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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 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