InformasjonSenebetennelsen skyldes som regel langvarig belastning. Over tid oppstår små rifter i senen som gir mikroskopiske blødninger. Foto: Colourbox
Betennelse i akillessenen
Betennelse i akillessenen er en tilstand som først og fremst forekommer blant idrettsutøvere, mosjonister og eldre. Den typiske plagen er brennende smerter og stivhet 2 til 6 cm ovenfor hælbeinet.
Sist oppdatert:
19. apr. 2024
Dette dokumentet er basert på det profesjonelle dokumentet Akillestendinopati . Referanselisten for dette dokumentet vises nedenfor
Referanser
- Maughan KL, Reid Boggess B. Achilles tendinopathy and tendon rupture. UpToDate, last updated Jul 15, 2021. UpToDate
- Silbernagel KG, Hanlon S, Sprague A. Current Clinical Concepts: Conservative Management of Achilles Tendinopathy. J Athl Train. 2020;55(5):438-447. PMID: 32267723 PubMed
- Janssen I, van der Worp H, Hensing S, Zwerver J. Investigating Achilles and patellar tendinopathy prevalence in elite athletics. Res Sports Med. 2018;26(1):1-12. PMID: 29064298 PubMed
- de Jonge S, van den Berg C, de Vos RJ, et al. Incidence of midportion Achilles tendinopathy in the general population. Br J Sports Med. 2011;45(13):1026-1028. PMID: 21926076 PubMed
- Suchak AA, Bostick G, Reid D, et al.. The incidence of Achilles tendon ruptures in Edmonton, Canada. Foot Ankle Int 2005; 11: 932-6. pmid:16309606 PubMed
- Huttunen TT, Kannus P, Rolf C, et al.. Acute achilles tendon ruptures: incidence of injury and surgery in Sweden between 2001 and 2012. Am J Sports Med 2014; 10: 2419-23. pmid:25056989 PubMed
- Scott A, Backman LJ, Speed C. Tendinopathy: Update on Pathophysiology. J Orthop Sports Phys Ther. 2015;45(11):833-841. PMID: 26390273 PubMed
- Mahieu NN, Witvrouw E, Stevens V, et al. Intrinsic risk factors for the development of achilles tendon overuse injury: a prospective study. American journal of sports medicine 2006; 34: 226-35. PubMed
- Silbernagel KG, Gustavsson A, Thomee R, Karlsson J. Evaluation of lower leg function in patients with Achilles tendinopathy. Knee surg sports traumatol arthrosc. 2006; 14: 1207-127. PubMed
- Saglimbeni AJ. Achilles tendon injuries treatment & management. Medscape, last updated Aug 18, 2016. emedicine.medscape.com
- Milgrom C, Finestone A, Zin D, et al. Cold weather training: a risk factor for Achilles paratendinitis among recruits. Foot Ankle Int 2003; 24:398. PubMed
- Maughan KL, UpToDate: Achilles tendinopathy and tendon rupture, sist oppdatert 15.06.2023, siden lest 02.04.2024 www.uptodate.com
- Silbernagel KG, Gustavsson A, et al.. Evaluation of lower leg function in patients with Achilles tendinopathy. Knee surg sports traumatol arthrosc. 2006; 14: 1207-17. PubMed
- Kearney RS, Parsons N, Metcalfe D, Costa ML. Injection therapies for Achilles tendinopathy. Cochrane Database of Systematic Reviews 2015, Issue 5. Art. No.: CD010960. Accessed 14 July 2022. Reas 19.04.2024 www.cochranelibrary.com
- Johannsen F, Olesen JL, Øhlenschläger TF, et al. Effect of Ultrasonography-Guided Corticosteroid Injection vs Placebo Added to Exercise Therapy for Achilles Tendinopathy A Randomized Clinical Trial. JAMA Netw Open 2022; 5: e2219661. pmid:35816306 PubMed
- von Rickenbach KJ, Borgstrom H, Tenforde A, et al.Achilles Tendinopathy: Evaluation, Rehabilitation, and Prevention. Curr Sports Med Rep. 2021 Jun 1;20(6):327-334. PMID: 34099611 PubMed
- Coxib and traditional NSAID Trialists' (CNT) Collaboration; Bhala N, Emberson J, Merhi A, et al.. Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials. Lancet 2013; 9894: 769-79. pmid:23726390 PubMed
- Mazieres B, Rouanet S, Guillon Y, Scarsi C, Reiner V. Topical ketoprofen patch in the treatment of tendinitis: a randomized, double blind, placebo controlled study. J Rheumatol 2005; 32: 1563-70. PubMed
- Rasmussen S, Christensen M, Mathiesen I, Simonson O. Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy. Acta Orthop 2008; 79: 249-56. PubMed
- Stergioulas A, Stergioula M, Aarskog R et al. Effects of low-level laser therapy and exentric exercises in the treatment of recreational athletes with chronic achilles tendinopathy. Am J Sports Med 2008; 36: 881-7. PubMed
- Lopez RG, Jung HG. Achilles tendinosis: treatment options. Clin Orthop Surg 2015; 1: 1-7. pmid:25729512 PubMed
- Feeney KM. The Effectiveness of Extracorporeal Shockwave Therapy for Midportion Achilles Tendinopathy: A Systematic Review. Cureus. 2022 Jul 18;14(7):e26960. PMID: 35989757 PubMed
- de Vos RJ, Weir A, van Schie HT, et al. Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA. PMID: 20068208 PubMed
- Bell KJ, Fulcher ML, Rowlands DS, et al. Impact of autologous blood injections in treatment of mid-portion Achilles tendinopathy: double blind randomised controlled trial. BMJ. 2013 Apr 18;346:f2310. PMID: 23599320 PubMed
- 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
- Kearney RS, Ji C, Warwick J et al.; ATM Trial Collaborators. Effect of Platelet-Rich Plasma Injection vs Sham Injection on Tendon Dysfunction in Patients With Chronic Midportion Achilles Tendinopathy: A Randomized Clinical Trial. JAMA. 2021 Jul 13;326(2):137-144. PMID: 34255009. PubMed
- Magnusson SP, Kjaer M. The impact of loading, unloading, ageing and injury on the human tendon. J Physiol. 2019;597(5):1283-1298. PMID: 29920664 PubMed
- Magnussen RA, Dunn WR, Thomson AB. Nonoperative treatment of midportion Achilles tendinopathy: a systematic review. Clin J Sport Med 2009; 19: 54-64. PubMed
- Beyer R, Kongsgaard M, Hougs Kjær B, et al. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. Am J Sports Med 2015; 43:1704. PubMed
- Malliaras P, Barton CJ, Reeves ND, Langberg H. Achilles and patellar tendinopathy loading programmes : a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness. Sports Med 2013; 43:267. PubMed
- 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
- Rhim HC, Kim MS, Choi S, et al. Comparative Efficacy and Tolerability of Nonsurgical Therapies for the Treatment of Midportion Achilles Tendinopathy: A Systematic Review With Network Meta-analysis. Orthop J Sports Med. 2020 Jul, PMID: 32728589 PubMed
- Effekt av stötvågsbehandling vid hälsenetendinopati och hälsporre HTA-rapport 2021:58 Metodrådet. Region Stockholm 2021. www.chis.regionstockholm.se