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Musculoskeletal Shockwave therapy

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https://www.readbyqxmd.com/read/27358117/extracorporeal-shockwaves-as-regenerative-therapy-in-orthopedic-traumatology-a-narrative-review-from-basic-research-to-clinical-practice
#1
REVIEW
M C D Agostino, R Frairia, P Romeo, E Amelio, L Berta, V Bosco, S Gigliotti, C Guerra, S Messina, L Messuri, B Moretti, A Notarnicola, G Maccagnano, S Russo, R Saggini, M C Vulpiani, P Buselli
Extracorporeal Shock Wave Therapy (ESWT), after its first medical application in the urological field for lithotripsy, nowadays represents a valid therapeutical tool also for many musculoskeletal diseases, as well as for regenerative medicine applications. This is possible thanks to its mechanisms of action, which in the non-urological field are not related to mechanical disruption (as for renal stones), but rather to the capacity, by mechanotransduction, to induce neoangiogenesis, osteogenesis and to improve local tissue trophism, regeneration and remodeling, through stem cell stimulation...
April 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/26363497/update-on-the-efficacy-of-extracorporeal-shockwave-treatment-for-myofascial-pain-syndrome-and-fibromyalgia
#2
REVIEW
Silvia Ramon, Markus Gleitz, Leonor Hernandez, Luis David Romero
Chronic muscle pain syndrome is one of the main causes of musculoskeletal pathologies requiring treatment. Many terms have been used in the past to describe painful muscular syndromes in the absence of evident local nociception such as myogelosis, muscle hardening, myalgia, muscular rheumatism, fibrositis or myofascial trigger point with or without referred pain. If it persists over six months or more, it often becomes therapy resistant and frequently results in chronic generalized pain, characterized by a high degree of subjective suffering...
December 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/26361863/current-knowledge-on-evidence-based-shockwave-treatments-for-shoulder-pathology
#3
REVIEW
Daniel Moya, Silvia Ramón, Leonardo Guiloff, Ludger Gerdesmeyer
Shoulder pain is one of the most common musculoskeletal pathologies. Treatment by ESWT (extracorporeal shockwave therapy) has emerged as an alternative when conservative treatment fails in rotator cuff calcific tendinopathy, prior to invasive procedures. The clinical efficacy of ESWT in non-calcific tendinopathy remains controversial. The good results in the treatment of rotator cuff calcifications, have led to indications of ESWT being expanded to other shoulder pathologies. We review the current state of indications and evidence based practice...
December 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/26181155/-evaluation-of-the-effectiveness-of-extracorporeal-shock-wave-therapy-in-selected-musculoskeletal-system-disorders-of-the-inflammatory-etiology-a-critical-review-of-the-literature
#4
REVIEW
Robert Dymarek, Gabriela Bidzińska, Kamil Zwierzchowski, Lucyna Słupska, Kuba Ptaszkowski, Tomasz Halski
Extracorporeal shockwave therapy (ESWT) is a modern method from the scope of physical medicine. In Poland, atthe end of the last decade, ESWT has become an extremely popular form of treatment for many diseases, especially musculoskeletal. The aim of this study is to provide an overview of the most up to date scientific reports assessing the effectiveness of ESWT in the most common musculoskeletal system disorders of the inflammatory etiology. To review, there were qualified 15 subjects of research works in English language only, which were published between 2002-2013...
2015: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/26162813/the-efficacy-of-ultrasound-guided-extracorporeal-shockwave-therapy-in-patients-with-cervical-spondylosis-and-nuchal-ligament-calcification
#5
RANDOMIZED CONTROLLED TRIAL
Tz-Yan Lin, Jing-Ting Chen, Yu-Yu Chen, Tien-Wen Chen, Chia-Ling Lee, Chia-Hsin Chen, Mao-Hsiung Huang
We investigated the effects of extracorporeal shockwave therapy (ESWT) on the rehabilitation of cervical spondylosis with nuchal ligament (NL) calcification under X-ray and ultrasound guidance. Sixty patients with cervical spondylosis and calcification of NL were selected and randomly assigned to three groups: A, B, and C. Patients in Group A received rehabilitation with 20 minutes of hot packs and underwent 15 minutes of intermittent cervical traction three times/week for 6 weeks. Patients in Group B received the same rehabilitation as those in Group A and ESWT (2000 impulses, 0...
July 2015: Kaohsiung Journal of Medical Sciences
https://www.readbyqxmd.com/read/26135551/effectiveness-of-extracorporeal-shockwave-therapy-in-three-major-tendon-diseases
#6
Christian Carulli, Filippo Tonelli, Matteo Innocenti, Bonaventura Gambardella, Francesco Muncibì, Massimo Innocenti
BACKGROUND: Extracorporeal shockwave therapy is a conservative treatment for several painful musculoskeletal disorders. The aim of the study was the assessment of the relief from pain by the shockwave therapy in a population of consecutive patients affected by specific pathologies. MATERIALS AND METHODS: A group of consecutive patients were studied and treated. They were affected by calcific tendonitis of the shoulder (129 patients), chronic Achilles tendinopathy (102 patients), and lateral epicondylitis of the elbow (80 subjects)...
March 2016: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/25879174/%C3%AF-%C3%AF-%C3%AF-%C3%AF-%C3%AF-%C3%AF-%C3%AF-evidence-supporting-extracorporeal-shock-wave-therapy-for-acute-and-chronic-soft-tissue-wounds
#7
Vlado Antonic, Rainer Mittermayr, Wolfgang Schaden, Alexander Stojadinovic
Objective. Soft tissue wound healing is a complex and well-orchestrated sequence of events on multiple biological levels involving systemic, cellular, and molecular signals. The physiological process of wound healing leads to full tissue repair and regeneration with nearly complete restoration of tissue integrity and functionality. Wounds, particularly among the elderly population, can show delayed or disturbed healing; however, delayed or disturbed healing is also evident in patients with comorbidities such as diabetes, atherosclerosis, venous/arterial insufficiency, reduced mobility due to chronic infirmity, and hypercholesterolemia...
July 2011: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/25661460/ulnar-neuropathy-after-extracorporeal-shockwave-therapy-a%C3%A2-case-report
#8
Jae Seong Shim, Sun G Chung, Hyun Bang, Hyuk Jin Lee, Keewon Kim
Currently, extracorporeal shockwave therapy (ESWT) is widely used for treatment of various musculoskeletal disorders. We report a case of ulnar neuropathy secondary to the application of ESWT. A 48-year-old man was diagnosed with medial epicondylitis and underwent 2 sessions of ESWT. Immediately after the second session, he experienced paresthesia and weakness in the right hand. On physical examination, atrophy of the first dorsal interosseus and weakness of the abductor digiti minimi were observed. Electrophysiologic study demonstrated ulnar neuropathy at the elbow with severe partial axonotmesis...
June 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/25275264/mechano-transduction-effect-of-shockwaves-in-the-treatment-of-lumbar-facet-joint-pain-comparative-effectiveness-evaluation-of-shockwave-therapy-steroid-injections-and-radiofrequency-medial-branch-neurotomy
#9
Tomas Nedelka, Jiri Nedelka, Jakub Schlenker, Christopher Hankins, Radim Mazanec
OBJECTIVE: Lumbar facet joints (FJ) is a common source of low back pain and contributes approximmately on one third of chronic low back pain. Medial branch radiofrequency neurotomy is considered as a gold standard in the treatment of facet joint pain. Corticosteroid injections have also presented effect in FJ pain. As an interventional procedures, they carry not-negligible risk of possible complications including infection, damage to nerve root or medial branch structures. Shockwave therapy (SWT) is a non-invasive method for treatment of various musculoskeletal disorders...
2014: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/25147767/assessment-of-the-effectiveness-of-extracorporeal-shock-wave-therapy-eswt-for-soft-tissue-injuries-assert-an-online-database-protocol
#10
G Maffulli, S Hemmings, N Maffulli
BACKGROUND: Soft tissue injuries and tendinopathies account for large numbers of chronic musculoskeletal disorders. Extracorporeal shockwave therapy (ESWT) is popular, and effective in the management of chronic tendon conditions in the elbow, shoulder, and pain at and around the heel. METHODS/DESIGN: Ethical approval was granted from the South East London Research Ethics Committee to implement a database for the Assessment of Effectiveness of Extracorporeal Shock Wave Therapy for Soft Tissue Injuries (ASSERT) to prospectively collect information on the effectiveness of ESWT across the UK...
September 2014: Translational Medicine @ UniSa
https://www.readbyqxmd.com/read/25103886/nonpharmaceutical-approaches-to-pain-management
#11
REVIEW
Lisa Corti
A nonpharmaceutical approach to managing pain is one that does not employ a medication. The use of such approaches, in conjunction with pharmaceuticals as part of multimodal methods to managing pain, is becoming more popular as evidence is emerging to support their use. Cold therapy, for one, is used to reduce the inflammation and tissue damage seen in acute injuries and can be very effective at reducing acute pain. Incorporating the use of superficial heat therapy when treating pain associated with chronic musculoskeletal conditions is often employed as heat increases blood flow, oxygen delivery, and tissue extensibility...
March 2014: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/24217134/extracorporeal-shock-wave-therapy-in-musculoskeletal-disorders-a-review
#12
REVIEW
Pietro Romeo, Vito Lavanga, Davide Pagani, Valerio Sansone
Regenerative therapy is one of the most challenging and intriguing branches of modern medicine. Basic research has demonstrated the effectiveness of extracorporeal shockwaves (ESWT) in stimulating biological activities that involve intra-cell and cell-matrix interactions. These interactions are at the basis of the current clinical applications, and open the horizons to new applications in tissue regeneration. It is also feasible that shock waves could be used to treat various orthopaedic pathologies, removing the need for surgery...
2014: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/23953895/efficacy-of-extracorporeal-shockwave-therapy-for-knee-osteoarthritis-a-randomized-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Zhe Zhao, Rufang Jing, Zhan Shi, Bin Zhao, Quan Ai, Gengyan Xing
BACKGROUND: Extracorporeal shockwave therapy (ESWT) has been widely used for pain relief and treatment of musculoskeletal disorders. We aimed to assess ESWT for knee osteoarthritis (OA) over 12 wk by comparison with placebo treatment. MATERIALS AND METHODS: We randomized 70 patients to receive placebo (n = 36) or ESWT (n = 34). For ESWT, patients received 4000 pulses of shockwave at 0.25 mJ/mm(2) weekly for 4 wk. In the placebo group, patients received shockwave at 0 mJ/mm(2) in the same area...
December 2013: Journal of Surgical Research
https://www.readbyqxmd.com/read/23939183/-progress-of-low-energy-shockwave-therapy-in-clinical-application
#14
Zhong-cheng Xin, Jing Liu, Lin Wang, Hui-xi Li
A shock wave is a transient pressure disturbance that propagates rapidly in three-dimensional space. It is associated with a sudden rise from ambient pressure to its maximum pressure. Shock wave therapy in urology is primarily used to disintegrate urolithiasis. Recently, low-energy shock wave therapy (LESWT), which is a novel convenient and cost-effective therapeutic modality, is extended to treat other pathological conditions including coronary heart disease, musculoskeletal disorders and erectile dysfunction...
August 18, 2013: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/23918444/a-systematic-review-of-shockwave-therapies-in-soft-tissue-conditions-focusing-on-the-evidence
#15
REVIEW
Cathy Speed
BACKGROUND: 'Shock wave' therapies are now extensively used in the treatment of musculoskeletal injuries. This systematic review summarises the evidence base for the use of these modalities. METHODS: A thorough search of the literature was performed to identify studies of adequate quality to assess the evidence base for shockwave therapies on pain in specific soft tissue injuries. Both focused extracorporeal shockwave therapy (F-ESWT) and radial pulse therapy (RPT) were examined...
November 2014: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/23738271/the-biological-effects-of-extracorporeal-shock-wave-therapy-eswt-on-tendon-tissue
#16
Angela Notarnicola, Biagio Moretti
There is currently great interest in the use of Extracorporeal Shock Wave Therapy (ESWT) and in clarifying the mechanisms of action in tendon pathologies. The success rate ranges from 60% to 80% in epicondylitis, plantar fasciitis, cuff tendinitis, trocanteritis, Achilles tendinitis or jumper's knee. In contrast to urological treatments (lithotripsy), where shockwaves are used to disintegrate renal stones, in musculoskeletal treatments (orthotripsy), shockwaves are not being used to disintegrate tissues, but rather to microscopically cause interstitial and extracellular biological responses and tissue regeneration...
January 2012: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/23208935/the-effects-of-treatment-the-avascular-necrosis-of-the-femoral-head-with-extracorporeal-focused-shockwave-therapy
#17
Damian Kusz, Andrzej Franek, Robert Wilk, Paweł Dolibog, Edward Błaszczak, Piotr Wojciechowski, Piotr Król, Patrycja Dolibog, Błażej Kusz
Background.Avascular necrosis of the femoral head continues to represent a major challenge for the orthopaedist and trauma surgeon. A fully effective method of treatment is yet to be introduced. After femoral head collapse, only total hip replacement can help the patient. Our study aims to assess the effects of treatment of avascular necrosis of the femoral head with extra corporeal focused shockwave therapy.Material and methods. A prospective study was carried out in patients with avascular necrosis of the femoral head, ARCO stage I-III, diagnosed by MRI imaging...
September 2012: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/22433113/extracorporeal-shockwave-therapy-in-musculoskeletal-disorders
#18
REVIEW
Ching-Jen Wang
The sources of shockwave generation include electrohydraulic, electromagnetic and piezoelectric principles. Electrohydraulic shockwaves are high-energy acoustic waves generated under water explosion with high voltage electrode. Shockwave in urology (lithotripsy) is primarily used to disintegrate urolithiasis, whereas shockwave in orthopedics (orthotripsy) is not used to disintegrate tissues, rather to induce tissue repair and regeneration. The application of extracorporeal shockwave therapy (ESWT) in musculoskeletal disorders has been around for more than a decade and is primarily used in the treatment of sports related over-use tendinopathies such as proximal plantar fasciitis of the heel, lateral epicondylitis of the elbow, calcific or non-calcific tendonitis of the shoulder and patellar tendinopathy etc...
2012: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/22009294/extracorporeal-shockwave-induced-expression-of-lubricin-in-tendons-and-septa
#19
Dafang Zhang, Cathal J Kearney, Thomas Cheriyan, Thomas M Schmid, Myron Spector
Lubricin, a lubricating glycoprotein that facilitates tendon gliding, is upregulated by mechanical as well as biochemical stimuli, prompting this study of its induction by extracorporeal shockwave therapy (ESWT). The objective of this study was to characterize and quantify the effect of ESWT on lubricin expression in tendons and septa in a rat model. Hindlimbs of six rats were treated with low-dose ESWT and those of another six with high-dose ESWT, using contralateral limbs as controls. After 4 days, resected samples were processed for immunolocalization of lubricin using a purified monoclonal antibody...
November 2011: Cell and Tissue Research
https://www.readbyqxmd.com/read/18468775/electrophysiological-and-functional-effects-of-shock-waves-on-the-sciatic-nerve-of-rats
#20
Yi-Hui Wu, Huey-Wen Liang, Wen-Shiang Chen, Jin-Shin Lai, Jer-Junn Luh, Fok-Ching Chong
Extracorporeal shockwave therapy (ESWT) has been applied in lithotripsy and treatments of musculoskeletal disorders over the past decade, but its effects on peripheral nerves remain unclear. This study investigated the short-term effects of shockwaves on the sciatic nerve of rats. The nerves were surgically exposed and then stimulated with shockwaves at three intensities. We evaluated the motor nerve conduction velocity (MNCV) of treated sciatic nerves before, immediately after (day 0) and at 1, 4, 7 and 14 d after shockwave treatment...
October 2008: Ultrasound in Medicine & Biology
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