Home Training, Local Corticosteroid Injection, or Radial Shock Wave Therapy for Greater Trochanter Pain Syndrome

2010 ◽  
Vol 2010 ◽  
pp. 51-52
Author(s):  
D.E. Feldman
2019 ◽  
Vol 41 (2) ◽  
pp. 200-205
Author(s):  
Dingli Xu ◽  
Weiyu Jiang ◽  
Dichao Huang ◽  
Xudong Hu ◽  
Yang Wang ◽  
...  

Background: Extracorporeal shock wave therapy (ESWT) is a nonsurgical treatment for plantar fasciitis (PF) that has had satisfactory clinical outcomes. However, local corticosteroid injection (LCI) is often regarded as first-line treatment of PF, but there have been few studies comparing the 2 methods. Therefore, we compared the effect of ESWT and LCI on patients with PF. Methods: This was a block randomized controlled study comparing 49 patients treated with ESWT and 47 patients treated with LCI from January 2017 to December 2018 who were followed for 6 months. We evaluated the clinical outcomes in the 2 groups, including average pain, first-step pain, plantar fascia thickness, and Foot Function Index, Chinese version of the PF patients. Results: All patients had pain relief and function improvement after treatment, whereas the LCI group did not maintain significant clinical improvement at the 3-month follow-up. The patients in the ESWT group had a significantly better clinical outcome with better duration of improvement than the LCI group. Conclusion: For PF patients, both ESWT and LCI resulted in clinical improvement but EWST provided longer relief than LCI. Level of Evidence: Level II, prospective comparative study.


Author(s):  
L. Cuigniez ◽  
P. Pauwels ◽  
E. Lorré ◽  
C. Roman ◽  
L. Vanden Bossche

Extracorporeal shock wave therapy as a treatment for medial collateral knee ligament calcification: case presentation and overview of the literature Background Calcification of the medial collateral ligament is an uncommon cause of medial knee pain. In the few case reports that have been written, in multiple cases various conservative treatments have been assessed, often with an unsatisfactory result, leading to the excision of the toothpaste-like calcification. The conservative treatment consists of a short period of ice, analgesics or anti-inflammatory drugs, physiotherapy, a local corticosteroid injection or ultrasound-guided lavage. Case presentation A 40-year-old man with recurring medial knee pain since 2 years was diagnosed with medial collateral ligament calcification of the right knee. The pain was located near the medial epicondyle of the femur. The range of motion was maximal with painful knee flexion and moderate tenderness at the proximal medial collateral ligament. The pain started after a bicycle crash and the diagnosis was made by means of an MRI. Initially, the pain briefly improved after a local corticosteroid injection and physiotherapy, but reoccurred during running. The subsequent physical examination and ultrasound confirmed the diagnosis. The treatment consisted of a combination of physiotherapy and extracorporeal shock wave therapy, performed twice with an interval of 71 days. The follow-up after 5 months revealed that the patient had regained optimal knee function and was pain free at rest and during running. Conclusion Symptomatic medial collateral ligament calcification is a rarely diagnosed condition, mostly treated surgically without adequate conservative therapy. This case report suggests that conservative therapy consisting of physiotherapy and extracorporeal shock wave therapy can be successful in treating medial collateral ligament calcification.


2014 ◽  
Vol 34 (7) ◽  
pp. 947-952 ◽  
Author(s):  
Julio Ramírez ◽  
Isaac Pomés ◽  
Beatriz Sobrino-Guijarro ◽  
Jaume Pomés ◽  
Raimón Sanmartí ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document