Exploring the Potential of 5% Dextrose Prolotherapy for Partial Achilles Tendon Tears Using Ultrasound Guidance: A Case Report
Keywords:
Achilles tendon tear, 5% dextrose prolotherapy, non-surgical treatment, ultrasound-guided injection, tendon healing, rehabilitationAbstract
Background: Partial Achilles tendon tears are common injuries among athletes and active individuals, often treated conservatively or surgically. 5% dextrose prolotherapy has emerged as a potential non-surgical intervention to promote tendon healing by stimulating collagen synthesis and tissue repair.
Case Presentation: We report the case of a 35-year-old male who developed sharp heel pain and tenderness after walking for 30 minutes. Ultrasound imaging confirmed a 0.5 cm partial Achilles tendon tear, located 2 cm from the calcaneus insertion. The patient opted for conservative treatment, which included three sessions of ultrasound-guided 5% dextrose prolotherapy, administered weekly with 3 cc injections. Additionally, a structured rehabilitation program comprising immobilization, progressive weight-bearing, and strengthening exercises was implemented.
Conclusion: This case suggests that ultrasound-guided 5% dextrose prolotherapy may provide a viable, non-surgical treatment option for partial Achilles tendon tears, leading to pain relief and functional improvement. Further research is needed to confirm its efficacy in larger patient populations.
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Copyright (c) 2025 Lita DN Tambunan, Widiya Rahmi (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
