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Treatment of Early Phase Achilles Tendinopathy - the Effect of NSAIDs

B

Bispebjerg Hospital

Status

Completed

Conditions

Inflammation
Achilles Tendinopathy
Tendon Injuries

Treatments

Drug: Naproxen 500 Mg
Other: Heavy resistance training
Drug: Placebo Oral Tablet

Study type

Interventional

Funder types

Other

Identifiers

NCT03401177
BBH-137

Details and patient eligibility

About

this study evaluates the addition of initial short term NSAID treatment to physiotherapy prescribed exercise treatment in patient with early phase tendinopathy. Half of the participants will initially receive NSAID (naproxen) for 7 days, while the other half will receive a placebo, where after both groups will be subjected to 3 months heavy slow resistance training.

Full description

NSAID is effective in short term pain relief in musculoskeletal disorders, but little is known about the long-term effect in early phase tendinopathy, when used as a supplement to treatment as usual, namely heavy slow resistance training and training load reduction. In this study, NSAIDs will be used, which works through COX inhibition, which again inhibits Prostaglandins, in this way investigators attempt to dampen the initial inflammation and pronounced cell activity that is thought to be present in early phase tendinopathy. With this project, it will be attempted to investigate whether initial dampening adds to the effect achieved through heavy load resistance training, which is thought to stimulate structural repair and regeneration in the tendon, by applying appropriate load to the tendon tissue, thereby stimulating the tendon cells to repair and regeneration.

Enrollment

70 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Activity related pain in the achilles tendon
  • Palpation pain in the achilles tendon
  • Onset of symptoms within the last 3 months

Exclusion criteria

  • Previous injury in the achilles tendon on the ipsilateral side.
  • Recent infection around the achilles tendon
  • Previous surgery in the achilles tendon.
  • Contraindications for NSAID treatment.
  • NSAID treatment for the current injury
  • Medication with NSAID interaction

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

70 participants in 2 patient groups, including a placebo group

Naproxen & Heavy resistance training
Experimental group
Description:
Naproxen: 500 mg x 2 daily for 7 days, HRT: 3 months physiotherapy guided training.
Treatment:
Other: Heavy resistance training
Drug: Naproxen 500 Mg
Placebo & Heavy resistance training
Placebo Comparator group
Description:
Placebo oral tablet: pill manufactured to mimic naproxen tablet x 2 daily for 7 days, HRT: 3 months physiotherapy guided training.
Treatment:
Drug: Placebo Oral Tablet
Other: Heavy resistance training

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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