Extracorporal shock wave therapy in patients with tennis elbow and painful heel

Abstract

The aim of this study was to evaluate the effect of extracorporal shock wave therapy (ESWT) in tennis elbow and painful heel. Nineteen patients with tennis elbow and 44 patients with painful heel in which conservative treatment had failed underwent ESWT. Both groups received 3000 shock waves of 0.12 mJ/mm2 three times at weekly intervals. After a follow-up of 5 and 6 months respectively, pain measured on a visual analogue scale (VAS) decreased significantly in both groups. The success rate (excellent and good results) was 63% in tennis elbows and 70% in painful heels. ESWT seems to be a useful conservative alternative in the treatment of both conditions.

Effect of Shock Wave in Treatment of Sciatic Neuralgia

“…The results of the present study were in consistent with Hammer DS et al, 2000 (11) who studied the effect of extra corporeal shockwave in patient with tennis elbow and painful heel. Both groups received 3000 shock waves of 0.12 mJ/mm2 three times at weekly intervals.…”

Electrohydraulic High-Energy Shock-Wave Treatment for Chronic Plantar Fasciitis

“…Basic-science studies increasingly are providing an understanding of the physiologic mechanisms of pain relief (often immediate) and the modification and repair of the target tissue, which usually requires weeks to months to occur [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] . Extracorporeal shock-wave treatments have been applied to patients with chronic plantar fasciitis who have failed to respond to multiple conservative pharmacologic and therapeutic interventions [29][30][31][32][33][34][35][36][37][38] . Recent randomized, controlled stud- ies have been published but with varying results because of differences in study design, direction of the shock-wave delivery, energy levels, size (volume) of the focused energy ellipsoid (f 2 ) that is transcutaneously transmitted to the fascia, and method of forming the shock wave (electrohydraulic, electromagnetic, and piezoelectric) 32,[39][40][41][42][43][44][45][46][47][48][49][50]…”

Repetitive low‐energy shock wave application without local anesthesia is more efficient than repetitive low‐energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis

“…Many treatment regimens exist but effectiveness is variable [8,52,55,63]. Multiple publications focused on the evaluation of a clinically relevant effect of shock wave application on plantar heel pain, either of high-energy extracorporeal shock wave treatment (ESWT), applied in a single session with local or regional anesthesia [3,6,9,28,35,36,38,59] or of lowenergy ESWT, applied repetitively without local anesthesia [1, 4,7,11,[20][21][22][23]27,[44][45][46]48,51].…”