DOI: 10.36347/sjams.2020.v08i09.005

Pages: 1998-2002

Background: Chronic insertional tendinitis of Achilles tendon is a common condition that can be challenging to treat. There are many modalities used as treatment ranging from physiotherapy, injections, shockwave therapy to surgical intervention. Platelet Rich Plasma (PRP) has increased in popularity recently as a treatment option for Achilles Tendinopathy. It contains growth factors that might accelerate healing and speed up the recovery of this condition. Aim of the study: The aim of this study was to evaluate the efficacy of ultrasonography guided PRP on chronic insertional tendinitis of Achilles tendon. Methods: This prospective observational study was conducted in Cumilla Trauma Center, Cumilla, Bangladesh during the period from January 2018 to July 2019. In total 52 patients with chronic insertional tendinitis of Achilles tendon selected and completed the full tenure of ultrasonography guided PRP treatment procedure were finalized as the study people. The study was approved by the ethical committee of the mentioned institute. Proper written consents were taken from all the participants. All the data were collected through a pre designed questioner and the findings were displayed in MS Excel tables and necessary figures. Result: In this study, the pre-test the mean VAS (Visual Analogic Score) of the participants was 7.6. After 10 weeks of applying PRP it was found 1.8 and after 24 weeks it was found 1.3. So this treatment method ensures very satisfactory mean VAS scores of the participants. In this study when we analyzed the levels of patient’s satisfaction we found, 59.62% (n=31) participants were satisfied whereas 36.54% (n=19) were moderately satisfied. Besides these, in this study we found only 2 participants who were not satisfied at all. Conclusion: Platelet-rich plasma US-guided injection is a safe procedure with no complications. Ultrasound is helpful to manage the follow-up, demonstrating the remodeling of.......