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Current evidence of extracorporeal shock wave therapy in chronic Achilles tendinopathy.

TitelCurrent evidence of extracorporeal shock wave therapy in chronic Achilles tendinopathy.
Publication TypeJournal Article
Year of Publication2015
AuthorsGerdesmeyer, L, Mittermayr, R, Fuerst, M, Muderis, MAl, Thiele, R, Saxena, A, Gollwitzer, H
JournalInt J Surg
Volume24
IssuePt B
Pagination154-9
Date Published2015 Dec
ISSN1743-9159
SchlüsselwörterAchillodynie, Achillodynie-Stoßwelle, Stoßwelle
Abstract

Chronic Achilles tendinopathy has been described as the most common overuse injury in sports medicine. Several treatment modalities such as activity modification, heel lifts, arch supports, stretching exercises, nonsteroidal anti-inflammatories, and eccentric loading are known as standard treatment mostly without proven evidence. After failed conservative therapy, invasive treatment may be considered. Extracorporeal shock wave therapy (ESWT) has been successfully used in soft-tissue pathologies like lateral epicondylitis, plantar fasciitis, tendinopathy of the shoulder and also in bone and skin disorders. Conclusive evidence recommending ESWT as a treatment for Achilles tendinopathy is still lacking. In plantar fasciitis as well as in calcific shoulder tendinopathy shock wave therapy is recently the best evaluated treatment option. This article analysis the evidence based literature of ESWT in chronic Achilles tendinopathy. Recently published data have shown the efficacy of focused and radial extracorporeal shock wave therapy.

DOI10.1016/j.ijsu.2015.07.718
Alternate JournalInt J Surg
PubMed ID26327530
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