Micronutrients in Peroneal and Posterior Tibial Tendonitis

Clinica Ortopedica e Traumatologica
Scuola di Specializzazione in Ortopedia e Traumatologia
Direttore : Prof. Vincenzo Salini
M.M.Guelfi,
Vanni,
Guelfi,
V. Salini
Guelfi, A.
A. Pantalone,
Pantalone, D.D.Vanni,
M. M.
GB.GB.
Guelfi,
V. Salini
Ligatender in Peroneal and Posterior Tibial
Tendonitis
Matteo Guelfi, MD
My disclosure is in the Final AOFAS
Mobile App.
I have no potential conflicts with this
presentation.
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
Non-Insertional Foot & Ankle Tendinitis
• Commons and increasing
• Sports related
• Acute or Chronic
• Multifactorial
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
Non-Insertional Foot & Ankle Tendinitis
Intrinsic:
Malalignment
Leg length inequality
Muscles imbalance
Articolar Laxity
Females
Weight
Estrinsic:
Direct Injuries
Overuse Injuries
Shoes
Over or wrong training
Terrains
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
30 recreational athletes affected by:
peroneal and posterior tibial tendonitis
• 22 males, 8 females
• Av. Age 29 (22-36)
• 16 runners, 8 soccer, 2
tennis, 3 skaters, 1 cyclist
• MRI negative for tendon’s
lesion
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
GROUP A (15 patients*):
GROUP B (15 patients*):
• 40 days conservative treatment
• TENS
• TECAR
• Paracetamol 1000mg if needed
• The same treatment of GROUP A
• + 1 3.5mg sachet per day of
LIGATENDER*
*randomly selected
MICRONUTRIENTS
contained
every
sachet
of
LIGATENDER* (3.5mg): 550mg Methylsulfonylmethane
(MSM), 450 mg Ornithine alpha-ketoglutarate (OKG), 400
mg
Lysine,
100mg
Chondroitin-Sulfate,
100mg
Glucosamine, 60mg Vitamin C, 30mg Vitamin E, 0,225mg
Biotin.
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
RESULTS:
Group B returned to sport 7 days earlier
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
RESULTS:
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
RESULTS:
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
CONCLUSION:
Peroneal and posterior tibial tendonitis are a common
pathology in people playing sports recreationally.
Based on the results obtained from the present study,
we can assert that in the treatment of early peroneal
and posterior tibial tendonitis without tendon lesion
appreciable at MRI it is rational to integrate
micronutrients in association to conservative
treatment, because it has been demonstrated to
reduce the pain symptoms and the time necessary to
return to play again.
M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini
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M. Guelfi, A. Pantalone, D. Vanni, M. GB. Guelfi, V. Salini