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      A new ultrasound-guided percutaneous electrolysis and exercise treatment in patellar tendinopathy: three case reports.

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          Purpose: To present preliminary clinical results of the effects of a new treatment with percutaneous electrolysis directed to peripheral tendon and therapeutic resistance exercise, with or without the presence of degenerative zone. Methods: 3 patients with patellar tendinopathy aged 37-45 years with diagnostic of patellar tendinopathy with pain since 5-8 weeks were treated with a novel, less invasive electrolysis technique. Pain severity was measured by Numerical Pain Rating Scale (NPRS). Lower limb functionality was measured by a Victorian Institute of Sport Assessment questionnaire (VISA-P). A clinical interview and ultrasonography assesment were performed before study protocol were carried out. Each participants received 4 to 7 sessions of percutaneous electrolysis (350 μA, 80 s) leaving at least one week between sessions during a total of 8 weeks. During this time, subjects also were undergone a therapeutic exercise protocol of lower limbs resistance training. Results: Pain severity decreased after 3 weeks treatment (p = 0.01) and was practically abolished after 4-7 sessions at 8 weeks (p = 0.2). The lower limb functionality (VISA-P) increased after 3 weeks treatment and the major difference was found at 8 weeks post-intervention (p = 0.001). Thickness of the patellar tendon decreased after 8 weeks treatment (p = 0.01). Conclusions: The present work provides the first evidence that percutaneous electrolysis with a least invasive physiotherapy treatment targeted to peripheral tendon in combination with therapeutic resistance exercise diminished pain, improved funcitonality and showed a tendency to decreased thickness in subjects with patelallar tendinopathy.

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          Author and article information

          Front Biosci (Landmark Ed)
          Frontiers in bioscience (Landmark edition)
          Bioscience Research Institute Pte. Ltd.
          Nov 30 2021
          : 26
          : 11
          [1 ] Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Madrid, 28670 Madrid, Spain.
          [2 ] Department of Physiotherapy, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Madrid, Spain.
          [3 ] Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Canarias, 38300 Tenerife, Canary Islands, Spain.
          [4 ] Department of Physical Therapy, Faculty of Medicine, CEU-San Pablo University, 28668 Madrid, Spain.
          [5 ] Multidisciplinary Pain Treatment Center ONELIFE, 28925 Madrid, Spain.
          [6 ] IRCCS Fondazione Don Carlo Gnocchi, 20161 Milan, Italy.

          Ultrasonography,Percutaneous electrolysis,Tendinopathy


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