Bibliometric analysis of extracorporeal shock wave therapy for tendinopathy

Abstract

Background: Extracorporeal shock wave therapy (ESWT) is a mature, conservative treatment modality for tendinopathy. Although many relevant studies have been conducted, systematic bibliometric studies are lacking. This study aimed to identify trends and hotspots in the treatment of tendinopathy using ESWT. Methods: A literature search was conducted on ESWT for tendinopathy using the Web of Science Core Collection with a search period of 2002 to 2022. Of 559 identified studies, 276 met the inclusion criteria and were analyzed using CiteSpace software. Results: The results showed that from 2002 to 2022, the publication rate of literature on ESWT for tendinopathy was generally increasing. Research hotspots, such as tendinopathy and calcific rotator cuff deposits, began earlier but continued to receive scholarly attention. Research on animal models and molecular mechanisms has progressed slowly in this field. The combined or comparative effectiveness of injectable and supplement-based treatments with ESWT is a popular research topic. Conclusion: Pain management in patients with tendinopathy has received considerable attention. Simultaneously, more clinical indicators of energy levels and pulse parameters during ESWT are needed to provide more scientific and accurate treatment for patients.

The effect of extracorporeal shock-wave therapy on pain in patients with various tendinopathies: a systematic review and meta-analysis of randomized control trials

“…It is also possible that it causes the breaking of calcium stones and scar tissue in the area of tendinopathy, which can facilitate the process of reconstructing damaged tissues [ 133 , 134 ]. Via mechanical stimulation in the therapeutic mechanism, ESWT has the potential to enhance the expression of inflammation factors, promote tenocyte proliferation, and stimulate collagen synthesis, thereby facilitating the repair of damaged tendinous tissue and improving Achilles tendon function [ 126 , 135 ]. Additionally, shock waves may have a beneficial effect on reducing local substance P levels [ 136 ] and damaging unmyelinated nerve fibers [ 137 ], ultimately leading to pain relief in CAT.…”