Скачать или смотреть Achilles Tendon High Volume Image Guided Injection for Achilles Pain and Achilles Tendonitis

Learn more:http://birminghamchiropodist.co.uk/hi...

Introduction to this video explains evidence to high volume image guided injections for achilles pain.

If you would like to read the evidence behind this treatment approach see:

https://www.ncbi.nlm.nih.gov/pmc/arti...
https://bjsm.bmj.com/content/52/Suppl...
https://pubmed.ncbi.nlm.nih.gov/18608...
https://pubmed.ncbi.nlm.nih.gov/18608...
https://www.tandfonline.com/doi/abs/1...

A high volume ultrasound guided injection is a procedure performed to treat a tendon injury that occurs as a result of severe strain being placed on the tendon. During the healing process following a tendon injury, tiny blood vessels grow into the tendon bringing with them new nerves as well. These nerves are responsible for the sensation of pain related to the tendon injury or tendinopathy.

The procedure involves injecting a high volume of a solution of salt water (normal saline), small amount of steriod and a local anaesthetic into the space between the tendon sheath and tendon. The solution pushes the tendon sheath away from the tendon and strips off the new blood vessels and nerve endings that have grown into the tendon. The aim of high volume injections is to reduce pain and allow individuals to move and exercise the tendon comfortably.

How are high volume injections administered?

During the procedure, you will feel a prick when the needle is inserted followed by a pressure or stretching sensation when the solution is injected. There may be some discomfort that should last for no more than half a minute. You will also notice swelling due to the high volume of fluid being injected which should resolve within 24 hours. The entire procedure should be completed within 30 minutes.

Are there any side effects?

There may be some complications following the procedure which may include numbness for a day or two, increased pain which occurs in about 2-10% of patients. There may also be a slight risk of bleeding and infection as with any other injection procedure.

You will feel better after the high volume injection due to the anaesthetic effect. You should allow your tendon to heal naturally and start rehabilitation (physiotherapy) as recommended by your doctor. You should be able to resume your normal activity level once the tendon is completely healed.

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Who is Abid?

Abid Hussain qualified with a BSc (hons) in Podiatric Medicine in 1995 has over 25 years of experience in the foot care sector and with many continual professional development accreditations including PGc in Podiatric Sports Medicine & FIFA Diploma in Football Medicine, he provides the necessary expertise to ensure Dr Foot Podiatry Surgery provides an excellent level of care to its patients.He is currently studying towards a MSc in Sports & Exercise Medicine.

He is also a member of the Institute of Chiropodists and Podiatrists and a affiliate member of the prestigious Royal College of Physicians and Surgeons of Glasgow, as a affiliate member of the Royal College of Physicians and Surgeons of Glasgow he is committed to practicing to the highest possible clinical standards, accessing cutting edge education and training. Affiliate Members are committed to raising standards of care and providing the highest possible clinical services to their patients.