Extracorporeal Shock Wave Therapy in Pillar Pain After Carpal Tunnel Release: A Preliminary Study

Romeo, Placido; d'Agostino, María Cristina; Lazzerini, A.; Sansone, Valerio

doi:10.1016/j.ultrasmedbio.2011.07.002

Cited by 35 publications

(38 citation statements)

References 32 publications

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“…ESWT may also reduce inflammation of the soft tissues around the median nerve, which results in reduced pressure on the median nerve . The latter mechanism could partly explain the results of a study in 2011, which indicated that ESWT resulted in significant long‐term reductions of pain, swelling, and redness in patients with pillar pain after carpal tunnel release surgery …”

Section: Discussionmentioning

confidence: 99%

“…23 The latter mechanism could partly explain the results of a study in 2011, which indicated that ESWT resulted in significant long-term reductions of pain, swelling, and redness in patients with pillar pain after carpal tunnel release surgery. 39 Unlike ESWT in animals, ESWs in humans penetrate the soft tissue and do not "directly" focus on the target nerve, which may yield enhanced safety. However, the superiority of rESWT over fESWT for treating CTS is unclear.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of radial shock wave therapy for carpal tunnel syndrome: A prospective randomized, double‐blind, placebo‐controlled trial

Chou

et al. 2015

Journal Orthopaedic Research

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Three recent studies demonstrated the positive effect of extracorporeal shock wave therapy (ESWT) for treating carpal tunnel syndrome (CTS). However, none have entirely proved the effects of ESWT on CTS because all studies had a small sample size and lacked a placebo-controlled design. Moreover, radial ESWT (rESWT) has not been used to treat CTS. We conducted a prospective randomized, controlled, double-blinded study to assess the effect of rESWT for treating CTS. Thirty-four enrolled patients (40 wrists) were randomized into intervention and control groups (20 wrists in each). Participants in the intervention group underwent three sessions of rESWT with nightly splinting, whereas those in the control group underwent sham rESWT with nightly splinting. The primary outcome was visual analog scale (VAS), whereas the secondary outcomes included the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), cross-sectional area (CSA) of the median nerve, sensory nerve conduction velocity of the median nerve, and finger pinch strength. Evaluations were performed before treatment and at 1, 4, 8, and 12 weeks after the third rESWT session. A significantly greater improvement in the VAS, BCTQ scores, and CSA of the median nerve was noted in the intervention group throughout the study as compared to the control group (except for BCTQ severity at week 12 and CSA at weeks 1 and 4) (p < 0.05). This is the first study to assess rESWT in a randomized placebo-controlled trial and demonstrate that rESWT is a safe and effective method for relieving pain and disability in patients with CTS. Keywords: extracorporeal shock waves; carpal tunnel syndrome Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy involving the compression of the median nerve in the carpal tunnel. The average prevalence of CTS in the entire population is 3-4%, and it is predominantly observed in females (7% female and 1% male). 1 CTS is characterized by numbness, tingling, pain, or a burning sensation of at least two of the three digits supplied by the median nerve, although thenar muscle atrophy can also occur in the later stages. 2The risk factors for CTS include repetitive wrist stress, obesity, and pregnancy, whereas secondary causes include lesions within the carpal tunnel, metabolic causes, and infection.2 Unlike other progressive diseases, CTS is characterized by remission and recurrence; hence, its prognosis is often uncertain. Although there are many conservative forms of management, such as wrist splint, steroid injections, and therapeutic ultrasound, their effectiveness is typically insignificant or short-lived.3 Moreover, Gerritsen et al. 4 revealed a failure rate of 69% for wrist splinting in patients with CTS after a 12-month follow-up period. Moreover, 60-70% of conservatively treated patients with CTS remained symptomatic after 18 months. Extracorporeal shock waves (ESWs) are defined as a sequence of acoustic pulses characterized by a high peak pressure (100 MPa), fast pressure increase (<10 ns), short duration (...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of radial shock wave therapy for carpal tunnel syndrome: A prospective randomized, double‐blind, placebo‐controlled trial

Chou

et al. 2015

Journal Orthopaedic Research

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“…Extracorporeal shock wave therapy (ESWT) is a non-surgical method used in European countries, including Germany, Switzerland and Austria, to regenerate impaired tissue and destroy calcarea by focusing energy on a single point (McClure and Dorfm€ uller 2003;Romeo et al 2011). ESWT can restructure injured tissue by controlling the energy flux density, exposing the impaired area and increasing local growth factors using shock waves (Speed et al 2002;Wang et al 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Haake et al (2002) studied the impact of ESWT on reducing neurologic pain and reported that variation in c-fos, acting as a marker of an analgesic agent, was not statistically significant. Most studies of ESWT for nervous system injury have focused on inflammation and neurologic pain after impairment of peripheral nerves (Romeo et al 2011;Zimmermann et al 2008, Noguchi et al 1995. Thus, this study was conducted to investigate the effect of ESWT on the functional activity and expression of NT-3 in rats with crush injury of the sciatic nerve.…”

Section: Introductionmentioning

confidence: 99%

Effects of Extracorporeal Shock Wave Therapy on Functional Recovery and Neurotrophin-3 Expression in the Spinal Cord after Crushed Sciatic Nerve Injury in Rats

Lee

Kim

2015

Ultrasound in Medicine & Biology

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“…extracorporeal shock wave therapy (eSWt) has proved to be effective in treating musculoskeletal disorders due to its angiogenic, analgesic and anti-inflammatory effects [14][15][16][17][18]. clinical trials also highlight their effectiveness in treating the early stages of aVn, reducing the bone edema and pain [19][20][21].…”

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confidence: 99%

Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip

et al. 2014

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Extracorporeal Shock Wave Therapy in Pillar Pain After Carpal Tunnel Release: A Preliminary Study

Cited by 35 publications

References 32 publications

Effect of radial shock wave therapy for carpal tunnel syndrome: A prospective randomized, double‐blind, placebo‐controlled trial

Effect of radial shock wave therapy for carpal tunnel syndrome: A prospective randomized, double‐blind, placebo‐controlled trial

Effects of Extracorporeal Shock Wave Therapy on Functional Recovery and Neurotrophin-3 Expression in the Spinal Cord after Crushed Sciatic Nerve Injury in Rats

Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip

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