Abstract
Treatment of tendon injuries is a subject of frequent debate in sports medicine and physiotherapy. Achilles and patellar tendinopathy is a common, painful, overuse disorder, and is associated with a failure of the tendon repair process they have a low potential for healing with the usual techniques. Therefore, new treatments for tendinopaties drawn from the existing literature as well as from their own experience dealing with this condition to deal with this delicate pathology have been developed over recent past decades. This brief review aims to update recent information on the treatment with the ultrasound-guided EPI® technique and eccentric exercise in Achilles and patellar tendinopathy resulted in a great improvement in function and a rapid return to the previous level of activity.
Highlights
The Achilles tendon and patellar tendon are most affected, in both elite and recreational athletes, in sports that heavily load the lower extremities [1]
Treatment of Achilles and patellar tendinopathy is a subject of frequent debate in sports medicine and physiotherapy
Doubts have mainly centered on the fact that there are few controlled prospective studies that analyze all aspects of tendinosis, and few studies that investigate the early stages of these processes and their healing mechanisms
Summary
The Achilles tendon and patellar tendon are most affected, in both elite and recreational athletes, in sports that heavily load the lower extremities [1]. EPI® technique videos online: www.epiadvanced.com), which leads to the rapid regeneration of degenerated tissue This leads to the production of new immature collagen fibers that become mature by means of eccentric stimulus [32], thereby obtaining good results in the short and Figure 2A: Treatment of Achilles tendinopathy with ultrasound-guided EPI® technique (EPI Advanced Medicine®, Barcelona, Spain). A recent experimental study [33] showed that with the use of ultrasound-guided EPI® technique in patellar tendinopathy increase of anti-inflammatory proteins, like peroxisome proliferator-activated receptor gamma (PPAR-γ) These proteins play a key role in the inhibition of expression of proinflammatory molecules secreted by macrophages, such as tumor necrosis factor alpha (TNF-α), IL-6 and IL-1β, producing in the treated tissue a highly beneficial molecular response during degenerative tendinopathy.
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