Extracorporeal Shockwave Therapy in the Management of Sports Medicine Injuries

Schroeder, Allison N.; Tenforde, Adam S.; Jelsing, Elena J.

doi:10.1249/jsr.0000000000000851

Cited by 40 publications

(44 citation statements)

References 68 publications

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“…Shock waves exposed to tissues improve microcirculation, change the permeability of cell membranes, restore cell ion exchange, stimulate tissue metabolism and excretion of catabolism products, thereby causing an acceleration of regenerative processes (11)(12)(13). These effects determine the feasibility of using SWT in patients with chronic nonspecific LBP and, apparently, may indirectly affect joint mobility (14).…”

Section: Discussionmentioning

confidence: 99%

Effect of Radial Shockwave Therapy on Spine Mobility

Yurku¹,

Zaborova²,

Ivanov³

et al. 2022

PJMHS

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Background and Objective: low back pain has a huge impact on the patient's quality of life and imposes an economic burden on healthcare systems. New possibilities for low back pain treatment have opened up with the implementation of shockwave therapy. The aim of the study was to evaluate the effect of radial shockwave therapy on the lumbar spine mobility. Methods: a randomized controlled trial was conducted in 75 patients with chronic nonspecific low back pain complaints. Patients were randomized into two groups, depending on their treatment methods. Group I (n=36) received complex treatment with massage and exercise. Group II (n=39) received complex treatment with radial SWT, therapeutic exercise and massage. Flexion and lateroflexion of the lumbar spine were assessed during the study. Results: according to the data obtained, patients in both groups showed a positive trend by the end of the study in all measurements (p<0,05). Pairwise comparison of the results of groups I and II at each stage of the assessment revealed no statistically significant difference (p>0,05). Conclusion: shockwave therapy does not improve spine mobility in patients with chronic nonspecific low back pain. Keywords: low back pain, shockwave therapy, spine mobility

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Section: Discussionmentioning

confidence: 99%

Effect of Radial Shockwave Therapy on Spine Mobility

Yurku¹,

Zaborova²,

Ivanov³

et al. 2022

PJMHS

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“…ESWT has become frequently used for extensor mechanism tendinopathy because of the increasing evidence of efficacy in tendinopathy, minimal time required away from sport, and potentially rapid benefits (39). Theoretically, both radial and focal ESWT provide mechanical disruption of the diseased tendon allowing for remodeling, and possibly increased deposition of type I collagen fibers.…”

Section: Interventional Therapiesmentioning

confidence: 99%

“…Theoretically, both radial and focal ESWT provide mechanical disruption of the diseased tendon allowing for remodeling, and possibly increased deposition of type I collagen fibers. ESWT also may desensitize pain generators within the soft tissue, allowing for improved therapeutic exercise (39).…”

Section: Interventional Therapiesmentioning

confidence: 99%

“…Current expert consensus is to use focused ESWT over a discrete area of tendinopathy with radial ESWT over associated structures and myofascial trigger points (42,44,45). A protocol consisting of three weekly sessions (2000 to 3000 shocks), between 3 and 4 bars of pressure (to pain tolerance) at an average frequency of 1 to 4 Hz (36,39,40) is currently best practice.…”

Section: Mechanical-based Interventionsmentioning

confidence: 99%

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Knee Extensor Mechanism Tendinopathy: Evaluation, Treatment, and Prevention

Catapano¹,

Babu²,

Tenforde

et al. 2022

Curr Sports Med Rep

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Knee extensor mechanism tendinopathy, including patellar and quadriceps tendinopathy, is common among athletes and those involved in jumping sports. It is largely a clinical diagnosis that presents as anterior knee pain and stiffness with associated tenderness over the affected tendon. Imaging modalities, including ultrasound and/or magnetic resonance imaging, may be helpful with the diagnosis of difficult cases or in the planning of interventional procedures. Focused and structured rehabilitation using eccentric or heavy slow resistance exercise in conjunction with load management is important for recovery. Adjuvant therapies (e.g., injections or surgery) may be necessary in recalcitrant cases or those with insufficient response to rehabilitation efforts. Prevention strategies focus on improving biomechanics, landing mechanism and lower-extremity balance, flexibility, and strength.

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“…Particularly, focused-ESWT (f-ESWT) generates a pressure field that is focused to an accurate area, where maximal pressure is achieved, at a determined depth of the tissues. In daily clinical practice, the pathologies commonly treated with ESWT include tendinopathies and enthesopathies (calcified and not) and bone, muscle, and skin diseases [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Medial Collateral Ligament Injuries of the Knee with Focused Extracorporeal Shockwave Therapy: A Case Report

et al. 2021

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Medial collateral ligament (MCL) injuries are the most frequent ligamentous injuries of the knee. Focused extracorporeal shock wave therapy (f-ESWT) is progressively expanding its field of application to many musculoskeletal pathologies. Although there is evidence surrounding the efficacy of f-ESWT in tendinopathies, no studies have described the usefulness of ultrasound (US)-guided f-ESWT in the treatment of ligament injuries. Herein, we report a case of a MCL injury treated with f-ESWT. Moreover, our case shows the importance of using ultrasonography in determining the effect of treatment. A 60-year-old man with a focal area of lesion in the deep fibers underwent 4 weekly sessions of US-guided f-ESWT to the injured ligament area. His pain decreased to a visual analog scale (VAS) of 3 at the end of the treatment and was completely resolved at the 1-month follow-up visit, with these results being maintained at 4-month follow-up. The US examination showed an initial deposition of “newly formed tissue” at the site of previous injury of the proximal MCL insertion, and a reduction in MCL thickness together with an improvement in echostructure. Based on this result, we speculate that non-surgical ligament injuries could be a new indication for f-ESWT. However, further investigation on the effects of f-ESWT for ligament injuries is needed.

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Extracorporeal Shockwave Therapy in the Management of Sports Medicine Injuries

Cited by 40 publications

References 68 publications

Effect of Radial Shockwave Therapy on Spine Mobility

Effect of Radial Shockwave Therapy on Spine Mobility

Knee Extensor Mechanism Tendinopathy: Evaluation, Treatment, and Prevention

Treatment of Medial Collateral Ligament Injuries of the Knee with Focused Extracorporeal Shockwave Therapy: A Case Report

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