Extracorporeal shockwave therapy in musculoskeletal disorders

doi:10.1186/1749-799X-7-11

Paper

Extracorporeal shockwave therapy in musculoskeletal disorders

Published Mar 20, 2012 · Ching‐Jen Wang

Journal of Orthopaedic Surgery and Research

Q1 SJR score

435

Citations

17

Influential Citations

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Abstract

The sources of shockwave generation include electrohydraulic, electromagnetic and piezoelectric principles. Electrohydraulic shockwaves are high-energy acoustic waves generated under water explosion with high voltage electrode. Shockwave in urology (lithotripsy) is primarily used to disintegrate urolithiasis, whereas shockwave in orthopedics (orthotripsy) is not used to disintegrate tissues, rather to induce tissue repair and regeneration. The application of extracorporeal shockwave therapy (ESWT) in musculoskeletal disorders has been around for more than a decade and is primarily used in the treatment of sports related over-use tendinopathies such as proximal plantar fasciitis of the heel, lateral epicondylitis of the elbow, calcific or non-calcific tendonitis of the shoulder and patellar tendinopathy etc. The success rate ranged from 65% to 91%, and the complications were low and negligible. ESWT is also utilized in the treatment of non-union of long bone fracture, avascular necrosis of femoral head, chronic diabetic and non-diabetic ulcers and ischemic heart disease. The vast majority of the published papers showed positive and beneficial effects. FDA (USA) first approved ESWT for the treatment of proximal plantar fasciitis in 2000 and lateral epicondylitis in 2002. ESWT is a novel non-invasive therapeutic modality without surgery or surgical risks, and the clinical application of ESWT steadily increases over the years. This article reviews the current status of ESWT in musculoskeletal disorders.

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Study Snapshot

Extracorporeal shockwave therapy (ESWT) is a promising non-invasive treatment for various musculoskeletal disorders, with a success rate of 65% to 91% and low complications.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Extracorporeal shockwave therapy in musculoskeletal disorders

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References

Extracorporeal shockwave shows regression of osteoarthritis of the knee in rats.

Extracorporeal shockwave technology (ESWT) effectively regresses osteoarthritis of the knee in rats.

High-Energy Extracorporeal Shock-Wave Therapy (ESWT) for the Treatment of Chronic Plantar Fasciitis

High-energy extracorporeal shock-wave therapy (ESWT) effectively treats chronic plantar fasciitis, with good short-term results maintained over time.

Shock wave-pretreated bone marrow cells further improve left ventricular function after myocardial infarction in rabbits.

Shock wave-pretreated autologous bone marrow cells are superior to BMDMNCs alone in preserving left ventricular function after acute myocardial infarction in rabbits.

Shockwave therapy in the management of complex regional pain syndrome in medial femoral condyle of the knee.

Shockwave therapy effectively manages complex regional pain syndrome in the knee, reducing pain in 76.7% of cases and 80% at 6-month follow-up.

Chronic Plantar Fasciitis Treated with Two Sessions of Radial Extracorporeal Shock Wave Therapy

Radial extracorporeal shock wave therapy (RSWT) effectively treats chronic plantar fasciitis when only two sessions with 2,000 impulses each are performed 1 week apart.

Citations

Comparison of Short-Term Effects of Extracorporeal Shock Wave Therapy, Low-Level Laser Therapy and Pulsed Electromagnetic Field Therapy in Knee Osteoarthritis: A Randomized Controlled Study

Short-term, ESWT, LLLT, and PEMF effectively reduce pain, improve physical function, and enhance quality of life in patients with knee osteoarthritis, with PEMF showing less pronounced improvements.

Biophysics of ACL Injuries.

Understanding the biophysics behind ACL injuries is crucial for developing effective prevention and treatment protocols.

Long-Term Efficacy of Combined Focused and Radial Extracorporeal Shockwave Therapy for Gluteus Medius Tendon Pathology: A Pilot Study

Combined ESWT is effective and safe for patients with gluteal tendinopathy, providing long-term pain relief and improved functional impairment.

Contribution of Shockwave Therapy in the Functional Rehabilitation Program of Patients with Patellofemoral Pain Syndrome

Shockwave therapy combined with physiotherapy may provide greater pain reduction and improved joint mobility for patients with patellofemoral pain syndrome compared to traditional treatments.

Advancements in Therapeutic Approaches for Degenerative Tendinopathy: Evaluating Efficacy and Challenges

Current treatments and recent innovations in managing degenerative tendinopathy show mixed results, highlighting the need for more efficient and cost-effective treatment options.

A Systematic Review of Traumatic Brain Injury in Modern Rodent Models: Current Status and Future Prospects

Modern rodent models can help study traumatic brain injury mechanisms and develop new treatments, with a focus on varying severity levels.