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Is shockwave contraindicated for patella tendons showing tendinopathy with a partial tear on MRI?

Hi all,

What is the current thought on the application of extracorporeal shockwave therapy on patella tendons reported as having a partial tear on MRI? It was a recent case in our MDT. Radiologically there is tendinopathic changes in the proximal 1/3 of the patella tendon with a report of a tear in the middle fibres of the tendon. Is there any literature to suggest that this should be on the list of contraindications?

Many thanks,



7 months ago

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Thanks for the input Cliff.

Cliff Eaton
Cliff Eaton

Dear Jim De Worp' studies demonstrated the effectiveness of using ESWT (RPW or FSWT) for Patella tendinopathies. The general concensus in the literature is that ESWT does not cause tendon ruptures. I am aware of a couple of papers that have reported ruptures of the Achilles tendon when ESWT was included in the management. Both were elderly patients and no mention of loading strategies or external factors I hope that helps Cliff

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