Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis

Li, Wei; Zhang, Shou-Xiang; Yang, Qian; Li, Baolin; Meng, Qinggang; Guo, Zheng-Gui

doi:10.1097/md.0000000000007940

Cited by 29 publications

(34 citation statements)

References 22 publications

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“…Th e assessment of search results evidenced a signifi cant amount of eligible studies, but also a variation in application methodology and number of sessions. Th e role of ESWT in treatment of chronic calcifying tendinitis of the rotator cuff has been evaluated in many studies [21][22][23][24][25][26][27] . Calcifying tendinitis is a frequent condition in orthopaedic and rehabilitation practice and represents a well documented cause for shoulder pain.…”

Section: Resultsmentioning

confidence: 99%

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Gheorghievici¹,

Nica²,

Mitoiu³

et al. 2019

Rev. Med. Mod.

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Shockwaves can be defi ned as transient pressure oscillations which propagate in three dimensions and offer an increased pressure in a very short period of time. Biological effects of shockwave therapy have been proven to stimulate the release of angiogenic growth factors, and contribute to the improvement of blood supply which leads to the repair of bone and soft tissue. The role of ESWT in the treatment of chronic calcifying tendinitis of the rotator cuff has been evaluated in many studies. ESWT has been gaining attention as an alternative option to surgical excision of calcifi cation or when other conservative options have not proven effi cient. The main purpose for using ESWT in heel spur is to increase the local blood supply by inducing neovascularisation. This action influences the inflammatory process and furthermore stimulates the local metabolism. Also, shockwaves have been proposed as a possible treatment in early phases of femoral head necrosis in adults. In case of patellar tendinopathy in vitro studies have shown biological effects, while clinical effects remain unclear. Data suggests that ESWT associated with other physical modalities achieve realiable clinical importance of pain reduction in lateral epycondylitis. However there is still a lack of standardisation and a consensus is needed regarding frequency and intensity.

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Section: Resultsmentioning

confidence: 99%

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Gheorghievici¹,

Nica²,

Mitoiu³

et al. 2019

Rev. Med. Mod.

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“…Regarding the treatment of non-calcific tendinopathy of the rotator cuff, the evidence supporting the ESWT treatment in short-and long-term is controversial. Li et al [31] found that, considering a total of 84 patients, pain symptomatology was improved in the high dose ESWT group. Galasso et al [32] detected a remarkable short-term efficacy in functional recovery in ESWT patients relative to a placebo group.…”

Section: Non-calcific Tendinopathy Of the Rotator Cuff (Ntrc)mentioning

confidence: 98%

“…All of the articles [11,[24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] included in the study focus on calcific tendinopathy of the shoulder, non-calcific tendinopathy of the shoulder, and subacromial impingement syndrome (SAIS).…”

Section: Shouldermentioning

confidence: 99%

Extracorporeal Shockwave Therapy Treatment in Upper Limb Diseases: A Systematic Review

Testa

Vescio

Perez

et al. 2020

JCM

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Background: Rotator cuff tendinopathy (RCT), subacromial impingement (SAIS), and medial (MEP) and lateral (LEP) epicondylitis are the most common causes of upper limb pain caused by microtrauma and degeneration. There are several therapeutic choices to manage these disorders: extracorporeal shockwave therapy (ESWT) has become a valuable option. Methods: A systematic review of two electronic medical databases was performed by two independent authors, using the following inclusion criteria: RCT, SAIS, MEP, and LEP, ESWT therapy without surgical treatment, with symptoms duration more than 2 months, and at least 6 months of follow-up. Studies of any level of evidence, reporting clinical results, and dealing with ESWT therapy and RCT, SAIS, MEP, and LEP were included. Results: A total of 822 articles were found. At the end of the first screening, following the previously described selection criteria, we selected 186 articles eligible for full-text reading. Ultimately, after full-text reading, and reference list check, we selected 26 articles following previously written criteria. Conclusions: ESWT is a safe and effective treatment of soft tissue diseases of the upper limbs. Even in the minority cases when unsatisfied results were recorded, high energy shockwaves were nevertheless suggested in prevision of surgical treatment.

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“…Both groups had improvements over 6 months, with investigators concluding that placebo benefits were seen in the use of ESWT for this condition [10]. Li et al [71] conducted a randomized, double‐blind, placebo‐controlled trial examining patients with chronic rotator cuff tendinitis without calcifications with symptoms for greater than 6 months. The intervention was 3000 pulses of radial shockwave and EFD of 0.11 mJ/mm 2 .…”

Section: Upper Extremity Pathologymentioning

confidence: 99%

“…Five total treatments were provided with each separated by 3 days. The outcomes were measured at 4 and 8 weeks after treatment, at which time all measures, pain by numeric rating scale, Constant‐Murley Score (CMS), and Simple Shoulder Test, were significantly improved in the ESWT group over the control group [71]. Galasso et al [72] performed a double‐blind, randomized, placebo‐controlled study on 20 patients with noncalcifying supraspinatus tendinopathy and found significantly improved CMS and ROM in the ESWT group as compared to the placebo group.…”

Section: Upper Extremity Pathologymentioning

confidence: 99%

Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review

Reilly

Bluman

Tenforde

2018

PM&R

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Extracorporeal shockwave therapy (ESWT) is a technology that was first introduced into clinical practice in 1982 for urologic conditions. Subsequent clinical applications in musculoskeletal conditions have been described in treatment of plantar fasciopathy, both upper and lower extremity tendinopathies, greater trochanteric pain syndrome, medial tibial stress syndrome, management of nonunion fractures, and joint disease including avascular necrosis. The aim of this review is to summarize the current understanding of treatment of musculoskeletal conditions with ESWT, accounting for differences in treatment protocol and energy levels. Complications from ESWT are rare but include 2 reported cases of injury to bone and Achilles tendon rupture in older adults using focused shockwave. Collectively, studies suggest ESWT is generally well-tolerated treatment strategy for multiple musculoskeletal conditions commonly seen in clinical practice. LEVEL OF EVIDENCE: To be determined.

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Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis

Cited by 29 publications

References 22 publications

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Extracorporeal Shockwave Therapy Treatment in Upper Limb Diseases: A Systematic Review

Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review

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