Extracorporeal shock wave treatment for chronic lateral epicondylitis (tennis elbow).

https://arctichealth.org/en/permalink/ahliterature165136
Source
Issues Emerg Health Technol. 2007 Jan;(96 (part 2)):1-4
Publication Type
Article
Date
Jan-2007
Author
C. Ho
Source
Issues Emerg Health Technol. 2007 Jan;(96 (part 2)):1-4
Date
Jan-2007
Language
English
Publication Type
Article
Keywords
Canada
Chronic Disease
Costs and Cost Analysis
Device Approval
High-Energy Shock Waves - adverse effects - therapeutic use
Humans
Randomized Controlled Trials as Topic
Tennis Elbow - physiopathology - therapy - ultrasonography
Treatment Outcome
Abstract
(1) Electrohydraulic, electromagnetic, or piezoelectric devices are used to translate energy into acoustic waves during extracorporeal shock wave treatment (ESWT) for chronic lateral epicondylitis (CLE) of the elbow (elbow tendonitis or tennis elbow). These waves may help to accelerate the healing process via an unknown mechanism. (2) Results from randomized controlled trials have been conflicting. Half of the studies showed statistically significant improvement in pain in the treatment group, and half of the studies had data showing no benefit over placebo for any measured outcomes. (3) Limited evidence shows that ESWT is cheaper than arthroscopic surgery, open surgery, and other conservative therapies, such as steroid infiltrations and physiotherapy, that continue for more than six weeks. (4) The lack of convincing evidence regarding its effectiveness does not support the use of ESWT for CLE.
PubMed ID
17302021 View in PubMed
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