Low-Energy Extracorporeal Shock-Wave Therapy in the Treatment of Chronic Insertional Achilles Tendinopathy: A Case Series
Joint Authors
Pavone, Vito
Cannavò, Luca
Di Stefano, Antonio
Testa, Gianluca
Costarella, Luciano
Sessa, Giuseppe
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
We report the results of a series of 40 patients with chronic insertional Achilles tendinopathy treated with low-energy ESWT after the failure of a 3-month program of eccentric exercises alone.
Methods and Materials.
40 patients, 28 (70%) males and 12 (30%) females, were treated between January and December 2014.
All patients were previously treated with only eccentric exercises for a 3-month period.
The treatment protocol included 4 sessions of ESWT with a 2-week interval, from 800 shots in each one (4 Hz, 14 KeV), together with eccentric exercises.
Visual Analogue Scale (VAS) and American Orthopedic Foot and Ankle Society (AOFAS) Hindfoot score were recorded.
Results.
At the 12-month follow-up, 26 (65.0%) patients did not complain about pain (VAS < 2), 11 (27.5%) patients got back to normal activities despite residual pain (VAS 2–4), and 3 (7.5%) of the patients still complained about pain (VAS > 4).
There was no significative improvement in both scores after eccentric exercises alone.
Mean VAS improvement was 5.8±1.3 SD points (P<0.001).
Mean AOFAS Hindfoot score improvement was 19.8±5.0 SD points (P<0.001).
Conclusions.
ESWT is recommended, in combination with an eccentric exercise program, in patients with chronic Achilles tendinopathy being both insertional and not.
American Psychological Association (APA)
Pavone, Vito& Cannavò, Luca& Di Stefano, Antonio& Testa, Gianluca& Costarella, Luciano& Sessa, Giuseppe. 2016. Low-Energy Extracorporeal Shock-Wave Therapy in the Treatment of Chronic Insertional Achilles Tendinopathy: A Case Series. BioMed Research International،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1098725
Modern Language Association (MLA)
Pavone, Vito…[et al.]. Low-Energy Extracorporeal Shock-Wave Therapy in the Treatment of Chronic Insertional Achilles Tendinopathy: A Case Series. BioMed Research International No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1098725
American Medical Association (AMA)
Pavone, Vito& Cannavò, Luca& Di Stefano, Antonio& Testa, Gianluca& Costarella, Luciano& Sessa, Giuseppe. Low-Energy Extracorporeal Shock-Wave Therapy in the Treatment of Chronic Insertional Achilles Tendinopathy: A Case Series. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1098725
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1098725