Eccentric Loading Compared with Shock Wave Treatment for Chronic Insertional Achilles Tendinopathy

Rompe, Jan D.; Furia, John P.; Maffulli, Nicola

doi:10.2106/jbjs.f.01494

Cited by 225 publications

(313 citation statements)

References 41 publications

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“…Additionally, combination of eccentric training with ESWT was shown to be more beneficial when compared with eccentric training alone. In an RCT consisting of 68 patients with chronic Achilles tendinopathy and a history of failed management, Rompe et al 16,17 found that combining ESWT with eccentric training yielded significant improvements in pain and function at a 4-month follow-up in midportion Achilles tendinopathy and at 1 year in insertional Achilles tendinopathy. These results should encourage clinicians to administer ESWT as an adjunct to eccentric training.…”

Section: Shock Wave Therapymentioning

confidence: 99%

Tendinopathy and Sports: Understanding the Problem and Options of Management-perspectives from Physiotherapy, Sports Medicine, and Orthopedics

Popović

Schlenker

2017

Journal of Postgraduate Medicine, Education and Research

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Tendinopathies are perhaps the leading cause of sportsrelated overuse injuries necessitating visit to an expert. Increased general public participation in sports and growing intensity of elite level sport had further warranted more attention and research into pathophysiology and management of tendeno pathies. As a result, its management has seen enormous changes in the last few decades. The newer research methodologies applied to diagnostic and therapeutic aspects have generated a plethora of literature, which has helped sports medicine experts. However, these newer modalities have also added to the confusion among many. This review aims to present current understanding of pathophysiology of tendinopathies and evidence of success or failure of several modalities in current use.

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Section: Shock Wave Therapymentioning

confidence: 99%

Tendinopathy and Sports: Understanding the Problem and Options of Management-perspectives from Physiotherapy, Sports Medicine, and Orthopedics

Popović

Schlenker

2017

Journal of Postgraduate Medicine, Education and Research

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“…The parameters evaluated were PPT [18] and tenderness at 3 kg, as assessed using an algometer and a numeric rating scale [19]. Both measurements were performed by the same investigator.…”

Section: Randomization and Blinding Proceduresmentioning

confidence: 99%

The immediate effects of 830-nm low-level laser therapy on the myofascial trigger point of the upper trapezius muscle in visual display terminal workers: A randomized, double-blind, clinical trial

Lee¹,

Lee²

2011

International Journal of Contents

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The aim of our study was to evaluate the immediate effects of an 830-nm Aluminium gallium arsenide (GaAlAs) laser, by examining the changes, in pressure-pain threshold (PPT) and tenderness at 3 kg of the myofascial trigger point (MTrP) of the upper trapezius muscle in visual display terminal (VDT) workers in comparison with placebo treatment. Thirty VDT workers (13 males, 17 females) with complaints of upper trapezius muscle were recruited. All participants were given either active GaAlAs laser (830 nm wavelength, 450 mW, 9 J at point) or placebo GaAlAs laser, according to the double-blinded and placebo-controlled trial. Both active and placebo low-level laser therapy (LLLT) treatments showed no significant effect on PPT and tenderness at 3 kg. These results suggest that a higher dosage may be necessary to produce immediate effects when applying LLLT to the MTrP of relatively large muscles such as the upper trapezius muscle.

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“…Local anesthesia is not used. Applications are done at weekly intervals for three to four applications, and patients are followed for at least 3-4 months after last application [37]. This protocol has been used in ESWT for Achilles tendinopathy trials.…”

Section: Extracorporeal Shock Wave Therapymentioning

confidence: 99%

Shock wave therapy for Achilles tendinopathy

Wilson

Stacy

2010

Curr Rev Musculoskelet Med

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Achilles tendinopathy has been reported as the most common overuse injury in sports medicine clinics (Clement et al. Am J Sports Med 12: 179-184, 1984). Standard treatment regimens include activity modification, heel lifts, arch supports, stretching exercises, nonsteroidal anti-inflammatories, and eccentric loading. There is a lack of consensus regarding treatment. Even so, most athletes will respond to this regimen. However, conservative management will prove to be inadequate for a subset of patients. When conservative therapy fails, other noninvasive treatment measures may be considered. Extracorporeal shock wave therapy (ESWT) has been used in soft-tissue disorders including lateral epicondylitis, plantar fasciitis, and calcific tendonitis of the shoulder. Conclusive evidence recommending ESWT as a treatment for Achilles tendinopathy is lacking. This article explores the role of shock wave therapy in the management of recalcitrant Achilles tendinopathy in patients attempting to avoid an invasive intervention.

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Eccentric Loading Compared with Shock Wave Treatment for Chronic Insertional Achilles Tendinopathy

Cited by 225 publications

References 41 publications

Tendinopathy and Sports: Understanding the Problem and Options of Management-perspectives from Physiotherapy, Sports Medicine, and Orthopedics

Tendinopathy and Sports: Understanding the Problem and Options of Management-perspectives from Physiotherapy, Sports Medicine, and Orthopedics

The immediate effects of 830-nm low-level laser therapy on the myofascial trigger point of the upper trapezius muscle in visual display terminal workers: A randomized, double-blind, clinical trial

Shock wave therapy for Achilles tendinopathy

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