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ESWT

HI Do you have an experience / knowledge of using ESWT to treat MSTT -shin splints . Thanks

tanya

3 weeks ago

Back to General Electrotherapy

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Cliff Eaton
Cliff Eaton

Tanya Clinically having used both FSWT and RPW with positive outcomes for MTSS I can provide clinical support for Tim's comments A couple of papers you may wish to read to provide guidance on energy intensities: Rompe et al. 2010 Am J Sports Med, Vol. 38, No. 1, pp. 125-132 Cohort study, level of evidence 3 94 patients – running athletes 47 RPW group – 3 weekly sessions 47 matched control group – rest, ice, home exercise protocol Pain score: significantly greater pain reduction at 1m – 4m – 15m follow-up in RPW group Degree of recovery: significantly higher success rates at 1m – 4m – 15m follow-up in RPW group Return to pre-injury sports level at 15m: 40 RPW patients vs. 22 control patients Moen MH, Rayer S, Schipper M, Schmikli S, Weir A, Tol JL, Backx FJ. Br J Sports Med. (2012) Mar;46(4):253-7. Prospective observational controlled trial.
Storz Duolith SD1 Subjects: 42 athletes with MTSS, from two different sports medicine departments. Methods: Patients from one hospital were treated with a graded running programme Patients from the other hospital were treated with the same graded running programme and focused ESWT (5 sessions in 9 weeks). EFD increased over the sessions from 0.10 to 0.30 J/cm² - number of shocks was 1000 in the first session and 1500 in the 2nd to 5th session. Outcome : main outcome measure was Time to full recovery (the endpoint was being able to run 18 min consecutively without pain at a fixed intensity

Significantly faster return to full recovery was obtained when adding ESWT to a graded running programme.

Hope this helps Cliff

Prof Tim Watson
Prof Tim Watson

Tanya There have been several papers over the last few years which have either had this as their main focus or are reviews which have included some material on it. I will scatter a few of the most recent refs which might help: Reilly, J. M., et al. (2018). "Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review." Pm R 10(12): 1385-1403.

Korakakis, V., et al. (2018). "The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction." Br J Sports Med 52(6): 387-407.

Saxena, A., et al. (2017). "Treatment of Medial Tibial Stress Syndrome With Radial Soundwave Therapy in Elite Athletes: Current Evidence, Report on Two Cases, and Proposed Treatment Regimen." J Foot Ankle Surg 56(5): 985-989.

The Reilly et al (2018) review cites a couple of original research studies - one using radial and one using focused. Both present results which are positive

On balance, my reading of the papers is that it has a positive effect. The Reilly paper also provides dose information

Hope that might help a bit?

Tim

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