[Analgesic effect of low energy extracorporeal shock waves in tendinosis calcarea, epicondylitis humeri radialis and plantar fasciitis].
OBJECTIVE
Is there a pain reduction at the application site after extracorporeal shockwave application for tendinitis calcarea, epicondylitis radialis and plantar fasziitis?


METHODS
In a prospective study 85 patients were observed. Shockwave application was performed three or five times using low energies (0.09-0.18 ml/mm2). Before and after shockwave application pain was evaluated using SF-36 score and Visual Analog Scale (VAS).


RESULTS
After 5 months for all three indications a significant improvement of the pain situation could be reached. Patients with plantar fasziitis demonstrated the highest decrease of pain, followed by tendinosis calcarea and epicondylitis radialis. The number of applications had no influence to the clinical result of the ESWT.


CONCLUSIONS
In the present study the analgetic effect of ESWT after repeated low-energy application was described for the standard indications.
Maier
M
M
Orthopädische Klinik am Klinikum Grosshadern Ludwig-Maximilians Universität, München. markus.maier@ort.med.uni-muenchen.de
Dürr
H R
HR
Köhler
S
S
Staupendahl
D
D
Pfahler
M
M
Refior
H J
HJ
Meier
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000698:Analgesia / Q000379:methods*; D005208:Fasciitis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005534:Foot Diseases / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011446:Prospective Studies; D019233:Retreatment; D019534:Shoulder Impingement Syndrome / Q000628:therapy*; D052256:Tendinopathy / Q000628:therapy*; D013716:Tennis Elbow / Q000628:therapy*