Acetic acid iontophoresis for the treatment of insertional Achilles tendonitis

Kilfoil, Roger Lee; Shtofmakher, Garry; Taylor, Grantley; Botvinick, Jessica

doi:10.1136/bcr-2014-206232

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Options such as extracorporeal shock waves [6], laser therapy [7], fine needle trephination, injection of platelet rich plasma [8], sclerosing injections [9], and iontophoresis [10] have all been described as treatment for chronic Achilles tendonosis. Despite these interventions, a certain percentage of patients will progress to surgery.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of concurrent chronic insertional Achilles tendinosis and chronic midsubstance Achilles tendinosis with Haglund deformity: A case report

2015

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Achilles tendinopathy affects athletes at all levels. While tendinopathy is usually found in either the midsubstance or the Achilles insertion, it is rarely seen in both areas of the tendon concomitantly. We report on a rare case of bilateral chronic insertional Achilles tendinosis and chronic midsubstance Achilles tendinosis with Haglund deformity treated with central tendon debridement, flexor hallucis longus (FHL) transfer, Haglund resection, and reattachment of the Achilles insertion using the Arthrex Speedbridge ® system. To our knowledge, this case report is the first for the treatment of combined midsubstance and insertional Achilles tendinosis. Our method allows us to reapproximate the Achilles to its normal anatomy while eliminating the need for bulky suture knots and simultaneously giving an excellent clinical result.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of concurrent chronic insertional Achilles tendinosis and chronic midsubstance Achilles tendinosis with Haglund deformity: A case report

2015

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“…Recently, two different studies, conducted by Chico-Alvarez and Fernández-Cuadros have demonstrated that Acetic Acid Iontophoresis produced relief in pain and decreased in calcification size in CT of the shoulder [7,10]. However, to the best of our knowledge, there are only some case reports on the effectiveness of this treatment on CT in gluteus medium and minimum tendon [24] and in Achilles tendon [25], with promising results. Meanwhile, there is no report on the effectiveness on elbow, wrist or knee CT.…”

Section: Discussionmentioning

confidence: 99%

Calcifying Tendonitis of the Ankle, Effectivenness of 5% Acetic Acid Iontophoresis and Ultrasound over Achiles Tendon: A Prospective Case Series

E¹,

S²,

Jesús³

et al. 2019

Int J Foot Ankle

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Objective: To conduct a prospective Multicentre Quasiexperimental before-and-after study (Non-Randomized Control Trial) to demonstrate the effectiveness of Acetic Acid Iontophoresis and Ultrasound in the treatment of Calcifying Tendonitis (CT) of the ankle.Material and methods: Prospective, multicentre, quasiexperimental before-after intervention study, to 10 patients who attended to both Rehabilitation Departments,

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“…The utilisation of AAI has been reported in multiple pathologies, as it is a safe, simple and inexpensive technique ( Fernández Cuadros et al 2016 ). Kilfoil et al (2014) have reported bilateral Achilles tendinitis being treated with AAI therapy of 4% AA (Phoresor PM900 at a setting of 2.0mA DC current) for 20min for five times over two weeks. The positive electrode was placed on the skin of the midshaft of the lateral fibula and the negative electrode was placed the insertion of the Achilles tendon on the heel bilaterally ( Kilfoil et al 2014 ).…”

Section: Acetic Acid Iontophoresis For Soft Tissue Injurymentioning

confidence: 99%

“… Kilfoil et al (2014) have reported bilateral Achilles tendinitis being treated with AAI therapy of 4% AA (Phoresor PM900 at a setting of 2.0mA DC current) for 20min for five times over two weeks. The positive electrode was placed on the skin of the midshaft of the lateral fibula and the negative electrode was placed the insertion of the Achilles tendon on the heel bilaterally ( Kilfoil et al 2014 ). However, since there is no official guidance on the use of AAI therapy, other studies have reported different concentrations of AA and different durations ( Costa & Dyson 2007 , Gard & Ebaugh 2010 ).…”

Section: Acetic Acid Iontophoresis For Soft Tissue Injurymentioning

confidence: 99%

The role of acetic acid in orthopaedic surgery

Hashmi

Zhou

Jawaid

et al. 2021

Journal of Perioperative Practice

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Acetic acid has become more commonly used in orthopaedic surgery. The purposed roles include biofilm eradication and surgical debridement, postoperative scar reduction and managing soft tissue injuries. Current research is scarce and does not provide conclusive evidence behind acetic acid’s efficacy in orthopaedic procedures such as biofilm eradication or acetic acid iontophoresis in soft tissue injuries. Current literature on acetic acid’s effects on biofilm eradication is composed of in-vitro studies, which do not demonstrate the potential clinical efficacy of acetic acid. Acetic acid iontophoresis is a novel technique which is now more commonly accepted for soft tissues injuries. Our literature search identified calcifying tendonitis of the shoulder, rotator cuff tendinopathy, heel pain syndrome, plantar fasciitis, achilles tendonitis, calcifying tendonitis of the ankle, myositis ossificans and cervical spondylosis as documented clinical uses. In this narrative review, we present the current uses of acetic acid and acetic acid iontophoresis, while evaluating the evidence revolving around its efficacy, benefits and risks.

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Acetic acid iontophoresis for the treatment of insertional Achilles tendonitis

Cited by 5 publications

References 4 publications

Reconstruction of concurrent chronic insertional Achilles tendinosis and chronic midsubstance Achilles tendinosis with Haglund deformity: A case report

Reconstruction of concurrent chronic insertional Achilles tendinosis and chronic midsubstance Achilles tendinosis with Haglund deformity: A case report

Calcifying Tendonitis of the Ankle, Effectivenness of 5% Acetic Acid Iontophoresis and Ultrasound over Achiles Tendon: A Prospective Case Series

The role of acetic acid in orthopaedic surgery

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