Effects of the radial extracorporeal shock wave therapy (rESWT) in patients with calcific tendinopathy of the shoulder
Journal Title: Scripta Medica (Banja Luka) - Year 2019, Vol 50, Issue 3
Abstract
Introduction: Calcific tendinopathy (CT) of the shoulder is frequently a painful condition that is occurring when there are calcium deposits in the tendons of the rotator cuff. There are many options for treatment starting from therapeutic options like medicaments, physical therapy and radial extracorporeal shock wave therapy (rESWT). If conservative treatment fails, surgical treatment is the next option. The purpose of this study was to investigate the outcome effect of rESWT in patients with calcific tendinopathy. Methods: A prospective study from February 2010 to March 2019 monitored 67 patients with CT of the shoulders of the average age of 47.06 ± 15.2 (mean± standard deviation) who were treated with a rESWT. All patients were evaluated clinically with selected radiographic evaluation of the shoulder before therapeutic intervention. The treatment protocol consisted of a sound pressure intensity of 3 bar, a wave frequency of 14/sec, a total of 2,000 waves per session. All patients performed a treatment consisting of three sessions described every seven days. The outcome parameters were VAS scale of pain and shoulder radiography before and after therapy. The Student's t-test was used in the statistical analysis. Results: Clinical and radiographic improvement was recorded in 70% of patients in the treatment of CT of the shoulder 6 weeks after the therapy was performed with a rESWT (p <0.05) in terms of reduced pain and disintegration of calcification. Conclusion: rESWT has showed positive effects in the treatment of patients that have calcific tendinopathy of the shoulder.
Authors and Affiliations
Dragana Dragičević-Cvjektović, Tatjana Erceg-Rukavina, Slavko Manojlović
Keywords
Related Articles
- EP ID EP673367
- DOI 10.5937/scriptamed50-22618
- Views 272
- Downloads 0
The effects of certain gasotransmitters inhibition on homocysteine acutely induced changes on rat cardiac acetylcholinesterase activity
Background/Aim: Hyperhomocysteinaemia is linked to higher level of acetylcholinesterase (AChE) in brain, but there is insufficient information on influence of homocysteine (Hcy) and gasotransmitters on cardiac AChE. Thus...
Dermal regeneration with MilliGraft® kit of nanofat: the micrograft of adipose tissue. A clinical assessment study
The simple filtration by means of the MilliGraft ® Kit of a disaggregated lipoaspirate allows to extract the class of cells defined as progentors with characteristics of adult stem cells present in the nanofat exclusivel...
Effects of the radial extracorporeal shock wave therapy (rESWT) in patients with calcific tendinopathy of the shoulder
Introduction: Calcific tendinopathy (CT) of the shoulder is frequently a painful condition that is occurring when there are calcium deposits in the tendons of the rotator cuff. There are many options for treatment starti...
Multimodal neural block analgesia versus morphine analgesia after elective knee surgery
Background: Total knee arthroplasty has become a standard for treatment of endstage knee osteoarthritis. Due to intense and complex knee innervation, there is a need to improve the anaesthetic/analgesic approach to such...
New dawn fades: from imaging to quantitative imaging biomarkers and beyond
In the modern ages of rapid technological and computational advances, development of numerous novel diagnostic imaging techniques have enabled not only visual detection of disease processes, but also provided the tools t...