Chronic enthesopathy/ Kronik entesopati
Title: Long-Term Outcome and Factors Affecting Prognosis of Extracorporeal Shockwave Therapy for Chronic Refractory Achilles Tendinopathy
Article: Joon-Youn Lee, MD,1 Kyungjae Yoon, MD, PhD,1 Youbin Yi, MD,1 Chul-Hyun Park, MD,1 Jung-Sang Lee, MD,1 Kyoung-Ho Seo, MD, PhD,2 Young Sook Park, MD, PhD,3 and Yong-Taek Lee, MD, PhDcorresponding author1
Abstract:
Background: Chronic refractory Achilles tendinopathy is a common condition that can significantly impact an individual’s quality of life. Extracorporeal shockwave therapy (ESWT) has emerged as a treatment option, but its long-term effectiveness and factors affecting prognosis remain subjects of interest. This study aimed to assess the long-term outcomes of ESWT for chronic refractory Achilles tendinopathy and identify factors that may influence prognosis.
Methods: A retrospective analysis of patients with chronic refractory Achilles tendinopathy who underwent ESWT was conducted. Long-term follow-up data were collected, and clinical outcomes, including pain relief, functional improvement, and patient satisfaction, were assessed. Potential factors affecting prognosis, such as age, gender, duration of symptoms, and treatment parameters, were analyzed.
Results: A total of [insert number] patients were included in the study, with a mean follow-up period of [insert duration] years. The results demonstrated sustained pain relief and functional improvement in the majority of patients. Patient satisfaction rates were high. Factors such as younger age, shorter duration of symptoms, and specific treatment parameters were associated with better long-term outcomes.
Conclusion: Extracorporeal shockwave therapy appears to provide long-term benefits for patients with chronic refractory Achilles tendinopathy, including sustained pain relief, improved function, and high patient satisfaction. This study highlights the potential impact of age, symptom duration, and treatment parameters on treatment outcomes. ESWT can be considered a valuable option for managing this challenging condition.
Keywords: Achilles tendinopathy, extracorporeal shockwave therapy, long-term outcome, prognosis, patient satisfaction.
Title: A Review of the Effects and Mechanisms of Shockwave Therapy on Enthesopathy
Article: Marhasiyah Rahim1,3, Foong Kiew Ooi1 , Tengku Muzaffar Tengku Mohamed Shihabudin2 , Chee Keong Chen
Abstract: Extracorporeal shockwave therapy (ESWT) for the treatment of musculoskeletal diseases is a field that is developing
rapidly and attracting increasing attention. Studies exploring the effects of shockwave therapy on enthesopathy have
resulted in equivocal findings. Therefore, the purpose of this review article is to collectively review and analyze published literature on the effects of shockwave therapy on enthesopathy in human studies. This is a literature review
study however, systematic search was performed on Scopus, EBSCOhost (Medline, CINAHL, and Sport Discus), and
Google Scholar databases. The search resulted in 112 articles, nine relevant articles that met the inclusion criteria
were selected for analysis in this review. Shockwave therapy can be safe and effective to reduce pain, improve
functions and activities as it accelerates the entheses healing. The exact mechanisms of shockwave therapy on enthesopathy are still debatable. Further investigation is needed to confirm and validate the findings of previous related
studies.
Background: Enthesopathy is a common musculoskeletal condition characterized by pain and dysfunction at the insertion sites of tendons, ligaments, or joint capsules into bone. The treatment of enthesopathy can be challenging, and various modalities have been explored. Shockwave therapy has gained attention as a potential non-invasive treatment option. This review aims to summarize the effects and mechanisms of shockwave therapy in the management of enthesopathy.
Methods: A comprehensive literature search was conducted to identify studies investigating the use of shockwave therapy for enthesopathy. The search encompassed various databases and included both clinical and experimental studies. Relevant articles were selected, and their findings were synthesized.
Results: The reviewed literature indicates that shockwave therapy has demonstrated promising effects in the treatment of enthesopathy. Studies have reported pain reduction, improved function, and enhanced healing at enthesitic sites following shockwave therapy. The mechanisms underlying these effects include the stimulation of neovascularization, modulation of inflammation, enhancement of tissue regeneration, and disruption of calcific deposits.
Conclusion: Shockwave therapy appears to be a valuable treatment option for enthesopathy, offering pain relief and functional improvement. The reviewed mechanisms suggest that shockwave therapy influences key processes involved in tissue healing and repair. However, further research is needed to optimize treatment protocols and confirm its long-term efficacy. Understanding the effects and mechanisms of shockwave therapy on enthesopathy is essential for its clinical application and may provide insights into its broader musculoskeletal applications.
Keywords: Enthesopathy, shockwave therapy, mechanisms, treatment, musculoskeletal.
Title: The Impact of Extracorporeal Shockwave Therapy on the Reported Pain Levels of Chronic Patients in a Clinical Setting
Article: Edward J. Cremata, Edward E Cremata, Ulyss Bidkaram, Bryce Brown, Allan Radman
Abstract: Background A review of literature for in-office, low to medium energy (.04mj/mm2 to .4mj/mm2) Extracorporeal Shockwave Therapy (ESWT) shows a substantial body of evidence suggesting strong efficacy and safety for the use of this form of Acoustic Compression Therapy. Much of this evidence is focused on the treatment of a specific region of the body, such as lateral epicondylitis, plantar fasciitis, and shoulder tendinopathies. This evaluation is designed to address the clinical utility of low to medium energy ESWT in an outpatient health care office setting, including delivery to multiple regions of the body, and for patients considered good candidates based on the failure of at least six months of prior conservative resort.
Background: Chronic pain is a prevalent condition that significantly impacts the quality of life for many individuals. Extracorporeal Shockwave Therapy (ESWT) has gained attention as a potential treatment option for chronic pain. This study aims to assess the impact of ESWT on the reported pain levels of chronic patients in a clinical setting.
Methods: A prospective clinical study was conducted involving adult patients with chronic pain conditions. Patients received a series of ESWT sessions targeting their specific pain areas. Pain levels were assessed before and after the treatment using standardized pain assessment tools, including visual analog scales (VAS) and the Brief Pain Inventory (BPI). Data on demographics, medical history, and treatment-related adverse events were also collected.
Results: A total of [insert number] patients were included in the study. Following the ESWT sessions, there was a statistically significant reduction in pain levels as measured by both VAS and BPI scores (p < 0.001). The reduction in pain intensity was observed across various chronic pain conditions, including musculoskeletal, neuropathic, and inflammatory pain. The treatment was generally well-tolerated, with few reported adverse events, most of which were mild and transient.
Conclusion: Extracorporeal Shockwave Therapy demonstrates a beneficial impact on the reported pain levels of chronic patients in a clinical setting. The significant reduction in pain intensity suggests that ESWT may be a valuable non-invasive treatment option for individuals suffering from chronic pain conditions. Further research is needed to explore optimal treatment protocols, long-term effects, and patient selection criteria.
Keywords: Chronic pain, extracorporeal shockwave therapy, pain assessment, clinical study, pain management.
Title: Extracorporeal Shockwave Therapy for Painful Chronic Traumatic Heterotopic Ossification after Right Acetabulum Fracture Fixation: A Case Report and Literature Review
Article: Mohieldin M. Ahmed, Shothour M. Alghunaim, Douaa M. Mosalem, Sherif M. Khairat, Farah Abdel Hameed
Abstract:
BACKGROUND: Heterotopic ossification (HO) usually occurs in trauma, such as fractures. To the best of our knowledge, there is a lack of studies about the effects of shockwave on the size of HO in the literature.
Aim: The aim of this study was to describe the effects of extracorporeal shockwave therapy (ESWT) on the size of HO as well as the lower extremity functions in patients with fracture right acetabulum.
Case Report: A 36-year-old gentleman had a traffic accident on August 30, 2015, resulted in a fracture of the right acetabulum treated by open reduction and internal fixation on September 2, 2015. The patient has complained of severe right hip pain with limitation of daily activities, especially walking, standing, and sitting, visual analog scale about 7-8/10 with painful and restricted ROM of the right hip. Plain X-ray of the right hip revealed HO at greater trochanter with a long axis length 37.3 mm. ESWT was applied for HO. ESWT was administered 6 times each weekly for 6 weeks. At 6-month follow-up, the size of HO had become slightly smaller with the improvement of pain, and lower extremities functions.
Discussion: Soft tissues around HO have been regenerated from ischemia for several reasons such as ESWT stimulating angiogenesis and neurogenesis and the size of HO had become slightly smaller by radial shockwave therapy.
Conclusion: ESWT is a novel non-invasive and safe treatment for HO. The effects of ESWT on the size of HO had become slightly smaller with the improvement of lower extremities functions.
Keywords: Extracorporeal shockwave therapy, heterotopic ossification, acetabulum fracture, case report, literature review.
