extracorporeal shockwave therapy (ESWT)
Jump to navigation
Jump to search
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
More general terms
More specific terms
- extracorporeal shockwave therapy for lateral epicondylitis
- extracorporeal shockwave therapy for plantar fasciitis
- extracorporeal shockwave therapy for wound healing
Additional terms
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: https://www.ncbi.nlm.nih.gov/pubmed/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: https://www.ncbi.nlm.nih.gov/pubmed/28247327