Original ResearchA Comparison of Two Different High-Volume Image-Guided Injection Procedures for Patients With Chronic Noninsertional Achilles Tendinopathy: A Pragmatic Retrospective Cohort Study
Section snippets
Patients and Methods
Patients who had undergone a HVIGI from 2 different departments in a single hospital trust were identified from the specific procedure logs maintained by the 2 of us (P.C.W., R.B.) performing these procedures. These identified patients had undergone this procedure from January 29, 2011 to May 1, 2012 for in group B and May 1, 2013 to January 7, 2015 for group A. Thus, each group had an approximately 18-month collection period. All consecutive patients in the 2 groups undergoing HVIGI procedures
Patient Population
Results were available for all 34 patients (18 in group A and 16 in group B), representing all patients who had undergone treatment and had attended follow-up visits after the procedure. Overall, the mean age was 50.6 ± 11.3 (range 26.4 to 83.1) years at procedure, and the mean follow-up duration was 277 ± 161 (range 49 to 596) days after HVIGI. The demographic and outcome variables stratified by treatment group are listed in Table 1. In group A, the mean patient age was 52.8 ± 9.17 years, and
Discussion
The results from the present study have demonstrated that in group A, which received 10 mL of 1% lidocaine combined with 40 mL of normal, sterile saline, without dry needling of the involved area of the Achilles tendon, significantly greater improvement occurred in the VISA-A score compared with that in group B, which received 10 mL of 1% lidocaine combined with 20 mL of normal, sterile saline, with dry needling of the involved area of the Achilles tendon. The precise explanation for this
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Financial Disclosure: None reported.
Conflict of Interest: None reported.