Shock wave therapy for rotator cuff disease with or without calcification

Surace, Stephen J; Deitch, Jessica; Johnston, Renea V; Buchbinder, Rachelle

doi:10.1002/14651858.cd008962.pub2

Cited by 28 publications

(41 citation statements)

References 125 publications

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“…Following their results, it is possible that only some of the treated patients respond biologically to the ESWT, suggesting that when using the present ESWT protocols some are responders and some are non‐responders 23 . For the last decade, a leading argument for ESWT has been its ability to treat musculoskeletal disorders with calcifications, especially in rotator cuff disease, which is one of the most intensively investigated area of ESWT 49 . However, Surace et al (from 2020) concluded in a Cochrane meta‐analysis on rotator cuff disease, including 32 trials and 2281 participants, that there were very few clinically important benefits from ESWT.…”

Section: Discussionmentioning

confidence: 91%

“…However, Surace et al (from 2020) concluded in a Cochrane meta‐analysis on rotator cuff disease, including 32 trials and 2281 participants, that there were very few clinically important benefits from ESWT. In addition, they found no between‐group differences in pain and functional outcomes in participants who did or did not have calcific deposits in the rotator cuff 49 . This conclusion challenges some of the fundamentals of ESWT in its ability to treat conditions with calcific deposits 31 …”

Section: Discussionmentioning

confidence: 97%

“…The optimal therapeutic ESWT dose regarding energy level, number of treatment sessions, and number of impulses has not been well established. This task is complicated by a great diversity in the published ESWT protocols and the ongoing fundamental question concerning whether ESWT actually has a clinically important effect 49 . There are no strong evidence‐based standardized guidelines for the number of sessions needed when using ESWT in tendinopathies.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Extracorporeal shockwave therapy in the treatment of patellar tendinopathy: A randomized, double‐blind, placebo‐controlled trial

Krogh

Kyed

et al. 2021

Transl Sports Med

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Patellar tendinopathy is a common injury in athletes. The purpuse was to examine whether extracorporeal shockwave therapy (ESWT) was more effective than placebo in the treatment patellar tendinopathy. Thirty‐six athletes were randomly assigned to receive either three ESWT treatments or three placebo treatments. The primary endpoints were changes in pain while walking, at rest, and when the tendon was squeezed on a 0‐10 numeric rating scale. Secondary outcomes included treatment satisfaction and ultrasonographic outcomes. After 12 weeks, ESWT was more effective than placebo regarding pain while walking, mean difference [MD] 1.4 (P = .011). There was no difference in pain at rest, MD 0.4 (P = .404) or pain when the tendon was squeezed, MD 0.3 (P = .221). Regarding the secondary outcomes, ESWT was more effective than placebo with regard to patient‐rated treatment effect, but no improvements were observed in the ultrasonographic outcomes. Improvement was observed after 12 weeks in the ESWT group regarding pain while walking but not regarding pain at rest, when the tendon was squeezed, and on ultrasonography. These findings provide limited support for the use of ESWT, but the clinical relevance is still unclear.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Extracorporeal shockwave therapy in the treatment of patellar tendinopathy: A randomized, double‐blind, placebo‐controlled trial

Krogh

Kyed

et al. 2021

Transl Sports Med

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“…High-energy ESWT results in spontaneous resorption of type I calcifications within a year in 86% of cases [12]; the results following low-energy ESWT and radial ESWT are contradictory [12,14,16,18,19,24,26,28,30,32]. When high-energy ESWT is performed under local anesthesia, it has strictly speaking to be called a semi-invasive procedure.…”

Section: Discussionmentioning

confidence: 99%

Current treatment concepts of calcifying tendinitis of the shoulder

Loew¹,

Schnetzke

Lichtenberg³

2021

Obere Extremität

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Calcifying tendinitis is a very common pathology in the shoulder region, which may be acute or chronic. The rotator cuff, particularly the supraspinatus tendon, is most frequently affected. The tendons of the rotator cuff undergo a natural cycle of destruction and regeneration. The development of calcifying tendinitis is caused by defective tendon repair. Typical is a chronic course with acute pain exacerbation, which leads to medical presentation. Treatment options range from conservative therapy including rest, physical therapy, nonsteroidal anti-inflammatory drugs, and shock wave therapy, to surgical therapy with arthroscopic removal of the calcific focus. This article discusses the current stage-dependent therapeutic concepts and provides a treatment recommendation.

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“…The aim of this commentary is to discuss the published Cochrane Review “https://doi.org/10.1002/14651858” 1 by Surace SJ, Deitch J, Johnston RV, Buchbinder R, under the direct supervision of Cochrane Musculoskeletal Group. This Cochrane Corner is produced in agreement with International Journal of Rheumatic Diseases by Cochrane Rehabilitation.…”

mentioning

confidence: 99%

What is the effect of shock wave therapy in rotator cuff disease with or without calcification? A Cochrane Review summary with commentary

Ilieva

2021

Int J of Rheum Dis

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Shock wave therapy for rotator cuff disease with or without calcification

Cited by 28 publications

References 125 publications

Extracorporeal shockwave therapy in the treatment of patellar tendinopathy: A randomized, double‐blind, placebo‐controlled trial

Extracorporeal shockwave therapy in the treatment of patellar tendinopathy: A randomized, double‐blind, placebo‐controlled trial

Current treatment concepts of calcifying tendinitis of the shoulder

What is the effect of shock wave therapy in rotator cuff disease with or without calcification? A Cochrane Review summary with commentary

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