Extracorporeal Shockwave Therapy Versus Platelet‐rich Plasma for Achilles Tendinopathy

Tenforde, Adam S.; Robinson, David M.; Borg‐Stein, Joanne; Borgstrom, Haylee; Singh, Jaspal

doi:10.1002/pmrj.12498

Cited by 4 publications

(4 citation statements)

References 39 publications

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“…As outlined previously, three RCTs comparing outcomes in athletic populations were identified, with two of them demonstrating no significant difference and one demonstrating positive results in favor of PRP 57,58,60 . However, as noted by Tenforde, de Vos and de Jonge (the two negative studies), use the same data set, which may skew the results toward insignificance 108 . Additionally, Boesen's study—the one positive RCT in this group—employed key procedural differences from the two negative studies.…”

Section: Discussionmentioning

confidence: 98%

“…57,58,60 However, as noted by Tenforde, de Vos and de Jonge (the two negative studies), use the same data set, which may skew the results toward insignificance. 108 Additionally, Boesen's study-the one positive RCT in this group-employed key procedural differences from the two negative studies. Boesen's study provided four injections of PRP at 2-week intervals, whereas de Vos and de Jonge provided only one injection.…”

Section: Achilles Tendinopathymentioning

confidence: 99%

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Platelet‐rich plasma injections as a treatment for Achilles tendinopathy and plantar fasciitis in athletes

Sneed

Wong

2023

PM&R

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Platelet‐rich plasma (PRP) injections represent a growing interest in the use of biologic therapies for treatment of musculoskeletal injuries. One possible application of PRP is in the management of overuse injuries commonly experienced by athletes. The aim of this review is to evaluate and summarize existing evidence regarding the efficacy of PRP in the treatment of Achilles tendinopathy and plantar fasciitis in athletes. Although many lower quality single‐armed studies have demonstrated clinical improvement in athletes treated for Achilles tendinopathy with PRP, higher quality randomized controlled trials (RCTs) have shown no clear benefit in athletes. Existing data suggest PRP significantly improves clinical outcomes for plantar fasciitis in the general population, but very few studies and no RCTs are available that specifically analyze outcomes in athletic populations. More research is needed to evaluate how platelet concentration, leukocyte and erythrocyte presence, and sport type may interact to affect clinical outcomes in athletes.

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Section: Discussionmentioning

confidence: 98%

Section: Achilles Tendinopathymentioning

confidence: 99%

Platelet‐rich plasma injections as a treatment for Achilles tendinopathy and plantar fasciitis in athletes

Sneed

Wong

2023

PM&R

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“…Due to unpredictable postprocedural inflammatory response that occurs, athletes may need to avoid heavy training for 1 month following PRP, which limits use for in-season athletes. PRP is a safe procedure and has been proposed to have a similar safety profile to ESWT (52). More studies are needed to evaluate pain and functional outcomes after peritendinous PRP in addition to providing guidance on return to play.…”

Section: Platelet-rich Plasmamentioning

confidence: 99%

Staying in the Game: Interventions for Managing Achilles Tendinopathy in the In-Season Athlete

Dyrek,

Tsitsilianos,

McInnis

et al. 2024

Curr Sports Med Rep

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Achilles tendinopathy is a common overuse injury that is traditionally managed with activity modification and a progressive eccentric strengthening program. This narrative review describes the available evidence for adjunctive procedural interventions in the management of midportion and insertional AT, specifically in the athletic population. Safety and efficacy data from available literature on extracorporeal shockwave therapy, platelet-rich plasma, high-volume injectate with or without tendon scraping, and percutaneous needle tenotomy are used to propose an algorithm for treatment of Achilles tendinopathy for the in-season athlete.

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“…There may be a potential role for orthobiologics, specifically the use of platelet-rich plasma, but studies are of low quality and have conflicting results. No clear conclusions or recommendations can be made at this time (39)(40)(41).…”

Section: Nonsurgical Treatment/rehabilitationmentioning

confidence: 99%

The Epidemiology, Risk Factors, and Nonsurgical Treatment of Injuries Related to Endurance Running

Raghunandan

Charnoff

Matsuwaka

2021

Curr Sports Med Rep

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Running is a popular form of exercise that is easily accessible to various populations; endurance running, defined as distances beyond 5 km, continues to grow within the sport. Endurance running-related injuries are common in the lower extremities and are primarily overuse related. A multitude of risk factors for injury exist, including extrinsic factors, such as running distance and frequency, and intrinsic factors, such as biomechanics and nutrition status. Training and rehabilitation techniques vary with a general focus on strengthening and gradual increase in activity, but evidence is mixed, and it is difficult to generalize programs across different running populations. Management of specific running groups, including youth runners, is an area in which additional research is needed. New treatments, such as orthobiologics and wearable technology, have promising potential to optimize performance and recovery and minimize injury. However, they need to be further evaluated with high-quality studies.

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Extracorporeal Shockwave Therapy Versus Platelet‐rich Plasma for Achilles Tendinopathy

Cited by 4 publications

References 39 publications

Platelet‐rich plasma injections as a treatment for Achilles tendinopathy and plantar fasciitis in athletes

Platelet‐rich plasma injections as a treatment for Achilles tendinopathy and plantar fasciitis in athletes

Staying in the Game: Interventions for Managing Achilles Tendinopathy in the In-Season Athlete

The Epidemiology, Risk Factors, and Nonsurgical Treatment of Injuries Related to Endurance Running

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