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High-Energy Extracorporeal Shock Wave Therapy as a Treatment for Insertional Achilles Tendinopathy

High-Energy Extracorporeal Shock Wave Therapy as a Treatment for Insertional Achilles Tendinopathy,John Patrick Furia

High-Energy Extracorporeal Shock Wave Therapy as a Treatment for Insertional Achilles Tendinopathy   (Citations: 16)
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Results: One month, 3 months, and 12 months after treatment, the mean visual analog score for the control and ESWT groups were 8.2 and 4.2 (P < .001), 7.2 and 2.9 (P < .001), and 7.0 and 2.8 (P < .001), respectively. Twelve months after treatment, the number of patients with successful Roles and Maudsley scores was statistically greater in the ESWT group compared with the control group (P > .0002), with 83% of ESWT group patients having a successful result, and the mean improvement in visual analog score for the LA subgroup was significantly less than that in the NLA subgroup (F = 16.77 vs F = 53.95, P < .001). The percentage of patients with successful Roles and Maudsley scores did not differ among the LA and NLA subgroups. Conclusion: Extracorporeal shock wave therapy is an effective treatment for chronic insertional Achilles tendinopathy. Local field block anesthesia may decrease the effectiveness of this procedure.
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    • ...Extracorporeal shock wave treatment (lithotripsy) may help in tendinopathies with ectopic calcification in the tendon,...

    John Orchardet al. The management of tennis elbow

    • ...In contrast and perhaps complicating, trials utilizing high energy one time application of ESWT with anesthesia have also been conducted [1, 17, 18]...

    Michelle Wilsonet al. Shock wave therapy for Achilles tendinopathy

    • ...Extracorporeal shock wave (ESW) therapy has emerged as a popular and eVective treatment for many orthopedic conditions including plantar fasciitis, achilles tendinopathy, lateral epicondylitis, calciWc tendinitis of the shoulder, tendinosis of the supraspinatus tendon, and patella tendinopathy [5, 9]. Shock waves are used in the Weld of orthopedic surgery to treat pseudarthrosis and delayed union or nonunion of fractures [13] to remove ...
    • ...Randomized, controlled, clinical trials demonstrated that ESWT was safe and therapeutic modality could decrease pain and improve function in treated patients [5]...

    Hayati Ozturket al. Effect of high-energy extracorporeal shock waves on the immature epiph...

    • ...VISA-A score [0-100], mean (SD) 50.6 (11.5) 50.3 (11.7) 48.2 (9.0) General assessment, Likert [1-6], mean (SD) 5.3 (0.8) 4.8 (0.9) 4.8 (0.8) Load-induced pain, NRS [0-10], mean (SD) 7.0 (0.8) 6.8 (0.9) 7.9 (0.6) Pain threshold, kg, mean (SD) 1.5 (0.6) 1.4 (0.8) 1.6 (0.8) Tenderness at 3 kg, NRS [0-10], mean (SD) 7.1 (3.6) 6.4 (4.4) 6.8 (3.1) AP diameter of Achilles tendon of affected 12.8 (4.1) 11.8 (4.7) 11.3 (3.8) leg [mm], mean (SD)...
    • ...Likert scale 2.7 (1.5; 1-6) 2.9 (1.5; 1-6) 4.3 (1.6; 1-6) –0.2 (–1.0-0.5) –1.6 (–0.8-2.4) –1.4 (–2.2-–0.6) [1-6] P = .557 P < .001 P = .001...

    Jan D. Rompeet al. Eccentric Loading, Shock-Wave Treatment, or a Wait and-See Policy for ...

    • ...Extracorporeal sock wave therapy is effective [5], but this modality may not be readily available...

    Michael R Carmontet al. Management of insertional Achilles tendinopathy through a Cincinnati i...

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