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Chronic Achilles tendinopathy is a common problem among many active duty service members that has adversely affects readiness. The fat pad in Kager is a block of adipose tissue that shields the blood vessels providing the Achilles tendon and maintains its function. Current research backs up the performance of high-volume hydrodissection, a procedure in which fluid is injected under ultrasound guidance into the tissues surrounding the Achilles tendon to mechanically separate the tenon from the underlying Kager's fat pad. Scar tissue and neoneurovascular breakdown may also have a benevolious effect. Using low-volume hydrodissection, a 29-year-old active duty male with a recent post-traumatic AT who suffered significant pain relief and quicker return to full service in this case. This treatment option is a direct adjunctive therapy option for those who are military service or in the operational environment.
Source link: https://doi.org/10.1093/milmed/usac384
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