High-volume injection for achilles tendinopathy (saline stripping)

Cause, clinical and ultrasound findings

• Chronic Achilles tendinopathy may be associated with overuse injury, athletic activity, inflammatory arthritis or obesity.

• Presentation may include pain and swelling at the heel and impaired performance.

• Ultrasound findings may include fusiform thickening and intratendinous hypoechoic areas with varying degrees of neovascularity.