Abstract:
Background and objectives: Achilles tendon (AT) is the strongest and the thickest
tendon of human body. Sarcostyles of this tendon are not exactly vertical and have a
spiral shape to some extent. Due to this fact, tendon gets stronger and the contact
(friction) between sarcostyles decreases. Achilles tendinitis is a kind of wounding that
can be caused by overuse or misuse of achilles tendon, lack of flexibility, genetical
structure, gender, age, height, weight, pes cavus deformity, lateral ankle instability,
forefoot varus, lateral heel throb during the act of walking and excessive compensatory
pronation, decrease in ankle dorsiflexion, lower extremity alignment disorders,
endocrine and some metabolic factors and many others. It mostly happens for athletes.
If we look with a histopathological perspective at achilles tendinitis, we will see that
tendon has an angiofibroblastic hyperplasia. The reaction created against the
degenerative process of tendon is an inflammatory response in peritenon. Throughout
the treatment, pains and tenderness are tried to be decreased. In order for this purpose,
resting, hypothermia and NSAID can be applied. Raising the heel is recommended in
order to decrease the burden on tendon. Within the chronic process, the renewal of
tendon is preferred. Methods: In our study; a 30 cc local anesthetic and saline
physiological injection was applied to 38 of 98 patients while a mixture of 15 cc
corticosteroid and local anesthetic injection was applied to 60 patients. Conclusion: It
is highly significant that we did not record any relapse within our 2-year follow-up after
increasing local blood circulation with the injection of physiological saline and local
anesthetic mixed solution although we got the response later than steroid method and
the rate of success in this method was relatively low. Moreover, this method has no side
effects and can be used securely when steroid method cannot be used.
