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Akillestendinopati

Sist revidert:
Sist revidert av:

Definisjon:
Inflammasjon rundt akillessenen og dens seneskjede
Forekomst:
Tilstanden forekommer fremfor alt hos mosjonister og hos idrettsutøvere
Symptomer:
Typisk starter smertene i forbindelse med oppstart av fysisk aktivitet (f.eks. jogging), de avtar noe under aktivitet, og forverres etterpå
Funn:
Akillessenen kan palperes fortykket og øm, spesielt omkring senefestet på calcaneus. Isometrisk test på plantarfleksjon utløser smerter
Diagnostikk:
Tilleggsundersøkelser er vanligvis ikke påkrevd, ev. ultralyd eller MR
Behandling:
Eksentrisk (muskelforlengende) trening og øvelser kombinert med redusert aktivitet er grunnbehandlingen
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  12. Coxib and traditional NSAID Trialists' (CNT) Collaboration. Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials. Lancet 2013; 382(9894): 769-79. DOI: http://dx.doi.org/10.1016/S0140-6736(13)60900-9
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  16. Effekt av stötvågsbehandling vid hälsenetendinopati och hälsporre HTA-rapport 2021:58 Metodrådet. Region Stockholm 2021.
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  18. Bell KJ, Fulcher ML, Rowlands DS, Kerse N. Impact of autologous blood injections in treatment of mid-portion Achilles tendinopathy: double blind randomised controlled trial. BMJ 2013; 346: f2310. BMJ (DOI)  
  19. Boesen AP, Hansen R, Boesen MI, et al. Effect of High-Volume Injection, Platelet-Rich Plasma, and Sham Treatment in Chronic Midportion Achilles Tendinopathy: A Randomized Double-Blinded Prospective Study. Am J Sports Med. 2017 May 1:363546517702862. doi: 10.1177/0363546517702862. (Original) PMID: 28530451 PubMed  
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  25. Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study. Am J Sports Med. 2007;35(6):897-906. PMID: 17307888 PubMed  
  • Stig Fossum, fysioterapeut, spesialkompetanse på muskel- og skjelettsykdommer, Moholt Fysioterapi, Trondheim
  • Pål Kristensen, spesialist i allmennmedisin, Ranheim legesenter, Trondheim

Tidligere fagmedarbeidere

  • Magne Rø, overlege Fysikalsk medisinsk avdeling, Regionsykehuset i Trondheim, og førsteamanuensis, Norges teknisk-naturvitenskapelige universitet, Trondheim