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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04232358
Other study ID # H-19041374
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date May 4, 2021
Est. completion date May 4, 2025

Study information

Verified date August 2023
Source Bispebjerg Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Achilles enthesopathy is a common and often long-lasting injury among exercising individuals. Very little is known regarding the effect of different treatment strategies. The purpose of the study is to evaluate two treatment strategies for achilles enthesopathy: Resistance training and restricted loading + corticosteroid injection compared to resistance training and restricted loading + local anesthesia injection. 50 patients with achilles enthesopathy are randomly assigned to the two treatment groups in this double blinded RCT.


Description:

Achilles enthesopathy is a common and often long-lasting injury among exercising individuals. Symptoms are pain and swelling at the calcaneal insertion of the achilles tendon during and after exercise. Achilles entesopathy has not been thoroughly investigated and consequently, very little is known regarding the effect of different treatment strategies. The purpose of the study is to evaluate two treatment strategies for achilles enthesopathy: Resistance training and restricted loading + corticosteroid injection compared to resistance training and restricted loading + local anesthesia injection. It is hypothesized that treatment that includes corticosteroid injection is more effective than treatment that includes injection with local anaesthesia. 50 patients with achilles enthesopathy are randomly assigned to the two treatment groups in this double blinded RCT.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 50
Est. completion date May 4, 2025
Est. primary completion date May 4, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion criteria: - Pain from the achilles tendon insertion/heel for at least 3 months - Achilles entesopathy verified by ultrasound - Between 18 and 65 years of age Exclusion criteria: - Prior surgery in the leg with the exception of knee arthroscopy - Known medial conditions including diabetes or rheumatologic diseases - Taking pain medication regularly - Injection therapy for treatment of achilles entesopathy within the last 6 months

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Corticosteroid injection
Corticosteroid injections are administered ultrasound guided in the bursa adjacent to the achilles tendon insertion every 4 weeks until symptoms resolve with at maximum of 3 injections.
Local anesthesia injections
Local anesthesia injections are administered ultrasound guided in the bursa adjacent to the achilles tendon insertion every 4 weeks until symptoms resolve with at maximum of 3 injections.

Locations

Country Name City State
Denmark Bispebjerg Hospital Copenhagen

Sponsors (1)

Lead Sponsor Collaborator
Bispebjerg Hospital

Country where clinical trial is conducted

Denmark, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change from baseline in The Victorian Institute of Sports Assessment - Achilles Questionnaire (VISA-A) VISA-A is a patient reported outcome measure (PROM). Change from baseline is measured and reported. The scale ranges from 0-100 points. Higher score meaning a better outcome 6 months
Secondary Change from baseline in The Victorian Institute of Sports Assessment - Achilles Questionnaire (VISA-A) VISA-A is a patient reported outcome measure (PROM). Change from baseline is measured and reported. The scale ranges from 0-100 points. Higher score meaning a better outcome 3, 9 and 12 months
Secondary Evaluation of treatment effect measured on a Likert scale. The Likert scale used is an 11-point scale ranging from -5 to +5. +5 is cured and -5 is much worsened, 0 is the status when entering the study 1, 2, 3, 6, 9 and 12 months
Secondary Ultrasonographic measurement of achilles tendon thickness Ultrasonographic measurement of achilles tendon thickness in mm is measured relative to the baseline values 1, 2, 3, 6, 9 and 12 months
Secondary Patient self reported activity level in percentage of the pre-injury activity level Self reported activity in percentage of the pre-injury activity level 3, 6 and 12 months
Secondary Ultrasonographic measurement of achilles tendon doppler activity Ultrasonographic measurement of achilles tendon doppler activity is measured (grade I-III) relative to the baseline values 1, 2, 3, 6, 9 and 12 months