Do injections actually help long-lasting Achilles tendon pain?
They may not: a study of 192 adults questions the benefit of commonly used injections for long-lasting Achilles pain.
For our Tendon Pain / Tendinopathy community, the key is which injections were tested. Researchers compared injections using a large amount of fluid, with or without a steroid medicine, against a sham treatment. A sham mimics treatment without giving the treatment being tested. Steroid medicines are used to reduce inflammation.
The study took place in Melbourne, Australia, from December 2019 to July 2022. People were assigned to treatment groups by chance. Their average age was 49. Their symptoms had lasted a median of two years. That means half had symptoms for longer and half for less time. The pain affected the middle section of the Achilles tendon. This tendon connects the calf muscles to the heel bone.
The report challenges these injections, but the supplied excerpt leaves out the detailed results. It gives no pain-score changes, group differences, or side-effect rates. It also mentions a trade-off with steroid injections without explaining it. So we cannot say how much either injection helped, or for how long. This is not evidence that every injection fails for every tendon problem.
For members comparing experiences, that missing detail matters. A useful community record could pair pain ratings with dates and everyday function. Notes about morning stiffness, activity, and treatment timing can add context. Comparing those patterns over time offers more detail than a single good day.
If you have tried an Achilles injection, how did your pain and everyday movement change over time?
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