Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial

Taheri, Parisa; Khosrawi, Saeid; Ramezani, Mitra

doi:10.1016/j.apmr.2020.12.008

Cited by 14 publications

(19 citation statements)

References 27 publications

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“…In contrast to previous results, both groups (control and ESWT) had significant improvements in pain relief and disability in patients with low back pain after 3 months of treatment, including the control group. 39 Similar results were reported by Lange et al 40 In this study, patients received eight sessions of radial pressure ESWT for 4 weeks, and sessions of physical therapy and analgesics twice a week. After 12 weeks, both groups had a significant improvement in pain and disability relief.…”

Section: Application Of Eswt In the Treatment Of Low Back Painsupporting

confidence: 86%

“…37 Despite the optimistic results, the literature remains somewhat controversial. 39,40 Taheri et al 39 published a comparative study including treatment with ESWT associated with pharmacological agents and physical exercise. In contrast to previous results, both groups (control and ESWT) had significant improvements in pain relief and disability in patients with low back pain after 3 months of treatment, including the control group.…”

Section: Application Of Eswt In the Treatment Of Low Back Painmentioning

confidence: 99%

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Extracorporeal Shockwave Treatment for Low Back Pain

Simplicio¹,

Santos

Shinzato

et al. 2022

Bio Orthop J

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Low back pain is a common symptom in patients with chronic musculoskeletal conditions, affecting several individuals. In most cases, low back pain can often prove to be nonspecific or even multifactorial. Current treatment approach is based on surgical and noninvasive interventions, including pharmacological, psychological, physiotherapeutic, or complementary strategies. Extracorporeal shock wave therapy (ESWT) is a type of noninvasive mechanotherapy that has become popular in recent years due to its applicability in the treatment of various musculoskeletal disorders, especially in the lumbar spine of individuals with osteopo-rosis, sacroiliitis, and even spinal cord disorders. The objective of this manuscript is to review the scientific evidence supporting the application of this therapy in the management of low back pain, and give a brief description of the treatment techniques used in clinical settings. The articles included in this descriptive review were selected from databases using the Google Scholar tool, from which a total of 13 applicable studies matching the topic were included. Despite the need for more clinical trials, shock waves have been applied in medical health for many years with satisfactory results. Its application in the treatment of lumbar spine disorders has been shown to be advantageous in the management of pathological progression, such as the natural wear and tear process of musculoskeletal structures. In this sense, shockwave therapy may represent a viable alternative for the treatment of lumbar spine disorders; however, its therapeutic effects andmechanisms require further elucidation.

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Section: Application Of Eswt In the Treatment Of Low Back Painsupporting

confidence: 86%

Section: Application Of Eswt In the Treatment Of Low Back Painmentioning

confidence: 99%

Extracorporeal Shockwave Treatment for Low Back Pain

Simplicio¹,

Santos

Shinzato

et al. 2022

Bio Orthop J

View full text Add to dashboard Cite

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“…Intervertebral disc degeneration is closely linked to the production of inflammatory factors by the body. For patients with chronic low back pain, conservative treatment may be effective because physiotherapy is associated with anti-inflammatory and regenerative effects [ 2 ]. Conversely, surgical treatment is necessary for patients who have failed conservative treatment, or who have significant radicular symptoms.…”

Section: Introductionmentioning

confidence: 99%

Hidden blood loss of minimally invasive hybrid lumbar interbody fusion: an analysis of influencing factors

Dai

Feng

et al. 2022

BMC Musculoskelet Disord

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Background Lumbar interbody fusion(LIF) is the leading way to treat Lumbar Degenerative Diseases(LDD). At present, there is a lack of research on the influencing factors of hidden blood loss in minimally invasive hybrid lumbar interbody fusion. This study comprehensively explores the definite factors affecting the hidden blood loss in minimally invasive hybrid lumbar interbody fusion. Materials and methods One hundred patients with Lumbar degenerative diseases who underwent minimally invasive hybrid lumbar interbody fusion in our center were included. Demographics, laboratory data, surgical data, and radiographic data were collected. The Gross equation and Sehat equation were used to calculate the estimated value of hidden blood loss. Multi-factor linear regression analysis was used to determine the influencing factors of hidden blood loss. Result We reviewed and collected 100 patients who underwent minimally invasive hybrid approach, mean age 65 ± 10 years, male: female 37:63; 17 patients of diabetes and 83 patients of non-diabetes; Total blood loss was 645.59 ± 376.37 ml, hidden blood loss was 421.39 ± 337.45 ml, the hidden blood loss percentage was 57 ± 26%. Results from the multi-factorial linear regression model: Diabetes (p < 0.05), hypertension (p < 0.05), psoas thickness (p < 0.05) and dorsal extensor group thickness (p < 0.05) were potential risk factors for postoperative hidden blood loss. Conclusion Although minimally invasive hybrid approach is minimally invasive surgery, there is still a significant amount of hidden blood loss. There is a greater risk of blood loss in diabetes, hypertension and preoperative MRI assessment of thickness of the psoas, thickness of the dorsal extensor group.

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“…There is only 1 previous report like the present results. In an Iranian study, Taheri et al [ 6 ] (only 4/10 points on the PEDro scale) verified the effectiveness of focus shock waves in combination with oral medications and exercise in reducing pain in LBP patients. Ultimately, 38 people were randomly assigned to 2 groups.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the literature on ESWT in low back pain (LBP) treatment in the Web of Science Core Collection, PubMed, and MEDLINE databases is limited. There are only 6 randomized clinical trials (RCTs) showing the effect of ESWT on LBP [ 6 – 11 ] that went through methodological quality analysis using the Physiotherapy Evidence Database (PEDro) score ( Table 1 ). Based on objective data, levels of methodological quality of these randomized clinical trials vary from medium to low.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Focused Extracorporeal Shock Wave Therapy in Chronic Low Back Pain: A Prospective Randomized 3-Month Follow-Up Study

Rajfur

Matusz

et al. 2022

Med Sci Monit

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Background Extracorporeal shock wave therapy (ESWT) is a modern physiotherapeutic method that is useful for treating musculoskeletal conditions. There are still limited data from well-designed studies evaluating the clinical efficiency of ESWT in low back pain (LBP). Therefore, this study aimed to assess the effectiveness of the focused ESWT (fESWT) in reducing pain and improving the functional status of patients with chronic LBP. Material/Methods The study involved 40 patients with L5-S1 discopathy with chronic LBP pain who were randomized into 2 groups: group A (n=20, mean age of 42.3±13.1 years) and group B (n=20, mean age of 45.4±14 years). Group A was an experimental group treated with an fESWT at the lumbar and sacral spine (0.15 mJ/mm 2 , 1000 pulses, 4 Hz). Group B was a control group, treated with a sham fESWT. The treatment protocol in both groups included identical stabilization training (45 minutes, once a day, 5 days a week). Study outcomes included subjective pain with a visual analog scale (VAS) and Laitinen Pain Scale (LPS), and functional status using the Oswestry Disability Index (ODI). Measurements were made before and after treatments, as well as follow-up observations at 1 and 3 months following ESWT. The study was prospectively registered at the ISRCTN registry platform (no. ISRCTN13785224). Results There was a significant analgesic effect (VAS and LPS) in both groups; however, it was significantly greater in the experimental group compared to the sham group ( P <0.05). A more significant decrease in the perceived pain (VAS and LPS) was observed immediately after the active fESWT therapy. In follow-up observations (after 1 and 3 months), there were no significant between-group differences ( P >0.05). Also, there was a significant effect in terms of functional state (ODI) for both groups ( P <0.05); however, between-group comparisons revealed no statistically significant differences ( P >0.05). Conclusions Focused ESWT with an exercise program can be effective in patients with chronic LBP. ESWT allows reducing pain, although it does not seem to significantly improve a patient’s functional state.

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Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial

Cited by 14 publications

References 27 publications

Extracorporeal Shockwave Treatment for Low Back Pain

Extracorporeal Shockwave Treatment for Low Back Pain

Hidden blood loss of minimally invasive hybrid lumbar interbody fusion: an analysis of influencing factors

Efficacy of Focused Extracorporeal Shock Wave Therapy in Chronic Low Back Pain: A Prospective Randomized 3-Month Follow-Up Study

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