Achilles Tendinopathy | Live Patient Protocol Explained | Step-by-Step Guide

[@KSch-i8r]

Great video, I’m keen to try this. Are you using 5% glucose or stronger? I noticed you aren’t using LA. Can you block with LA if very sore at the site? Or how much sodium bicarbonate per 100ml are you using? 30g needle? 3 weeks apart?

[@southcoastfootsurgery]

5% glucose with bicarbonate buffer is my go to for this technique. No LA required and in fact it will affect how you undertake this protocol. I typically don't block with LA but I do use a lot of high powered laser therapy to decrease hypersensitivity if required before starting injections. For the buffer, Sodium Bicarbonate 8.4% is used. I use 5mL per 1L or diluted as appropriate to the volume you are using. 30g needles is corect and I do 3-5 sessions with 5-7 days between them.

[@KSch-i8r]

@ thank you so much! Have been using shockwave and laser with minimal response as yet so may try this technique. Thank you again