Effectiveness of ESW T in Treatment of Heel Spurs

2020 ◽  
Vol 62 (3) ◽  
pp. 145-148
Author(s):  
Jakub Szewczyk ◽  
Katarzyna Polińska-Szewczyk ◽  
Katarzyna Zwolińska-Mirek
Keyword(s):  
Shock Wave ◽  
Treatment Session ◽  
Machine Material ◽  
Adjacent Tissue ◽  
Shockwave Therapy ◽  
Lower Pain ◽  
Heel Bone ◽  
Patients Experience ◽  
Methods Of Treatment ◽  
Calcaneal Tuberosity

Introduction: Heel spurs are degenerative changes in the heel bone in the region of the medial process of the calcaneal tuberosity. More and more patients are now looking for ways to cope with the symptoms of heel spurs. The pain is located mainly underneath the heel or at the back of the heel. Patients experience the pain while walking; which often gets worse in the morning. The pain results from entesopathy in the region of the heel bone and from the inflammation of structures such as the plantar aponeurosis or the Achilles tendon. One of the ways of treating heel spurs is with a shockwave machine. Material and Methods: There were 42 patients involved in the study, 23 women and 19 men, aged 27-65. They were given shockwave treatment – ESWT seven times at one-week intervals. The electromagnetic shock wave in the Rosetta ESWT machine is targeted directly to the area which is painful, where the focus of inflammation is. Thus, the shock wave hits the inflamed spot directly without entering the adjacent tissue. For all the patients, measurements were made with the use of VAS, the 5-point Latinen questionnaire and algometry. Results: Shockwave therapy was found to be fairly effective and the results of the treatment were observed for longer periods compared to the results of more traditional methods of treatment. The patients experienced lower pain levels, both immediately after the last treatment session and one month after the therapy was completed.

scholarly journals The Contributions of Extracorporeal Shockwave Therapy to the Improvement of the Quality of Life in Patients with Scapulohumeral Periarthritis

GYMNASIUM ◽  
2020 ◽  
Vol XXI (1) ◽  
pp. 87
Author(s):  
Daniel-Lucian Dobreci ◽  
Adina Camelia Șlicaru
Keyword(s):  
Quality Of Life ◽  
Shock Wave ◽  
Rating Scale ◽  
Life Quality ◽  
Good Effect ◽  
Shock Wave Therapy ◽  
Extracorporeal Shockwave Therapy ◽  
Shockwave Therapy ◽  
Quality Scale

The main purpose of this study was to evaluate to what extent shock wave therapy (ESWT) can influence the quality of life of patients with scapular-humeral periarthritis (PSH). The study included 30 male and female PSH sufferers who had previously undergone various therapies without any success in disease progression. The VAS scale, the Roles-Maudsley score, and the Flanagan Life Quality Scale with seven points on the rating scale recommended by Andrews and Crandall were used to evaluate patient evolution. ESWT sessions were held on a seven-day session for 12 weeks. Between ESWT meetings each patient followed a home medical gymnastics program. Following the study, ESWT treatment had a good effect on the progression of PSH patients in terms of pain reduction and disappearance, as well as regaining mobility of the affected shoulder. The conclusion of this studio is that shock wave therapy can help improve the quality of life of PSH patients.

scholarly journals Effects of Extracorporeal Shockwave Therapy on Clinical and Neurophysiological Indices of Spasticity Inpatients With Upper Motor Neuron Lesions: A Systematic Review and Meta-analysis

2021 ◽  
Vol 22 (1) ◽  
pp. 28-47
Author(s):  
Fereshteh Poursaeed ◽  
◽  
Nahid Tahan ◽  
Farideh Dehghan Manshadi ◽  
Ali Reza Akbarzade Bagheban ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Shock Wave ◽  
Clinical Trials ◽  
Cerebral Palsy ◽  
Motor Neuron ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Shock Wave Therapy ◽  
Shockwave Therapy

Objective: Spasticity is one of the components of an Upper Motor Neuron (UMN) lesion that occurs usually after a period of flaccidity in the form of velocity-dependent resistance to passive stretch. Spasticity is a significant cause of limited mobility and disability in neurological diseases. There are several clinical approaches to control spasticity. Recently, Shock Wave Therapy (SWT) has been reported to be a new, safe, and effective method for reducing spasticity for people with upper motor neuron lesions. We conducted a meta-analysis of relevant clinical trials to assess the effect of applying SWT on spasticity in UMN lesions. Materials & Methods: An electronic search was performed in PubMed, ISI Web of Science, Scopus, Science Direct, MEDLINE, and Google scholar from January 2005 to January 2020. Studies were included if they measured spasticity with the Modified Ashworth Scale (MAS) or/and neurophysiological indices in patients with stroke, multiple sclerosis, and cerebral palsy. The keywords of muscle hypertonia or spasticity, extracorporeal shock wave therapy, stroke, multiple sclerosis, and cerebral palsy were used. Two independent researchers searched articles, screened eligible studies against the inclusion criteria, and assessed the methodological quality of included studies. The methodological quality of studies was evaluated using the Downs and Black tool. The difference between the means was considered as the effect size in the MAS and Hoffman reflex/motor response (H/M) ratio before and after the intervention with 95% CI in random-effects models. Analyzes were performed using STATA software version 11. Results: The initial search led to the retrieval of 98 studies based on the inclusion and exclusion criteria, of which 24 full-text articles were reviewed and 14 articles were included in the meta-analysis process. All 14 articles had examined the effects of shockwave on the MAS. Four studies with 120 patients had examined the effects of shockwave therapy on the H/M ratio. Significant reduction in MAS grade was observed immediately [I2 = 100%, P<0.001, SMD=1.38 with 95%CI: (0.80, 1.87)] and three months after SWT [I2 = 100%, P<0.001, SMD=1.13 with 95%CI: (0.50, 1.76)] in comparison with the baseline values. ESWT had no significant effects on the H/M ratio [I2 = 97.5%, P<0.001, SMD=1.09 with 95%CI: (-0.54, 2.73)]. Conclusion: SWT can improve spasticity based on the MAS. The lack of SWT effects on the neurophysiological parameter of spasticity supports this opinion that SWT acts on the non-neural component of spasticity. Differences observed in studies in terms of treatment sessions, intervals of treatment sessions, energy density, number of shocks, and follow-up duration need to be examined more closely. More randomized clinical trials are needed in the future to analyze the impact of these factors on the efficacy of SWT for spastic patients.

Clinical and Functional Substantiation of Combined Use of Shock-Wave and Low Frequency Pulse Electrotherapy in the Treament of the Patients with Chronic Prostatitis and Erectile Dysfunction

10.12737/3310 ◽  
2014 ◽  
Vol 21 (1) ◽  
pp. 39-44
Author(s):  
Неделько ◽  
D. Nedelko ◽  
Лазарев ◽  
I. Lazarev
Keyword(s):  
Shock Wave ◽  
Erectile Dysfunction ◽  
Structural Analysis ◽  
Chronic Prostatitis ◽  
Emotional State ◽  
Low Frequency ◽  
Clinical Syndromes ◽  
Combined Use ◽  
Methods Of Treatment ◽  
Frequency Pulse

Some researchers emphasize the lack of effectiveness of the currently available methods of treatment of chronic prostatitis. Using the most modern physiotherapeutic methods, the recurrence rate is 40% during the first 1-2 years. Currently highly therapies for erectile dysfunction in patients with CP are shock-wave and frequency pulse electrotherapy, has analgesic, anti-hypoxic effects. The emergence of new physiotherapy techniques based on the achievements of the development of electronics, in particular pulse electrotherapy allowed to bring their physical characteristics to physiological parameters, thereby increasing the effectiveness of this type of electrotherapy in chronic prostatitis. In the works of pathogenetically substantiated methods of combined use of shock-wave and low-frequency pulse electrotherapy ED considering sex of the patient are absent, methodology and criteria for the effectiveness of therapy have not been developed. The author&#180;s objective is pathogenetically justify the combined use of shock-wave and low-frequency pulse electrotherapy in treatment of erectile dysfunction in patients with chronic prostatitis on the basis of system-structural analysis. As a result of observations 40 patients, the authors proved that under the influence of the shock-wave and pulse electrotherapy in patients with chronic prostatitis, the leading clinical syndromes cropped, psycho-emotional state, the functional activity of the pituitary-adrenel-testicular system, clinical and functional state of components of the copulative cycle normalized.

Shock-Wave Therapy in the Treatment of the Patients with Chronic Prostatitis and Erectile Dysfunction

10.12737/2904 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 1-10
Author(s):  
Неделько ◽  
D. Nedelko ◽  
Лазарев ◽  
I. Lazarev
Keyword(s):  
Shock Wave ◽  
Erectile Dysfunction ◽  
Chronic Prostatitis ◽  
Prostate Gland ◽  
Clinical Effects ◽  
Shock Wave Therapy ◽  
Antibacterial Effects ◽  
Pathogenetic Therapy ◽  
Methods Of Treatment ◽  
Stimulation Of

Despite numerous methods of treatment, the therapeutic efficiency of erectile dysfunction in the patients with chronic prostatitis is 45-56%, due to the fact that pharmacological preparations in a greater percentage of cases don´t penetrate into the prostate gland and cause side effects. Therefore, some researchers suggest the use of physiotherapy. Currently, highly effective method of treatment of erectile dysfunction in the patients with chronic prostatitis is a shock-wave therapy, the main clinical effects which are analgesic effect, activating microcirculation and neo-angiogenesis, stimulation of metabolic processes, reducing the severity of fibro-sclerotic changes, anti-inflammatory and antibacterial effects. The authors aim of the study is pathogenetically justify the use of the shock-wave therapy of erectile dysfunction in patients with chronic prostatitis with the positions of system-structural analysis. The study involved 40 patients with chronic prostatitis with erectile dysfunction. On the basis of these studies the authors have shown that the shock- wave therapy is the pathogenetic therapy of chronic prostatitis, as has a direct effect on the prostate gland and vasodilator effect, reduces edema, leukocyte infiltration.

scholarly journals Casos clínicos referidos para terapia de ondas de choque en el hospital para équidos de la Facultad de Medicina Veterinaria y Zootecnia-UNAM (2011-2015)

2020 ◽  
Vol 6 ◽  
Author(s):  
Missael García Márquez ◽  
Carlos Antonio López Díaz ◽  
Alejandro Rodríguez Monterde
Keyword(s):  
Shock Wave ◽  
Case Report ◽  
Radial Pressure ◽  
Shock Wave Therapy ◽  
Interosseous Ligament ◽  
Suspensory Ligament ◽  
Shockwave Therapy ◽  
Number Of Patients ◽  
Abstract Case ◽  
De Medicina

Descripción de los casos. Se analizó una muestra de 232 pacientes remitidos para terapia de ondas de choque (toce), de 1 292 casos clínicos que ingresaron al hospital para équidos de la Facultad de Medicina Veterinaria y Zootecnia de la unam durante 2011-2015. Se aplicaron en total 323 terapias; el 86.6 % de los pacientes fueron prototipo warmblood con un promedio de edad de once años.Hallazgos clínicos. La patología con mayor incidencia fue desmitis proximal del ligamento suspensor del menudillo o tercer ligamento interóseo, seguida de miositis dorsal y exostosis anillada.  Tratamiento y evolución. El tratamiento se llevó a cabo mediante terapia de onda de choque focal y terapia de onda de choque radial o terapia de presión radial.Relevancia clínica. La toce representa el 17.9 % del total de pacientes que ingresaron en el periodo de estudio. Se recibieron 46 pacientes por año en promedio, únicamente para toce. Se requeriría un estudio de casos clínicos totales del Hospital para Équidos para comparar las diferentes causas de remisión.Clinical cases referred of shockwave therapy of equine hospital UNAM (2011-2015) Abstract Case report. From 2011 to 2015, out of 1292 patients 232 we referend to the hospital for equine of the Departamento de Medicina Cirugía y Zootecnia de Équidos of the Facultad de Medicina Veterinaria y Zootecnia for shockwave therapy (ESWT) were analyzed. This therapy was applicated 323 in 232 patients, 86 % of the patients are warmblood prototype and an average age of eleven years.Clinical findings. The pathology with the highest incidence was proximal desmitis of the suspensory ligament or third interosseous ligament, followed by dorsal myositis and ringbone.Treatment and evolution. The treatment was carried out by focal shock wave therapy and radial pressure therapy.Laboratory test. The laboratory test it is not necessary because the ESWT is not an invasive therapy.Clinical relevance. The ESWT represents 17.9% of the total number of patients admitted in this study period. An average of 46 patients per year were received, for ESWT. A study of total clinical cases of the hospital for equine would be required to compare the causes of origin.Keywords: SWT, Shock wave, Equine, ESWT, physical therapy.

scholarly journals ЛЕЧЕНИЕ СИНДРОМА ПОЗВОНОЧНОЙ АРТЕРИИ МЕТОДОМ МАНУАЛЬНОЙ ТЕРАПИИ

World Science ◽  
2019 ◽  
Vol 2 (9(49)) ◽  
pp. 20-27 ◽  
Author(s):  
Сергей Франк ◽  
Михаил Франк ◽  
Георгий Франк
Keyword(s):  
Shock Wave ◽  
Cervical Spine ◽  
Vertebral Artery ◽  
Manual Therapy ◽  
Shock Wave Therapy ◽  
Spine Disorders ◽  
Methods Of Treatment ◽  
Collective Term

Vertebral artery syndrome is a collective term that encompasses a number of cerebral, cardiovascular and autonomic syndromes resulting from lesions of the sympathetic plexus of the vertebral artery, deformation of its wall or lumen changes caused by cervical spine disorders. Manual therapy is one of the recognized methods of treatment for the said condition. This study discusses the possibility of applying manual therapy combined with shock wave therapy in cases of vertebral artery syndrome resistant to other methods of treatment.

Extracorporeal shockwave therapy for treatment of superficial digital flexor tendonitis in racing Thoroughbreds: 8 clinical cases

2004 ◽  
Vol 17 (03) ◽  
pp. 152-155 ◽  
Author(s):  
J. Hunter ◽  
D. K. Merritt ◽  
E. Reinertson ◽  
S. R. McClure
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Therapy ◽  
Tendon Injuries ◽  
Shock Wave Therapy ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Extracorporeal Shock Wave ◽  
Lesion Severity ◽  
Clinical Cases

SummaryExtracorporeal shock wave therapy (ESWT) was administered to 8 racing Thoroughbreds with superficial digital flexor (SDF) tendon injuries sustained during racing or race training. The tendons were assessed ultrasonographically. The ability of the horse to return to racing was monitored. Five of 8 horses raced successfully, 2 re-injured the tendon during retraining, and 1 horse was retired due to age and lesion severity.

scholarly journals Extracorporeal Shockwave Therapy for Chronic Venous Ulcers: A Randomized Controlled Trial

2021 ◽  
Vol 10 ◽  
pp. 1931
Author(s):  
Parisa Taheri ◽  
Morteza Shahbandari ◽  
Mehrnoosh Parvaresh ◽  
Babak Vahdatpour
Keyword(s):  
Health Care Systems ◽  
Controlled Trial ◽  
Healing Process ◽  
Venous Ulcer ◽  
Control Group ◽  
Shockwave Therapy ◽  
Venous Ulcers ◽  
Lower Pain ◽  
Care Systems ◽  
Treatment Of Wounds

Background: Chronic venous ulcers (CVUs), demanding specialized care, are still a major socioeconomic problem facing health care systems worldwide. This study’s main goal was evaluating the efficacy of ESWT application as an AT in the treatment of wounds for curing CVUs. Materials and Methods: 50 patients presenting with CVUs were divided into two groups of ESWT and control randomly. Then, ESWT was applied one session per week, during four weeks, along with routine CB. The control group also received sham ESWT together with CB. In this respect, pain score, wound size, patient satisfaction and quality of life (QoL) using the Charing Cross Venous Ulcer Questionnaire (CCVUQ) were consequently assessed at baseline, week four, and week eight and then compared between both groups. Results: The findings showed that patients receiving ESWT along with CB had significantly lower pain and were also feeling more satisfied than the cases undergoing CB alone (P<0.05). The significant efficiency of ESWT in improving the healing process of CVUs was further observed (P<0.05). In addition, QoL, assessed by the CCVUQ, was significantly higher in patients receiving ESWT (P<0.05). Conclusion: These findings established that ESWT was a feasible and safe option to treat patients presenting with CVUs in another word, ESWT seems to be a safe and effective adjunct therapy (AT) compared with CB in patients with CVUs. [GMJ.2021;10:e1931]

Radial Shock Wave Therapy in Patients with Lateral Epicondylitis

Folia Medica ◽  
2012 ◽  
Vol 54 (3) ◽  
pp. 35-41 ◽  
Author(s):  
Elena M. Ilieva ◽  
Roumen M. Minchev ◽  
Nedyalka S. Petrova
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Functional Condition ◽  
Shock Wave Therapy ◽  
Therapeutic Modalities ◽  
Shockwave Therapy ◽  
The Past ◽  
One Year

ABSTRACT Introduction: Lateral epicondylitis, or “tennis elbow”, is a relatively common disorder. Various therapeutic modalities have been tried in an attempt to manage the disorder but neither the conservative methods nor the surgical options have proved to be benefi cial so far. During the past decade in the USA and European countries and the past several years in Bulgaria, the shock wave therapy (focused and radial) has been introduced as a method of choice in the treatment of chronic tendynopathies. The AIM of the present study was to make quantitative assessment of the effect of radial shockwave therapy in patients with lateral epicondylitis. PATIENTS AND METHODS: The study included 16 patients with lateral epicondylitis (9 males, 7 females, mean age 47.2 ± 2.3 yrs) of mean duration of 15.06 ± 4.06 months. We used the BTL-5000 radial shockwave therapy equipment and performed 5 procedures (one per week). The total number of shocks was 2500, the pressure was 2 Bars: 1500 shocks of 5 Hz frequency followed by 500 shocks of 10 Hz frequency were applied locally on the lateral epicondyle and 500 shocks of 2 Bar pressure and 5 Hz frequency were applied along the muscles near the insertion. The patients were evaluated 5 times: before treatment, immediately after the end of treatment and at 3, 6 and 12 months of follow-up. Pain was assessed at rest, on palpation and by the Thomsen test using a visual analogue scale (VAS). The patient-rated tennis elbow evaluation (PRTEE) questionnaire was used to assess the patients‘ pain, functional condition and limitations in performing specifi c activities, as well as for the overall self evaluation. RESULTS: We found signifi cant difference (p < 0.05) between the mean pain scores (at rest, on palpation and by Thomsen test) before treatment and these scores obtained immediately after treatment, the decrease sustained at 3, 6 and 12 months. VAS showed decrease from 3.75 ± 0.49 before therapy to 2.44 ± 0.39 after treatment, to 1.94 ± 0.46 at 3 months and to 0.69 ± 0.38 at one year at rest, from 7.44 ± 0.38 before therapy to 4.69 ± 0.51 after treatment, to 3.56 ± 0.40 at 3 months and 1.46 ± 0.56 at one year at palpation, and from 5.87 ± 0.46 before therapy to 3.5 ± 0.29 after it, to 2.5 ± 0.40 at 3 months and 1 ± 0.38 at one year in the Thomsen test. The pain, function and the total score as assessed on the patient-rated scale (PRTEE) also showed statistically signifi cant improvement (p < 0.05) after completion of therapy and over the whole follow-up. Total score decreased from 56.75 ± 2.34 before therapy to 39.38 ± 3.96 after treatment, to 27.53 ± 3.7 at 3 months and to 13.69 ± 4.48 at one year. CONCLUSION: Based on the results of this preliminary study we could recommend the radial shock wave therapy in the treatment of lateral epicondylitis of more than 6 months‘ duration if the condition is recalcitrant to other conservative methods of treatment.

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