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extracorporeal shockwave therapy (ESWT)
Indications:
- treatment of plantar fasciitis
- treatment of lateral epicondylitis (tennis elbow)
- other forms of tendonitis
- heel pain due to Achilles tendonitis
- shoulder pain due to calcific tendonitis
- treatment of stress fractures
- treatment of urinary stones
not 1st line therapy
Contraindications:
- neurologic disease in affected area
- vascular disease in affected atrea
- ligament rupture, tendon rupture
- bone growth plates still open (children)
- pregnancy
- anticoagulation, coagulation disorder
- antiplatelet agents
Procedure:
- outpatient procedure
- 10 minute procedure
- local anesthesia no longer required
- castor oil is used as a lubricant
- avoid NSAIDs post-procedure
- do not ice after procedure
- 2 sessions, 2 weeks apart
Mechanism of action:
- microtrauma of repeated shock waves to the affected region results in neovascularization that, in turn, promotes tissue healing
- mechanism & value of ESWT controversial
Related
lithotripsy
Specific
extracorporeal shock wave lithotripsy
extracorporeal shockwave therapy for lateral epicondylitis
extracorporeal shockwave therapy for plantar fasciitis
extracorporeal shockwave therapy for wound healing
General
clinical procedure
References
- Wikipedia: Axtracorporeal shockwave therapy
http://en.wikipedia.org/wiki/Extracorporeal_shockwave_therapy
- Cluett J
Shock Wave Therapy for Plantar Fasciitis
http://orthopedics.about.com/od/footankle/i/shockwave.htm
- Gerdesmeyer L et al
Extracorporeal shock wave therapy for the treatment of
chronic calcifying tendonitis of the rotator cuff:
a randomized controlled trial.
JAMA 290:2573, 2003
PMID: 14625334
- Lawler AC, Ghiraldi EM, Tong C, Friedlander JI.
Extracorporeal Shock Wave Therapy: Current Perspectives and
Future Directions.
Curr Urol Rep. 2017 Apr;18(4):25. Review.
PMID: 28247327