Effectiveness of Ultrasound-Guided Interventions on Neovascularization in Achilles Tendinopathy: a Scoping Review

Abstract Neovascularization is frequently observed in Achilles tendinopathy. It remains unclear whether neovascularization has a positive or negative impact on the prognosis of tendinopathy, and treatment should include eradication influence neovessels. The purpose this scoping review was to investigate effect ultrasound-guided interventions Five different were identified, which are characterized by an opposite effect. Whereas platelet-rich plasma (PRP) used positively neovascularization, sclerosing agents, high-volume image-guided injections, electrocoagulation, hyaluronic acid eradicate neovascularization. Therapies eradicating neovessels, through sclerosis have long-term reduction Moreover, seems improve pain function short long term compared therapy that influences such as PRP. PRP induces term, but fades out after period. This focusses role tendinopathy provides evidence supporting theory pathological process rather than healing remodeling tendon. Therapy form show contradictory results while neovessels demonstrate effects term.