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

2021 ◽  
Vol 12 (1) ◽  
pp. 234
Author(s):  
Lucrezia Tognolo ◽  
Daniele Coraci ◽  
Andrea Bernini ◽  
Stefano Masiero
Keyword(s):  
Medial Collateral Ligament ◽  
Extracorporeal Shock Wave Therapy ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Shockwave Therapy ◽  
Extracorporeal Shock Wave ◽  
The Us ◽  
Effect Of Treatment ◽  
Initial Deposition

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.

scholarly journals Extracoporeal shockwave treatment decreases pain, functional limitations and medial collateral ligament thickness in subjects aged 50-70 years with knee osteoarthritis

2021 ◽  
Vol 40 (2) ◽  
pp. 121-132
Author(s):  
Andwi Setiawan Kokok ◽  
Tirza Z Tamin ◽  
Nyoman Murdana ◽  
Indah Suci Widyahening
Keyword(s):  
Knee Osteoarthritis ◽  
Medial Collateral Ligament ◽  
Functional Limitations ◽  
Hip Osteoarthritis ◽  
Extracorporeal Shock Wave Therapy ◽  
Collateral Ligament ◽  
Topical Anesthetic ◽  
Knee Oa ◽  
Extracorporeal Shock Wave ◽  
Significant Difference

BackgroundPain from knee and hip osteoarthritis (OA) can have a significant impact on the physical function and quality of life of affected individuals worldwide. The objective of this study was to evaluate the effect of extracorporeal shockwave therapy (ESWT) on pain, flexibility, function, and medial collateral ligament (MCL) thickness in knee osteoarthritis (KOA). MethodsA study of quasi experimental design was performed involving 15 subjects aged 50 – 70 years with Kellgren-Lawrence grade 2-3 KOA. All subjects were evaluated regarding baseline -pain using visual analogue scale (VAS), range of motion (ROM), functional outcome using Western Ontario and McMaster Universities Arthritis Index (WOMAC), and MCL size. Extracorporeal shock wave therapy was given 3 times, at baseline, and 4 and 8 weeks after intervention. All subjects were given 4000 shocks at intensities of 1.5 – 4 Bar (raised gradually) per session. The shocks were given in the supine position, knee flexed 90o, without topical anesthetic. Statistical analyses were conducted using a dependent t-test. ResultsAfter 8 weeks of intervention, ESWT significantly improved pain score (p<0.01), WOMAC (p<0.01) and MCL thickness (p<0.01) in patients with OA of the knee. However, there was no significant difference in knee ROM, both for degree of flexion and extension (p>0.05). ConclusionThe use of ESWT for treatment of knee OA had a beneficial effect on pain relief, function outcome and MCL thickness. However, there remains a lack of clarity regarding the frequency and dosage levels of ESWT required to achieve maximum improvement.

Extracorporale shockwavetherapie bij een calcificatie van het mediale collaterale knieligament: een casus met literatuurnazicht

2021 ◽  
Author(s):  
L. Cuigniez ◽  
P. Pauwels ◽  
E. Lorré ◽  
C. Roman ◽  
L. Vanden Bossche
Keyword(s):  
Shock Wave ◽  
Medial Collateral Ligament ◽  
Conservative Therapy ◽  
Corticosteroid Injection ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Collateral Ligament ◽  
Case Presentation ◽  
Extracorporeal Shock Wave ◽  
Local Corticosteroid Injection

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.

scholarly journals Effects of radial extracorporeal shockwave therapy on spasticity of upper-limb agonist/antagonist muscles in patients affected by stroke: a randomized, single-blind clinical trial

2019 ◽  
Vol 49 (2) ◽  
pp. 246-252 ◽  
Author(s):  
Gaiyan Li ◽  
Wenchao Yuan ◽  
Gongliang Liu ◽  
Lei Qiao ◽  
Ying Zhang ◽  
...  
Keyword(s):  
Extracorporeal Shock Wave Therapy ◽  
Extracorporeal Shockwave Therapy ◽  
Shockwave Therapy ◽  
Active Function ◽  
Extracorporeal Shock Wave ◽  
Antagonist Muscles ◽  
Modified Ashworth Scale ◽  
Agonist And Antagonist ◽  
Ashworth Scale

Abstract Background the effects of radial extracorporeal shock wave therapy (rESWT) were assessed on agonist/antagonist muscles in stroke patients with elbow spasticity, the duration of effects and influence on function. Methods patients were randomly assigned into groups: control (A, n = 25), rESWT on agonist muscles (B, n = 27) and rESWT on antagonist muscles (C, n = 30) groups. Conventional physical therapy was given to three groups for 3 weeks, six times a week, and besides, rESWT was given at 4-day intervals for five consecutive treatments, B received rESWT on agonist muscles and C received rESWT on antagonist muscles. The primary outcome was Modified Ashworth Scale (MAS) scores. Modified Tardieu Scale, Visual Analogue Scale (VAS), Fugl-Meyer Assessment and swelling scale (SS) scores were secondary outcomes. Indicators were assessed at baseline, after five treatments and after 4 weeks follow-up. Results the rate of treatment was determined by changes in MAS, which was 16.0 (A), 70.4 (B) and 63.3% (C) after rESWT treatments, and was 24.0 (A), 74.1 (B) and 66.7% (C) after 4 weeks follow-up. Improvements were achieved for R1 (P &lt; 0.01), R2 (P &lt; 0.01) and VAS (P &lt; 0.01) after five rESWT interventions. At 4 weeks, significant improvements were achieved for R1 (P &lt; 0.01) and VAS (P &lt; 0.01). Conclusions rESWT is an effective therapy for spasticity after stroke, with lasting effects on both agonist and antagonist muscles after 4 weeks. rESWT relieved pain but had no effect on active function or swelling of the upper limbs.

scholarly journals Platelet rich plasma versus extracorporeal shock wave therapy in patients with non-calcific supraspinatous tears

2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Samah M. Alian ◽  
Rabab S. Zaghlol ◽  
Sahar S. Khalil
Keyword(s):  
Shock Wave ◽  
Outcome Measures ◽  
Platelet Rich Plasma ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Tendon Tear ◽  
Extracorporeal Shock Wave ◽  
Group I ◽  
Group Ii

Abstract Background To compare the clinical efficacy of platelet rich plasma (PRP) subacromial injection and extracorporeal shock wave therapy (ESWT) on refractory non-calcific partial thickness supraspinatous tendon tear. Results Significant improvement in all outcome measures achieved in both groups at 4 weeks follow-up period (the end of treatment course) (P< 0.05). At 12 weeks follow-up period, group I, showed significant improvement in all outcome measures compared to baseline and group II; however, in group II, there was no significant difference compared to baseline; moreover, deterioration in the previous improvement was noticed. Conclusion Both PRP (group I) and ESWT (group II) are effective therapeutic methods in the management of refractory non-calcific partial thickness supraspinatous tendon tear; however, PRP (group I) has better long-term effects on both pain and function.

Sign in / Sign up

Export Citation Format

Share Document