Combined ESWT & RSW Therapy for Achilles Tendinopathy: A Prospective Study

A. Saxena, L. Shou, S. Ashraf
Original Article, 552-561
doi: 10.32098/mltj.04.2019.10
Full text PDF

SUMMARY
Introduction. Achilles tendinopathy is one of the most common overuse injuries of the foot and ankle in the active population. Many studies have shown radial sound wave therapy (RSW) or extra-corporeal shockwave therapy (ESWT) to be a safe and effective conservative treatment options when used independently.
Methods. In this prospective study, we examined the outcomes of treatment on Achilles tendinopathy combining these two modalities. We hypothesize improved results with the combination therapy and compare this with previous studies. The current study observes a cohort of 24 patients, who received the both treatments with mean age of 47.2±12.8 years at the time of study. Each patient
received three treatments initially and then subsequent treatments at 6 and/or 12 week follow up.
Results. Pre-treatment VAS score was 6.3±1.3 and RM score was 3.5±0.5. Ultimately, these were reduced to 1.2±1.6 (P=0.00001) and 1.6±0.9 (P=0.00001) respectively at 17±4.5 month follow-up. Patients with paratendinosis had better outcomes than insertional Achilles pathology.
Conclusions. Our results show a significant improvement in outcome measures in patients treated with ESWT and RSW, as compared to other studies. We conclude that the dual treatment method is a safe and improved method of treatment for Achilles tendinopathy compared to isolated use of ESWT or RSW.

Keywords: Achilles, extra-corporeal, radial soundwave, shockwave,

Table of Content: Vol.9 (No.4) 2019 October/December

  1. The Effect of Different Suture Materials on Achilles Tendon Metabolism: A Preliminary in vivo Study of mRNA levels in Rabbits

    S. Ergün, A. Alakbarov, A. Mine Yılmaz, B. Karademir, U. Akgün
    Original Article, 470-477
    doi: 10.32098/mltj.04.2019.01
    Full text PDF

  2. Electrospun Scaffolds in Tendons Regeneration: a review

    R. Di Gesù, G. Amato, R. Gottardi
    Original Article, 478-493
    doi: 10.32098/mltj.04.2019.02
    Full text PDF

  3. Histological and Biomechanical Evaluation of Biologic Adjuvants in a Murine Tendon-Bone Healing Model

    J. Johnson, C. Kia, D. Morikawa, J. Mehl, F.B. Imhoff, A. Otto, L.N. Muench, M.Wolf, J.B. Baldino, X. Xin, M. B. McCarthy, A.D. Mazzocca
    Original Article, 494-505
    doi: 10.32098/mltj.04.2019.03
    Full text PDF

  4. Return to Sport After Patellar Tendon Rupture: a Systematic Review

    J. Grondin, P. Menu, T. Garraud, O. Mesland, M. Dauty, A. Fouasson-Chailloux
    Original Article, 517-524
    doi: 10.32098/mltj.04.2019.05
    Full text PDF

  5. Anti-inflammatory effects of two platelet-rich gel supernatants in an in vitro system of ligament desmitis

    C. Castillo-Franz, C. López, M.E. Álvarez, C.E. Giraldo, J.U. Carmona
    Original Article, 506-516
    doi: 10.32098/mltj.04.2019.04
    Full text PDF

  6. The Effect of Addition of Buffered Dextrose 5% Solution on Pain Occurring During Local Steroid Injection for Treatment of Plantar Fasciitis: A Randomized Controlled Trial

    A. Moshrif, M. Elwan
    Original Article, 525-530
    doi: 10.32098/mltj.04.2019.06
    Full text PDF

  7. Patient-Reported Outcome and Healing Biomarkers in Patients Treated by Female versus Male Surgeons – A cohort study on Achilles tendon ruptures

    J. Flodin, R. Juthberg, G. Edman, P. Ackermann
    Original Article, 531-538
    doi: 10.32098/mltj.04.2019.07
    Full text PDF

  8. Motor imagery training decreases pain on loading in people with moderate Achilles tendinopathy: A preliminary randomised cross-over experiment

    J. Debenham, S. Krummenacher, I. Skinner, D. Hince, M. Travers, B. Wand
    Original Article, 539-543
    doi: 10.32098/mltj.04.2019.08
    Full text PDF

  9. Quantifying the Dimensions of Achilles Tendon Insertional Area Using Ultrasound Imaging A Validity and Reliability Study

    N.H. Alghamdi, M. Killian, B. Aitha, R.T. Pohlig, K. Grävare Silbernagel
    Original Article, 544-551
    doi: 10.32098/mltj.04.2019.09
    Full text PDF

  10. Combined ESWT & RSW Therapy for Achilles Tendinopathy: A Prospective Study

    A. Saxena, L. Shou, S. Ashraf
    Original Article, 552-561
    doi: 10.32098/mltj.04.2019.10
    Full text PDF

  11. Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty

    C. Nery, E. Giza, E. Wagner, M. A. Percope de Andrade, T. Soares Baumfeld, M. Pires Prado, D. Baumfeld
    Original Article, 562-570
    doi: 10.32098/mltj.04.2019.11
    Full text PDF

  12. Superior Capsule Reconstruction for Irreparable Rotator Cuff Tear with a Porcine Dermal Graft: Preliminary Results at 2 Years Minimum Follow-up

    R. Dukan, A. Bommier, M. A. Rousseau, P. Boyer
    Original Article, 571-578
    doi: 10.32098/mltj.04.2019.12
    Full text PDF

  13. Intermuscular Connections in Anterior Brachium: its Implications in Radial Nerve Entrapment Neuropathy

    M. Tonse, M. M. Pai, L.V. Prabhu, B.V. Murlimanju, R. Vadgaonkar, Y.L. Rao
    Original Article, 579-583
    doi: 10.32098/mltj.04.2019.13
    Full text PDF

  14. Treatment of Lateral Epicondylitis with Collagen Injections: a Pilot Study

    B. Corrado, G. Mazzuoccolo, L. Liguori, V. A. Chirico, M. Costanzo, I. Bonini, G. Bove, L. Curci
    Original Article, 584-589
    doi: 10.32098/mltj.04.2019.14
    Full text PDF

  15. Short-Term Efficacy and Safety of Betamethasone Valerate 2.25 mg Medicated Plaster in Patients with Chronic Lateral Epicondylitis: Results of a Randomised, Double Blind, Placebo-controlled Study

    S. Bernasconi, A. Causero, G. Giaffreda, R. Papalia, G. Caruso, G. Bonanno, F. Sadile, G. Fraschini, M. Fortina, A. Frizziero, N. Chiarelli, V. Salini, U. Tarantino, N. Voglino, A. Castagna, F. A. Grassi, S. Rovati, V. Frangione
    Original Article, 590-599
    doi: 10.32098/mltj.04.2019.15
    Full text PDF

  16. A diagnostic Approach to Deltoid Muscle Masses

    A. Iqbal, E. McLoughlin, A. Patel, A.M. Davies, S.L. James, R. Botchu
    Original Article, 600-605
    doi: 10.32098/mltj.04.2019.16
    Full text PDF

  17. Efficacy of a Treatment for Gonarthrosis Based on the Sequential Intra-Articular Injection of Linear and Cross-Linked Hyaluronic Acids

    E. Barbieri, I. Capparucci, F. Mannello, G. Annibalini, S. Contarelli, L. Vallorani, A. M. Gioacchini, D. Ligi, R. Maniscalco, M. Gervasi, T. Tran Dang Xuan, C. Bartolucci, V. Stocchi, P. Sestili
    Original Article, 606-614
    doi: 10.32098/mltj.04.2019.17
    Full text PDF

  18. The Effect of Segmental Stabilization Exercises on Pain, Disability and Static Postural Stability in Patients with Spondylolisthesis: A Double Blinded Pilot Randomized Controlled Trial

    R. Choopani, F. Ghaderi, Z. Salahzadeh, H. Adigozali, H.N. Sivaki, E.M. Majd, M.R. Azghani, A. Soltani, M.A. Jafarabadi
    Original Article, 615-626
    doi: 10.32098/mltj.04.2019.18
    Full text PDF

  19. Matside Medical Aid during Judo Competition in Japan

    A. Ikumi, N. Sakuyama, N. Takatori, T. Kamitani, S. Miyazaki, Y. Nimura, N. Maffulli, N. G. Malliaropoulos, S. Nagahiro
    Original Article, 627-634
    doi: 10.32098/mltj.04.2019.19
    Full text PDF

  20. Synergistic Effect of Physical Therapy Plus Pharmacological Therapy with Eperisone in Tension-Type Cervicalgia

    C. Asaro, D. Scaturro, S. Tomasello, L.G. Tumminelli, G. Letizia Mauro
    Original Article, 635-641
    doi: 10.32098/mltj.04.2019.20
    Full text PDF
Full volume PDF