Journal ArticleDOI
High-Energy Extracorporeal Shock Wave Therapy as a Treatment for Insertional Achilles Tendinopathy
TLDR
Extracorporeal shock wave therapy is an effective treatment for chronic insertional Achilles tendinopathy and local field block anesthesia may decrease the effectiveness of this procedure.Abstract:
BackgroundResults of high-energy extracorporeal shock wave therapy for the treatment of insertional Achilles tendinopathy are not determined. It is unclear how local anesthesia alters the outcome of this procedure.HypothesisExtracorporeal shock wave therapy is an effective treatment for insertional Achilles tendinopathy. Local anesthesia field block adversely affects outcome.Study DesignCase control study; Level of evidence, 3.MethodsThirty-five patients with chronic insertional Achilles tendinopathy were treated with 1 dose of high-energy extracorporeal shock wave therapy (ESWT group; 3000 shocks; 0.21 mJ/mm2; total energy flux density, 604 mJ/mm2), and 33 were treated with nonoperative therapy (control group). All extracorporeal shock wave therapy procedures were performed using a local anesthesia field block (LA subgroup, 12 patients) or a nonlocal anesthesia (NLA subgroup, 23 patients). Evaluation was by visual analog score and by Roles and Maudsley score.ResultsOne month, 3 months, and 12 months afte...read more
Citations
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Journal ArticleDOI
Extracorporeal shockwave therapy in musculoskeletal disorders
TL;DR: Extracorporeal shockwave therapy (ESWT) is a novel non-invasive therapeutic modality without surgery or surgical risks, and the clinical application of ESWT steadily increases over the years.
Journal ArticleDOI
The Diagnosis and Treatment of Heel Pain: A Clinical Practice Guideline–Revision 2010
James L. Thomas,Jeffrey C. Christensen,Steven R. Kravitz,Robert W. Mendicino,John M. Schuberth,John V. Vanore,Lowell Weil,Howard J. Zlotoff,Richard T. Bouché,Jeffrey R. Baker +9 more
TL;DR: This clinical practice guideline (CPG) is a revision of the original 2001 document developed by the American College of Foot and Ankle Surgeons (ACFAS) heel pain committee.
Journal ArticleDOI
Eccentric Loading, Shock-Wave Treatment, or a Wait-and-See Policy for Tendinopathy of the Main Body of Tendo Achillis A Randomized Controlled Trial
TL;DR: The wait- and-see strategy was ineffective for the management of chronic recalcitrant tendinopathy of the main body of the Achilles tendon.
Journal ArticleDOI
Management of Tendinopathy
TL;DR: The mechanical, vascular, neural, and other theories that seek to explain the pathologic process are explored in this article, as is the rationale for surgical intervention.
Journal Article
Current Opinions on Tendinopathy
Jean-François Kaux,Bénédicte Forthomme,Caroline Le Goff,Jean-Michel Crielaard,Jean-Louis Croisier +4 more
TL;DR: The word "tendinopathy" is the correct term for the clinical diagnosis of pain accompanied by impaired performance, and sometimes swelling in the tendon, which is one of the most frequently self reported musculoskeletal diseases in physical workers and sports people.
References
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Journal ArticleDOI
Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits.
Ching-Jen Wang,Feng-Sheng Wang,Kuender D. Yang,Lin-Hsiu Weng,Chia-Chen Hsu,Chun-Shun Huang,Lin-Cheng Yang +6 more
TL;DR: In conclusion, shock wave therapy induces the ingrowth of neovascularization associated with early release of angiogenesis‐related markers at the Achilles tendon–bone junction in rabbits, which may play a role to improve blood supply and tissue regeneration at the tendon-bone junction.