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Analgesic effect of extracorporeal shock-wave therapy on chronic tennis elbow

TLDR
There was significant alleviation of pain and improvement of function after treatment in group I in which there was a good or excellent outcome in 48% and an acceptable result in 42% at the final review, compared with 6% and 24%, respectively, in group II.
Abstract
We report a controlled, prospective study to investigate the effect of treatment by low-energy extracorporeal shock waves on pain in tennis elbow. We assigned at random 100 patients who had had symptoms for more than 12 months to two groups to receive low-energy shock-wave therapy. Group I received a total of 3000 impulses of 0.08 mJ/mm 2 and group II, the control group, 30 impulses. The patients were reviewed after 3, 6 and 24 weeks. There was significant alleviation of pain and improvement of function after treatment in group I in which there was a good or excellent outcome in 48% and an acceptable result in 42% at the final review, compared with 6% and 24%, respectively, in group II.

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Cross-sectional outcome analysis of athletes with chronic patellar tendinopathy treated surgically and by extracorporeal shock wave therapy.

TL;DR: Extracorporeal shock wave therapy shows a comparable functional outcome to surgery in a cross-sectional analysis of patients with chronic proximal patellar tendinopathy resistant to conservative treatment.
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Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system.

TL;DR: Test of the hypothesis that long-term analgesia caused by ESW is due to selective loss of nerve fibers in peripheral nerves indicates that alleviation of chronic pain by selective partial denervation may play an important role in the effects of clinical ESW application to the musculoskeletal system.
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Effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis)

TL;DR: Randomised controlled trials were reviewed to evaluate the evidence of the effectiveness of extracorporeal shock wave therapy in the management of tennis elbow, and seven relevant trials were found, which had satisfactory methodology but conflicting results.
Journal ArticleDOI

Treatment of diabetic foot ulcers: a comparative study of extracorporeal shockwave therapy and hyperbaric oxygen therapy.

TL;DR: ESWT-treated ulcers showed significant improvement in blood flow perfusion rate and cell activity leading to better healing of the ulcers relative to HBOT in chronic diabetic foot ulcers.
References
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Journal ArticleDOI

RADIAL TUNNEL SYNDROME: Resistant Tennis Elbow as a Nerve Entrapment

TL;DR: In this article, an anterior muscle-splitting incision was performed to explore the radial nerve and its branches in tennis elbow patients, and the results showed that the operation was effective in 30% of the cases.
Journal ArticleDOI

Prolonged relief of pain by brief, intense transcutaneous somatic stimulation

TL;DR: The data indicate that the procedure provides a powerful method for the control of some forms of severe pathological pain by brief, intense transcutaneous electrical stimulations at trigger points or acupuncture points.
Journal ArticleDOI

High energy shock waves in the treatment of delayed and nonunion of fractures.

TL;DR: The treatment of delayed and nonunion of fractures by a single extracorporeal dose of high energy shock waves generated in a water medium and focused on the fracture site is reported.

Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow

TL;DR: Guibert, MSc, Assistant Professor, Groupe deRecherche Interdisciplinaire enSanteUniversity of Montreal, P0 Box 6128-Succ. A,Montreal, Quebec,Canada H3C 3J7.M.Fallaha, MD, FRCS C, assistant Professor ofSurgery, UniversityofMontrealMaisonneuve-Rosemont Hospital, 5415 L'Assomption Boulevard, the authors
Journal ArticleDOI

Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted meta-analysis

TL;DR: There was insufficient scientific evidence to support any of the current methods of treatment for lateral epicondylitis of the elbow, and the importance of the natural evolution of the syndrome and of the placebo effect of all treatments was established.
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