Private sports medicine clinic.
  
  
  METHODS
  33 patients (18 women, 15 men) of mean age 50 y (SD 9) with 40 cases of Achilles tendinopathy of mean duration of 11 mo (SD 7).
  
  
  METHODS
  Participants were randomized to blind peritendinous autologous blood injection added to standard treatment (eccentric-loading exercises) or standard treatment alone for 12 wk.
  
  
  METHODS
  Victorian Institute of Sport Assessment for Achilles (VISA-A) score and ratings of discomfort during and after the injection were measured at baseline and 6 and 12 wk. Analytically derived effect-size thresholds of 5 (small) and 15 (moderate) VISA-A units were used as the reference values for clinical inference.
  
  
  RESULTS
  Improvements in VISA-A of 7.7 units (95%CL: ± 6.7) and 8.7 units (± 8.8) were observed in the treatment and control groups, respectively, at 6 wk relative to baseline, with no clear effect of blood injection. At 12 wk VISA-A score improved to 18.9 units (± 7.4) in the treatment group, revealing a blood-injection effect of 9.6 units (± 11.5), relative to a comparatively unchanged condition in control (9.4 units; ± 9.0). Predictors of response to treatment were unremarkable, and a 21% rate of postinjection flare was the only noteworthy side effect.
  
  
  CONCLUSIONS
  There is some evidence for small short-term symptomatic improvements with the addition of autologous blood injection to standard treatment for Achilles tendinopathy, although double-blinded studies with longer follow-up and larger sample size are required.
authors: Wakefield Sports Med, Wellington, New Zealand.
authors: Jake
authors: J
authors: Pearson
authors: David
authors: D
authors: Rowlands
authors: Ruth
authors: R
authors: Highet
mesh_terms: D000125:Achilles Tendon / Q000473:pathology*; D000328:Adult; D000368:Aged; D001804:Blood Transfusion, Autologous / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D013177:Sports; D011795:Surveys and Questionnaires; D052256:Tendinopathy / Q000534:rehabilitation / Q000628:therapy*; D016896:Treatment Outcome