Literature DB >> 29551579

A simple treatment option for Achilles tendinopathy?

Johannes Möst1.   

Abstract

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Year:  2018        PMID: 29551579      PMCID: PMC6033728          DOI: 10.1016/j.cjtee.2017.06.008

Source DB:  PubMed          Journal:  Chin J Traumatol        ISSN: 1008-1275


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Many runners as well as other athletes suffer from Achilles tendinopathy, considered to be induced predominantly by overuse.1, 2 There exist several treatment modalities compromising both conservative and surgical procedures, but therapy is not always successful and additional options would be desirable.1, 2 Also fluoroquinolones like ciprofloxacin, frequently (probably too frequently) used for antibiotic therapy, can cause tendinopathy and at least in animals they induce also chondrotoxicity.3, 4 In animal experiments these adverse effects could significantly be diminished by dietary supplementation with magnesium and vitamin E. For more than 10 years I had suffered from Achilles tendinopathy and had experienced several injuries including partial rupture of one tendon. Eccentric training twice a day for six months (and continued thereafter at lower frequency) led to significant improvement, but some discomfort and moderate pain following longer workouts remained. So far I was not able to discover publications reporting treatment attempts with magnesium and/or vitamin E in humans. Encouraged by the remarkable results of the animal experiments cited above I decided to try this kind of treatment myself. I started to take 1 × 400 I.E. vitamin E and 2 × 150 mg magnesium citrate per day. After three months both discomfort and pain had completely disappeared. Based on this (admittedly anecdotal) observation and on the published animal experiments I propose that the effect of magnesium and vitamin E in patients experiencing Achilles tendinopathy should be investigated. I would appreciate if someone who is capable of doing this would perform a controlled clinical trial. If it turned out that I am not the only person responding to this simple treatment this could be a significant achievement for many athletes suffering from this widespread impairing condition.
  4 in total

Review 1.  Achilles tendinopathy: some aspects of basic science and clinical management.

Authors:  D Kader; A Saxena; T Movin; N Maffulli
Journal:  Br J Sports Med       Date:  2002-08       Impact factor: 13.800

2.  Diminished ciprofloxacin-induced chondrotoxicity by supplementation with magnesium and vitamin E in immature rats.

Authors:  Kerstin Pfister; Dago Mazur; Jürgen Vormann; Ralf Stahlmann
Journal:  Antimicrob Agents Chemother       Date:  2007-01-08       Impact factor: 5.191

Review 3.  A treatment algorithm for managing Achilles tendinopathy: new treatment options.

Authors:  Håkan Alfredson; J Cook
Journal:  Br J Sports Med       Date:  2007-02-20       Impact factor: 13.800

Review 4.  Fluoroquinolone-associated tendinopathy: a critical review of the literature.

Authors:  Yasmin Khaliq; George G Zhanel
Journal:  Clin Infect Dis       Date:  2003-05-20       Impact factor: 9.079

  4 in total

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