Achilles Tendinopathy
Midportion Achilles tendinopathy involves degenerative changes in the tendon’s hypovascular zone, causing pain and swelling. PRP therapy stimulates healing in this poorly vascularised area by delivering concentrated growth factors directly to the damaged tissue. The treatment triggers a controlled inflammatory response that promotes collagen synthesis and tendon remodeling. Studies show PRP improves pain and function in chronic cases, with benefits lasting up to 2 years. The injection is performed using a peppering technique under ultrasound guidance to ensure precise placement in the degenerated area. Post-procedure rehabilitation follows a structured eccentric loading protocol to guide proper fibre alignment.
PRP is particularly effective for cases failing 3+ months of conventional treatment. Unlike cortisone which may weaken tendons, PRP enhances tendon structure over time. The treatment can help athletes return to sport with improved tendon resilience. Recent research suggests combining PRP with focused shockwave therapy may yield synergistic effects for recalcitrant cases. Patients typically require 2-3 months of progressive rehabilitation to achieve optimal outcomes.
PRP Treatment Process
Tendon Assessment
Ultrasound measures thickness/vascularity
PRP Preparation
High platelet concentration
Peppering Injection
Multiple longitudinal passes
Healing and Pain Relief
Avoid exercise for 6-8 weeks during treatment. Begin physio/rehab therapy at 8 weeks with progressive loading
Treatment Eligibility
Ideal Candidates:
✔ Midportion tendinopathy > 3 months
✔ Failed eccentric loading
✔ Athletes needing tendon resilience
Exclusions:
✘ Midportion tendinopathy > 3 months
✘ Failed eccentric loading
✘ Athletes needing tendon resilience
Pricing
Frequently Asked Questions
What is PRP and how does it work for Achilles Tendinopathy?
Platelet-Rich Plasma (PRP) is a concentrate of a patient’s own blood platelets, which are rich in growth factors. For Achilles tendinopathy, a small amount of blood is drawn from the patient, processed to separate the platelets, and then injected into the damaged Achilles tendon. The idea is that these concentrated growth factors stimulate and accelerate the natural healing process of the injured tendon, promoting tissue regeneration and reducing pain.
Am I a suitable candidate for PRP treatment for Achilles Tendinopathy?
PRP treatment is typically considered for individuals with chronic Achilles tendinopathy who haven’t responded sufficiently to conservative treatments like rest, physical therapy, and anti-inflammatory medications. Your doctor will assess your specific condition, including the duration and severity of your symptoms, the extent of tendon damage (often confirmed by imaging like ultrasound or MRI), and your overall health. We will discuss the potential benefits and risks to determine if PRP is an appropriate option for you.
What can I expect during and after a PRP injection for Achilles Tendinopathy?
The procedure itself usually involves a blood draw, processing of the blood, and then the injection into the Achilles tendon, often guided by ultrasound to ensure precise placement. You might experience some mild discomfort during the injection. After the procedure, it’s common to have some soreness, swelling, or bruising at the injection site for a few days. Your doctor will provide specific post-treatment instructions, which typically include a period of rest or reduced activity, followed by a structured rehabilitation program, usually involving physical therapy, to optimise healing and recovery. Full recovery can take several weeks to months.
How many PRP injections are typically needed, and how soon can I expect results?
The number of PRP injections needed can vary depending on the individual and the severity of the tendinopathy, but often, one to three injections are recommended, spaced several weeks apart. While some patients may experience initial pain relief within a few weeks, the full regenerative effects of PRP take time to develop as new tissue is formed and strengthened. Significant improvement in pain and function is usually observed gradually over several months (e.g., 3 to 6 months) as the healing process progresses. It’s crucial to follow your rehabilitation plan diligently for the best possible outcome.
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