Effectiveness of Initial Extracorporeal Shock Wave Therapy on the Newly Diagnosed Lateral or Medial Epicondylitis

Lee, Sang Seok; Kang, Sangkuk; Park, Noh Kyoung; Lee, Chan Woo; Song, Ho Sup; Sohn, Min Kyun; Cho, Kang Hee; Kim, Junghwan

doi:10.5535/arm.2012.36.5.681

Cited by 65 publications

(47 citation statements)

References 25 publications

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“…A multicenter, randomized, placebo-controlled single-blind study by Haake et al found that ESWT under local anesthesia was no more effective than placebo at 12 weeks (25.8% vs. 25.4% success rates) [22]. Similarly, Lee et al [35] found that ESWT was no more effective than corticosteroid injection for newly diagnosed LE and medical epicondylitis immediately after treatment and at 8-week follow-up. However, longer term follow-up may reveal differences not observed in the early posttreatment stage.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

Yao

Chen

Duan

et al. 2020

BioMed Research International

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Background. Lateral epicondylitis (LE) is a common elbow problem. Extracorporeal shock wave therapy (ESWT) was widely used in the treatment of LE and has been shown to relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow. However, the evidence with regard to whether ESWT has better clinical efficacy over other method is not clear. The aim of the study was to compare the effectiveness of ESWT with other techniques in the treatment of LE. Methods. Literature searches of PubMed, OVID, Embase, Cochrane Library, and Web of Science were searched up to 30 th June, 2019. Only RCTs comparing ESWT with other methods for LE were included. Data collection and extraction, quality assessment, and data analyses were performed according to the Cochrane standards. Results. A total of 13 articles with 1035 patients were included. Of which, 501 underwent ESWT and 534 underwent other methods. The result of meta-analysis showed that pooled VAS (P = 0:0004) and grip strength (P < 0:00001) were better in the ESWT group. Conclusion. Based on the existing clinical evidence, extracorporeal shock wave therapy can effectively relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow, with better overall safety than several other methods. However, owing to the limited quality and quantity of the included studies, more high-quality RCTs are needed to support the trend towards better functional outcomes with ESWT.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

Yao

Chen

Duan

et al. 2020

BioMed Research International

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“…Lee ve ark. [31] ESWT'nin lokal steroid enjeksiyonu kadar etkili olduğunu ileri sürerken, Devrimsel ve ark. [32] ESWT'nin lazer tedavisine kıyasla daha etkili olduğunu bildirmişlerdir.…”

Section: Discussionunclassified

The Comparison of ESWT, Physiotherapy and Local Steroid Injection Methods in The Treatment of Lateral Epicondylitis

Akkurt¹,

Yılmaz²,

Saka³

2015

Turk J Phys Med Rehab

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Cite this article as: Akkurt S, Yılmaz A, Saka T. A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. Turk J Phys Med Rehab 2016;62:37-44. ÖZAmaç: Bu çalışmada lateral epikondilit tedavisinde kullanılan ekstrakorporeal şok dalga tedavisi (ESWT), fizyoterapi ve lokal steroid enjeksiyonunun etkinliği karşılaştırıldı. Hastalar ve yöntemler:Çalışmaya Ocak 2013 -Aralık 2013 tarihleri arasında klinik olarak lateral epikondilit tanısı konmuş toplam 59 hasta (34 erkek, 25 kadın; ort. yaş 46.4 yıl; dağılım 35-60 yıl) alındı. Hastalar rastgele ESWT (ESWT grubu), lokal steroid enjeksiyonu (E grubu) ve fizyoterapi (FT grubu) olmak üzere üç tedavi grubuna ayrıldı. Tedavi öncesi, tedavi sonrası üçüncü, altıncı ve 12. haftalarda görsel analog ölçeği (GAÖ), el kavrama kuvveti, lateral epikondil üzerine basmakla oluşan duyarlılık testi, Thomson testi ve sandalye kaldırma testleri yapıldı. Bulgular:Üç tedavi grubunda da GAÖ skorları başlangıca kıyasla üç, altı ve 12. haftalarda azalırken, el kavrama kuvveti arttı. Lateral epikondil üzerine basmakla oluşan duyarlılık, Thomson testi ve sandalye kaldırma test sonuçları başlangıca kıyasla üç, altı ve 12. haftalarda anlamlı olarak negatifleşti. Başlangıca kıyasla üç, altı ve 12. haftalarda GAÖ skoru ve el kavrama kuvveti skorları açısından tedavi grupları arasında istatistiksel olarak anlamlı bir fark yoktu.Sonuç: Çalışma sonuçlarımız ESWT, lokal steroid enjeksiyonu ve fizyoterapinin lateral epikondilit tedavisinde 12 haftalık takipte etkili olduğunu göstermektedir.Anahtar sözcükler: Ekstrakorporeal şok dalga tedavisi; lateral epikondilit; lokal steroid enjeksiyonu; fizyoterapi. ABSTRACT Objectives:This study aims to compare the efficacy of extracorporeal shock wave therapy (ESWT), physiotherapy, and local steroid injection in the treatment of lateral epicondylitis. Patients and methods:A total of 59 patients (34 males, 25 females; mean age 46.4 years; range 35 to 60 years) who were clinically diagnosed with lateral epicondylitis between January 2013 and December 2013 were included in the study. The patients were randomly divided into three treatment groups as ESWT (ESWT group), local steroid injection (E group) and physiotherapy (FT group). The visual analog scale (VAS), hand grip strength, pressure sensitivity on lateral epicondyle, Thompson test and chair lifting test were performed before treatment and at three, six and 12 weeks following the treatment.Results: Compared to baseline, VAS scores decreased, while hand grip strength increased in all three treatment groups at three, six, and 12 weeks. Pressure sensitivity with pressure on the lateral epicondyle, Thompson test, and chair lifting test results became significantly negative at three, six, and 12 weeks compared to baseline. There was no statistically significant difference in the VAS and hand grip strength scores at three, six, and 12 weeks compared to baseline among the treatment groups. Conclusion:Our study results suggest that ESWT, physioth...

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“…Its exact mechanism of action is unclear. Lee et al 23 found that epicondylitis patients treated with ESWT improved as much as patients treated with local steroid injection at 8 weeks post treatment. However, a Cochrane review that analyzed nine studies of more than 1000 lateral epicondylitis patients treated with ESWT did not demonstrate a statistically significant benefit with ESWT.…”

Section: Electrophysical Modalitiesmentioning

confidence: 97%

Epicondylitis and denervation surgery

Rose

Dellon²

2014

Current Orthopaedic Practice

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Lateral and medial epicondylitis are two of the most common musculoskeletal conditions affecting the upper extremity. Yet, their exact etiology and optimal treatment remain controversial. Even the efficacy of traditional nonoperative treatments, such as physical therapy and corticosteroid injections, is disputed, with many studies failing to demonstrate long-term benefits with either modality. Newer treatments, such as extracorporeal shock wave therapy and platelet rich plasma, show promise. However, despite the theoretic advantages of these treatments, clinical results remain mixed. When nonoperative treatments fail, traditional surgery in the form of a medial or lateral release remains the mainstay of treatment. However, recovery times from these open release procedures remain prolonged. Recent clinical trials evaluating medial and lateral elbow denervation surgery show that these less invasive techniques may bring permanent resolution to this difficult problem with less pain and shorter recovery times.

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Effectiveness of Initial Extracorporeal Shock Wave Therapy on the Newly Diagnosed Lateral or Medial Epicondylitis

Cited by 65 publications

References 25 publications

Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

The Comparison of ESWT, Physiotherapy and Local Steroid Injection Methods in The Treatment of Lateral Epicondylitis

Epicondylitis and denervation surgery

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