Extracorporeal Shockwave Therapy

From Anvita Health Wiki

Contents 1 Indications 2 Contraindications 3 Procedure 4 Mechanism-of-action 5 More General Terms 6 Additional Terms 7 References

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

• clinical procedure

Additional Terms

• lithotripsy

References

1. Wikipedia: Axtracorporeal shockwave therapy [1]
2. Cluett J Shock Wave Therapy for Plantar Fasciitis [2]
3. 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: [3]

extracorporeal shockwave therapy (ESWT)