Extracorporeal shock wave therapy in the treatment of chronic tendinopathies

Andrew Sems, Robert Dimeff, Joseph P. Iannotti

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Many clinical trials have evaluated the use of extracorporeal shock wave therapy for treating patients with chronic tendinosis of the supraspinatus, lateral epicondylitis, and plantar fasciitis. Although extracorporeal shock wave therapy has been reported to be effective in some trials, in others it was no more effective than placebo. The multiple variables associated with this therapy, such as the amount of energy delivered, the method of focusing the shock waves, frequency and timing of delivery, and whether or not anesthetics are used, makes comparing clinical trials difficult. Calcific tendinosis of the supraspinatus and plantar fasciitis have been successfully managed with extracorporeal shock wave therapy when nonsurgical management has failed. Results have been mixed in the management of lateral epicondylitis, however, and this therapy has not been effective in managing noncalcific tendinosis of the supraspinatus. Extracorporeal shock wave therapy has consistently been more effective with patient feedback, which enables directing the shock waves to the most painful area (clinical focusing), rather than with anatomic or image-guided focusing, which are used to direct the shock wave to an anatomic landmark or structure.

Original languageEnglish (US)
Pages (from-to)195-204
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume14
Issue number4
StatePublished - Apr 2006

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Convulsive Therapy
Tendinopathy
Rotator Cuff
Plantar Fasciitis
Tennis Elbow
Clinical Trials
Anatomic Landmarks
Therapeutics
Anesthetics
Placebos

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Extracorporeal shock wave therapy in the treatment of chronic tendinopathies. / Sems, Andrew; Dimeff, Robert; Iannotti, Joseph P.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 14, No. 4, 04.2006, p. 195-204.

Research output: Contribution to journalArticle

Sems, Andrew ; Dimeff, Robert ; Iannotti, Joseph P. / Extracorporeal shock wave therapy in the treatment of chronic tendinopathies. In: Journal of the American Academy of Orthopaedic Surgeons. 2006 ; Vol. 14, No. 4. pp. 195-204.
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