Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review

PM & R : the Journal of Injury, Function, and Rehabilitation
Julia M ReillyAdam S Tenforde

Abstract

Extracorporeal shockwave therapy (ESWT) is a technology that was first introduced into clinical practice in 1982 for urologic conditions. Subsequent clinical applications in musculoskeletal conditions have been described in treatment of plantar fasciopathy, both upper and lower extremity tendinopathies, greater trochanteric pain syndrome, medial tibial stress syndrome, management of nonunion fractures, and joint disease including avascular necrosis. The aim of this review is to summarize the current understanding of treatment of musculoskeletal conditions with ESWT, accounting for differences in treatment protocol and energy levels. Complications from ESWT are rare but include 2 reported cases of injury to bone and Achilles tendon rupture in older adults using focused shockwave. Collectively, studies suggest ESWT is generally well-tolerated treatment strategy for multiple musculoskeletal conditions commonly seen in clinical practice. LEVEL OF EVIDENCE: III.

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Citations

Feb 12, 2020·Journal of Clinical Medicine·Gianluca TestaVito Pavone
Aug 15, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Julia M Reilly, Adam S Tenforde
Jun 2, 2020·Frontiers in Bioengineering and Biotechnology·Yi KungWen-Shiang Chen
Sep 25, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Adam TenfordeJaspal Ricky Singh
Dec 8, 2020·The Physician and Sportsmedicine·Mai Ahmed Abo Al-KhairMohamed Ezz Eldin Mowafy
Jun 13, 2020·The Journal of Bone and Joint Surgery. American Volume·Silvia RamonMaria-Chiara Vulpiani
Jan 5, 2021·World Journal of Clinical Cases·Ji Won JungSi-Bog Park
Aug 10, 2020·The Journal of Bone and Joint Surgery. American Volume·Silvia RamonMaria-Chiara Vulpiani
Jan 17, 2021·Archives of Physical Medicine and Rehabilitation·Parisa TaheriMitra Ramezani
Jun 9, 2021·Current Sports Medicine Reports·Allison N SchroederElena J Jelsing
May 24, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Stephanie DeLucaAdam S Tenforde
Jul 19, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·David M RobinsonAdam S Tenforde

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