Treatment of chronic plantar fasciopathy with extracorporeal shock waves (review)

Schmitz, Christoph; Császár, Nikolaus B. M.; Rompe, Jan D.; Chaves, H.; Furia, John P.

doi:10.1186/1749-799x-8-31

Cited by 74 publications

(119 citation statements)

References 35 publications

(176 reference statements)

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“…The efficacy and safety of ESWT on chronic PF have been demonstrated in several randomized clinical trials. [22][23][24][25][26] ESWT causes extreme excitement of the axon, destroys unmyelinated sensory fibers, improves symptoms by initiating an inflammatory response to the secretion of growth factors or nitrous oxide and revitalizes tissues by increasing angiogenesis. 3,9 Some researchers have reported that ESWT is effective in the treatment of PF in comparison to a control group.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

et al. 2017

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Objectives:This study aims to compare the efficacy of extracorporeal shockwave therapy (ESWT) and kinesiology taping in the treatment of plantar fasciitis. Patients and methods:The study included 80 patients diagnosed with plantar fasciitis. The patients were randomized into two groups as ESWT (9 males, 28 females; mean age 47.8±12.4 years; range 40 to 55 years) and kinesiology taping (KT, 7 males, 26 females; mean age 47.7±9.8 years; range 40 to 55 years) groups. Groups were similar regarding age, sex, and body mass index (all p>0.05). Three patients in ESWT group and seven patients in KT group were lost to follow-up. ESWT was applied once a week for five weeks, while KT was applied every five days for five weeks. Patients' pain and functional status were evaluated with visual analog scale, heel tenderness index, and foot and ankle outcome score before and after treatment. Results: At the study onset, there were no statistically significant differences between the two groups in their visual analog scale, heel tenderness index, and foot and ankle outcome scores. Five weeks later, both groups showed significant improvement in all parameters (p<0.05), but no significant differences were observed between the groups in the visual analog scale, heel tenderness index, and foot and ankle outcome score scores. Conclusion: Both ESWT and KT treatments improved pain levels and function and quality of life in individuals with plantar fasciitis. Neither method was superior in treating plantar fasciitis.

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Section: Discussionmentioning

confidence: 99%

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

et al. 2017

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“…Extracorporeal shock waves are also used as a treatment for musculoskeletal conditions such as plantar heel pain [9,10] and boney non-union [11,12], and is commonly referred to as ‘extracorporeal shock wave therapy’ (ESWT) to differentiate from ESWL [13]. Furthermore, the use of ESWT has also been reported in the treatment of arterial aneurysms [14] and intermittent claudication [15,16].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of extracorporeal shock wave therapy for the treatment of lower limb ulceration: a systematic review

Butterworth

Walsh

Pennisi

et al. 2015

Journal of Foot and Ankle Research

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Extracorporeal shock wave therapy has been reported as an effective treatment for lower limb ulceration. The aim of this systematic review was to investigate the effectiveness of extracorporeal shock wave therapy for the treatment of lower limb ulceration.Five electronic databases (Ovid MEDLINE, CINAHL, Web of Knowledge, Scopus and Ovid AMED) and reference lists from relevant studies were searched in December 2013. All study designs, with the exception of case-reports, were eligible for inclusion in this review. Assessment of each study’s methodological quality was performed using the Quality Index tool. The effectiveness of studies was measured by calculating effect sizes (Cohen’s d) from means and standard deviations.Five studies, including; three randomised controlled trials, one quasi-experimental study and one case-series design met our inclusion criteria and were reviewed. Quality assessment scores ranged from 38 to 63% (mean 53%). Improvements in wound healing were identified in these studies following extracorporeal shock wave therapy. The majority of wounds assessed were associated with diabetes and the effectiveness of ESWT as an addition to standard care has only been assessed in one randomised controlled trial.Considering the limited evidence identified, further research is needed to support the use of extracorporeal shock wave therapy in the treatment of lower limb ulceration.Electronic supplementary materialThe online version of this article (doi:10.1186/s13047-014-0059-0) contains supplementary material, which is available to authorized users.

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“…The direct effect is the result of the energy of the shock wave being transferred to the targeted tissues. The indirect effect is the result of the creation of cavitation bubbles in the treated tissue 24,25,29. It has been hypothesized that both the direct and indirect effects produce a biological response in the treated tissues 24,25,29…”

Section: Introductionmentioning

confidence: 99%

Predictability of the individual clinical outcome of extracorporeal shock wave therapy for cellulite

Schlaudraff¹,

Kiessling²,

Császár³

et al. 2014

CCID

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BackgroundExtracorporeal shock wave therapy has been successfully introduced for the treatment of cellulite in recent years. However, it is still unknown whether the individual clinical outcome of cellulite treatment with extracorporeal shock wave therapy can be predicted by the patient’s individual cellulite grade at baseline, individual patient age, body mass index (BMI), weight, and/or height.MethodsFourteen Caucasian females with cellulite were enrolled in a prospective, single-center, randomized, open-label Phase II study. The mean (± standard error of the mean) cellulite grade at baseline was 2.5±0.09 and mean BMI was 22.8±1.17. All patients were treated with radial extracorporeal shock waves using the Swiss DolorClast® device (Electro Medical Systems, S.A., Nyon, Switzerland). Patients were treated unilaterally with 2 weekly treatments for 4 weeks on a randomly selected side (left or right), totaling eight treatments on the selected side. Treatment was performed at 3.5–4.0 bar, with 15,000 impulses per session applied at 15 Hz. Impulses were homogeneously distributed over the posterior thigh and buttock area (resulting in 7,500 impulses per area). Treatment success was evaluated after the last treatment and 4 weeks later by clinical examination, photographic documentation, contact thermography, and patient satisfaction questionnaires.ResultsThe mean cellulite grade improved from 2.5±0.09 at baseline to 1.57±0.18 after the last treatment (ie, mean δ-1 was 0.93 cellulite grades) and 1.68±0.16 at follow-up (ie, mean δ-2 was 0.82 cellulite grades). Compared with baseline, no patient’s condition worsened, the treatment was well tolerated, and no unwanted side effects were observed. No statistically significant (ie, P<0.05) correlation was found between individual values for δ-1 and δ-2 and cellulite grade at baseline, BMI, weight, height, or age.ConclusionRadial shock wave therapy is a safe and effective treatment option for cellulite. The individual clinical outcome cannot be predicted by the patient’s individual cellulite grade at baseline, BMI, weight, height, or age.

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Treatment of chronic plantar fasciopathy with extracorporeal shock waves (review)

Cited by 74 publications

References 35 publications

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial

The effectiveness of extracorporeal shock wave therapy for the treatment of lower limb ulceration: a systematic review

Predictability of the individual clinical outcome of extracorporeal shock wave therapy for cellulite

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