Side-effects of extracorporeal shock wave therapy (ESWT) in the treatment of tennis elbow

2002 ◽  
Vol 122 (4) ◽  
pp. 222-228 ◽  
Author(s):  
Haake M. ◽  
Böddeker I. ◽  
Decker T. ◽  
Buch M. ◽  
Vogel M. ◽  
...  
Keyword(s):  
Shock Wave ◽  
Side Effects ◽  
Tennis Elbow ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

scholarly journals Effectiveness of extracorporeal shock wave therapy in patients with tennis elbow

Medicine ◽  
2020 ◽  
Vol 99 (30) ◽  
pp. e21189
Author(s):  
Chenxiao Zheng ◽  
Dongjie Zeng ◽  
Jiayi Chen ◽  
Sijing Liu ◽  
Jianyi Li ◽  
...  
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

scholarly journals Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Gaowen Yao ◽  
Jing Chen ◽  
Yanji Duan ◽  
Xiao Chen
Keyword(s):  
Shock Wave ◽  
Grip Strength ◽  
Functional Impairment ◽  
Tennis Elbow ◽  
Meta Analysis ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Cochrane Library ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Background. Lateral epicondylitis (LE) is a common elbow problem. Extracorporeal shock wave therapy (ESWT) was widely used in the treatment of LE and has been shown to relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow. However, the evidence with regard to whether ESWT has better clinical efficacy over other method is not clear. The aim of the study was to compare the effectiveness of ESWT with other techniques in the treatment of LE. Methods. Literature searches of PubMed, OVID, Embase, Cochrane Library, and Web of Science were searched up to 30th June, 2019. Only RCTs comparing ESWT with other methods for LE were included. Data collection and extraction, quality assessment, and data analyses were performed according to the Cochrane standards. Results. A total of 13 articles with 1035 patients were included. Of which, 501 underwent ESWT and 534 underwent other methods. The result of meta-analysis showed that pooled VAS (P=0.0004) and grip strength (P<0.00001) were better in the ESWT group. Conclusion. Based on the existing clinical evidence, extracorporeal shock wave therapy can effectively relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow, with better overall safety than several other methods. However, owing to the limited quality and quantity of the included studies, more high-quality RCTs are needed to support the trend towards better functional outcomes with ESWT.

scholarly journals Extracorporeal shock wave therapy: an update

2020 ◽  
Vol 5 (10) ◽  
pp. 584-592
Author(s):  
Vinzenz Auersperg ◽  
Klemens Trieb
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Mechanical Energy ◽  
Healing Process ◽  
Extracorporeal Shock Wave Therapy ◽  
High Energy ◽  
Similar Process ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Calcifying Tendonitis

Extracorporeal shock wave therapy (ESWT) is a safe therapy and there are only a few side effects known (such as pain during ESWT and minor haematomata), but no severe complications are to be expected if it is performed as recommended. Contraindications are severe coagulopathy for high-energy ESWT, and ESWT with focus on the foetus or embryo and focus on severe infection. The effect mechanism of ESWT is still a component of diverse studies, but as far as we can summarize today, it is a similar process to a cascade triggered by mechano-transduction: mechanical energy causes changes in the cellular skeleton, which provokes a reaction of the cell core (for example release of mRNA) to influence diverse cell structures such as mitochondria, endoplasmic reticulum, intracellular vesicles, etc., so the enzymatic response leads to the improvement of the healing process. The usage of ESWT should be taught, to improve the outcome. Courses should be organized by national societies, since the legal framework conditions are different from one country to another. In this update the musculoskeletal indications are addressed (mainly bone and tendons): pseudoarthrosis, delayed fracture healing, bone marrow oedema and osteonecrosis in its early stages, insertional tendinopathies such as plantar fasciitis and Achilles tendon fasciitis, calcifying tendonitis of the rotator cuff, tennis elbow, and wound healing problems. Cite this article: EFORT Open Rev 2020;5:584-592. DOI: 10.1302/2058-5241.5.190067

scholarly journals Extracorporeal shock wave therapy (ESWT) versus local corticosteroid injection in treatment of lateral epicondylitis (tennis elbow) in athletes: clinical and ultrasonographic evaluation

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
Noha Hosni Ibrahim ◽  
Refaat Mostafa El Tanawy ◽  
Amal Fathy Soliman Mostafa ◽  
Mayada Fawzy Mahmoud
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Corticosteroid Injection ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Significant Difference ◽  
Insignificant Difference

Abstract Background Lateral epicondylitis is one of the commonly noticed disorders of the arm described by agony focused over lateral epicondyle which is the site of wrist extensors origin. The purpose of this work was to compare the efficiency of extracorporeal shock wave therapy and local corticoid injection in management of lateral epicondylitis both clinically and ultrasonographically as well as to assess the role of ultrasound in diagnosis and follow-up of lateral epicondylitis. This study was performed on 30 athletes diagnosed as lateral epicondylitis. Results Both corticosteroid injection and shock wave treatment showed a highly significant effectiveness on pain by visual analog scale (VAS). A highly significant difference between before treatment and after 2 as well as 4 weeks of treatment regarding the functional disability parameters as patient-rated tennis elbow evaluation (PRTEE) and quick disabilities of the arm, shoulder, and hand (DASH) was found. Likewise, a statistically significant improvement in favor of shock wave therapy group after 2 weeks was found, inversely insignificant difference after 8 and 12 weeks regarding to VAS occurred. Both PRTEE and Quick DASH test showed a statistically significant difference among groups through all follow-up period. There was a statistically insignificant difference among the studied groups according to ultrasound (US) changes in the form of focal areas of hypo-echogenicity through follow-up periods. A significant improvement in favor of ESWT group is detected among the studied groups regarding tendon thickening in ultrasonography before treatment and after 2 and 4 weeks. However, the difference was insignificant after 8 and 12 weeks. Conclusions Both corticosteroid local injection and shock wave therapy are helpful and effective for lateral epicondylitis treatment. However, a shock wave therapy revealed better improvement on long-term clinical and ultrasonogrphic follow-up than corticosteroid injection. Musculoskeletal ultrasound represents a helpful diagnostic and follow-up tool for lateral epicondylitis.

scholarly journals Extracorporeal shock wave therapy in the treatment of tennis elbow: the ASSERT database

2019 ◽  
Vol 08 (03) ◽  
pp. 423 ◽  
Author(s):  
G. Maffulli ◽  
J. Padulo ◽  
E. Iuliano ◽  
A. Saxena ◽  
J. Rompe ◽  
...  
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

scholarly journals Extracorporeal Shock Wave Therapy for Lateral Epicondylitis, Lonely or in Combination with Topical Corticosteroid; Which Approach is Superior?

2020 ◽  
Vol 9 ◽  
pp. 1791
Author(s):  
Babak Vahdatpour ◽  
Parisa Taheri ◽  
Fatemeh Abasi
Keyword(s):  
Shock Wave ◽  
Topical Corticosteroid ◽  
Tennis Elbow ◽  
Intervention Group ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Control Group ◽  
Topical Steroids ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Background: Lateral epicondylitis (LE) is a common musculoskeletal disorder. Although varieties of modalities have been proposed for its treatment, the outcomes are uncertain, and the responses would diminish early by the time passage. The current study was aimed to assess the efficacy of extracorporeal shock wave therapy (ESWT) merely and in combination with topical corticosteroid for the treatment of LE. Materials and Methods: In the current double-blinded randomized clinical trial, 70 patients with the diagnosis of LE were randomly allocated to two intervention groups of ESWT merely (control group) (n=35) or ESWT plus topical corticosteroid (intervention group) (n=35). The ESWT was performed weekly for three weeks. Topical clobetasol was utilized within 30 minutes before ESWT for the intervention group, while Vaseline gel was used in a similar pattern for controls. Pain based on a visual analog scale (VAS), handgrip strength (HGS) and the Patient-Rated Tennis Elbow Evaluation (PRTEE) were assessed for the patients before the intervention, following the intervention cessation, and within two months post-intervention. Results: Statistically significant improvement was found following both interventions in terms of pain, HGS, and function (P-value0.05). Conclusion: The findings of our study are in favor of ESWT use either merely or in combination with topical steroids for the treatment of LE, while the comparison of the two techniques revealed insignificant differences. [GMJ.2020;9:e1791]

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