Document Detail

Extracorporeal shockwave therapy: a review.
MedLine Citation:
PMID:  12392445     Owner:  NLM     Status:  MEDLINE    
Extracorporeal shockwave therapy (ESWT) has been in use for the treatment of tendinopathies since the early 1990s. The exact mechanism by which ESWT relieves tendon-associated pain is not known; however, there is an increasing body of literature that suggests that it can be an effective therapy for patients who have had repeated nonsurgical treatment failures. The highest strength of evidence is shown in randomised controlled trials, of which there are a small number. Reported results for tendinopathies of the shoulder, elbow and heel have shown consistent positive results in favour of ESWT over placebo ESWT in individuals who have failed conservative therapy. These studies provide strong evidence for ESWT as an effective therapy for the treatment of chronic treatment-resistant tendinopathies. There is still much debate over several issues surrounding ESWT that have not been adequately addressed by the literature: high- versus low-energy ESWT, shockwave dosage and number of sessions required for a therapeutic effect. Further research is needed to ascertain the most beneficial protocol for patient care.
Bryan Chung; J Preston Wiley
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Sports medicine (Auckland, N.Z.)     Volume:  32     ISSN:  0112-1642     ISO Abbreviation:  Sports Med     Publication Date:  2002  
Date Detail:
Created Date:  2002-10-23     Completed Date:  2003-03-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8412297     Medline TA:  Sports Med     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  851-65     Citation Subset:  IM    
Sport Medicine Centre, University of Calgary, Calgary, Alberta, Canada.
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MeSH Terms
Athletic Injuries / therapy*
Clinical Trials as Topic
Lithotripsy / methods*
Tendon Injuries / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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