Alireza Zavareh MD,FRCR, Abstract Co-Author: Nothing to Disclose

Tom Amies MBBS, BSC, Presenter: Nothing to Disclose

Petrie de Villiers, Abstract Co-Author: Nothing to Disclose

To review of the pathologies which affect both the Achilles and patella tendons To highlight the correlation between neovascularisation and persistent tendinopathy To describe the ultrasound guided technique of high volume image guided injection (HVIGI) or “hydrostripping” in the conservative management of patella and Achilles tendinopathies.

Discussion of current treatment options in Achilles and patellar tendinopathies Blind peri-tendinous injections Ultrasound guiding injection of sclerosing agents Dry needling Autologous blood injection Surgery Description of the high volume image guided injection technique - hydrostripping Anatomy Pathophysiology Diagnostic imaging (US) Treatment (technique, volume of saline) Follow-up management (eccentric exercises) Outcomes Short case series with ultrasonographic examples of patients with Achilles or patella tendon pain. Patients are given hydrostripping and an eccentric rehabilitation program. We used the Victorian Institute of Sport Assessment (VISA) questionnaire for the assessment of pain and dysfunction pre- and post treatment.

To demonstrate the effectiveness of the hydrostripping technique for patella and Achilles tendinopathies in the general population and in athletes. The importance of the concurrent use of a strict eccentric rehabilitation program

Zavareh, A, Amies, T, de Villiers, P, Hydrostripping – An Ultrasound Guided Technique for Reducing Neovasularisation and Pain in Achilles and Patellar Tendinopathy.  Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL. http://archive.rsna.org/2012/12034071.html