Shock wave therapy for recalcitrant plantar fasciitis with heel spur: a prospective randomized placebo-controlled double-blind study Z Orthop Ihre Grenzgeb Sep-Oct; ( ): - [Article in German] Abt T, Hopfenmuller W, Mellerowicz H. Fachbereich Humanmedizin, Freie Universitat Berlin. ---------------------------------------------------------------------------------------------------Results: In the ESWT group, were pain free or had good results. In the placebo group, of the placebo group were pain-free and had good results. Conclusion: "The results of this study corroborate the value of ESWT for recalcitrant plantar fasciitis. As a non invasive technique with low side effects, it can complement the row of conservative treatments."

shock wave

placebo ESWT

ESWT

ESWT placebo ESWT

ESWT ESWT

_____________________________________________ _____ Extracorporeal shock wave therapy for the treatment of chronic plantar fasciitis: indications, protocol, intermediate results, and a comparison of results to fasciotomy. J Foot Ankle Surg May-Jun; ( ): Weil LS Jr, Roukis TS, Weil LS, Borrelli AH. Weil Foot & Ankle Institute, Des Plaines, IL , USA ---------------------------------------------------------------------------------------------------feet treated with ESWT were reviewed after Results:

to

months.

of the patients were treated with ESWT were successful compared of those treated with surgery (percutaneous plantar fasciotomy).

Conclusion: "Extracorporeal shock wave therapy is an effective treatment, which significantly reduces the symptoms associated with chronic plantar fasciitis and compares favorably to the results achieved with surgical intervention in the form of a percutaneous plantar fasciotomy."

ESWT

Extracorporeal shock wave therapy

_____________________________________________ ____

Shockwave therapy for patients with plantar fasciitis: a one-year follow-up study. Foot Ankle Int Mar; ( ): Wang CJ, Chen HS, Huang TW. Department of Orthopedic Surgery, Chang Gung Memorial Hospital at Kaohsiung, Taiwan. ---------------------------------------------------------------------------------------------------of patients with plantar fasciitis were studied for the effects of ESWT.

complaint-free, significantly better, slightly better and none unchanged or worse. The effect of shockwave therapy seemed cumulative and was time-dependent. The recurrence rate was . There were no Results: "The overall results were

device-related problems, systemic or local complications." Conclusion: "Shockwave therapy is a safe and effective modality in the treatment of patients with plantar fasciitis."

ESWT

shockwave therapy

shockwave therapy

_____________________________________________ ___ Preliminary results on the safety and efficacy of the OssaTron for treatment of plantar fasciitis. Foot Ankle Int

Mar; ( ): Alvarez R. Southern Orthopaedic Foot and Ankle Center, Chattanooga, TN , USA. ---------------------------------------------------------------------------------------------------patients were treated with ESWT. Results: Of the treated, ( ) were improved or pain-free. undergo the procedure again instead of surgery.

stated that they would

Conclusion: (ESWT) "is a safe and effective method of treating heel pain syndrome that has been unresponsive to nonoperative management."

ESWT

ESWT

_____________________________________________ _____ High energy shock wave treatment of the painful heel spur (Hochenergetische Stosswellenbehandlung des schmerzhaften Fersensporns.) Unfallchirurg Dec; ( ): AUTHORS: Perlick L; Boxberg W; Giebel G AUTHOR AFFILIATION: Abteilung fur Unfall- und Wiederherstellungschirurgie, Kreiskrankenhaus, Ludenscheid. ---------------------------------------------------------------------------------------------------patients with heel pain non-responsive to other treatments underwent ESWT.

Results after

year:

of

(

improved or resolved was

) were pain-free; ( ) were improved. (The total .) did not improve with ESWT.

ESWT

ESWT

_____________________________________________ ______

Shockwave treatment of therapy refractory soft tissue pain AUTHORS: Boxberg W; Perlick L; Giebel G AUTHOR AFFILIATION: Abteilung fur Unfall- und Wiederherstellungschirurgie, Kreiskrankenhaus Ludenscheid. SOURCE: Chirurg Nov; ( ): ---------------------------------------------------------------------------------------------------Conclusion: "The results show the benefit of (shockwave therapy) in the treatment of chronic softtissue disorders without severe side effects. Forty-seven of ( ) of the patients obtained complete relief; patients ( ) showed a marked reduction in their complaints. (So had complete or "marked" improvement.) In only of ( ) cases was the treatment unsuccessful." shockwave therapy

_____________________________________________ _____ Evaluation of low-energy extracorporeal shock-wave application for treatment of chronic plantar fasciitis. J Bone Joint Surg Am Mar; -A( ): Rompe JD, Schoellner C, Nafe B.

-

Department of Orthopaedics, Johannes Gutenberg University School of Medicine, Mainz, Germany. ---------------------------------------------------------------------------------------------------The authors conducted a randomized and controlled study to assess the effectiveness of ESWT on patients with chronic heel pain. Results: At months, the rate of good and excellent outcomes with ESWT was significantly ( ) better in the treated group. By years, just of the group treated with ESWT had

felt a need to proceed with surgery, whereas of those not treated with ESWT felt enough pain to proceed with surgical intervention.

ESWT ESWT ESWT ESWT

_____________________________________________ _____

Buch M, Knorr U, Fleming L, Theodore G, Amendola A, Bachmann C, Zingas C, Siebert WE. Orthopade Jul; ( ): Orthopadische Klinik, Kassel. ---------------------------------------------------------------------------------------------------A randomized, placebo-controlled, double-blind multicenter trial was conducted on patients with plantar fasciitis. Conclusion: "A single shockwave application can improve the condition significantly compared to the placebo treatment. The treated group has a good or excellent result rate. "

double-blind multicenter placebo-controlled

placebo

shockwave

_____________________________________________ _____

Shockwave therapy for chronic proximal plantar fasciitis: a metaanalysis. Foot Ankle Int Apr; ( ): Ogden JA, Alvarez RG, Marlow M. Skeletal Educational Association Atlanta, GA , USA. ---------------------------------------------------------------------------------------------------patients in eight scientific studies were examined to assess the effectiveness of ESWT. Conclusion: ESWT directed at painful fasciitis is "safe and effective nonsurgical method for treating chronic, recalcitrant heel pain syndrome that has been refractory to other commonly used nonoperative therapies. The results suggest that this therapeutic procedure should be considered before any surgical intervention, and may be preferable prior to cortisone injection, which has a recognized risk of rupture of the plantar fascia and a frequent recurrence of symptoms."

ESWT ESWT

_____________________________________________ _____ -years lithotripsy of plantar of plantar heel spur: experiences and results--a follow-up study after months TITLE:

Jahre Lithotripsie des plantaren Fersenspornes: Erfahrungen und Ergebnisse--eine Nachuntersuchung nach Monaten. Z Orthop Ihre Grenzgeb Sep-Oct; ( ): AUTHORS: Sistermann R; Katthagen BD AUTHOR AFFILIATION: Orthopadische Klinik, Stadtische Kliniken Dortmund, Klinikzentrum Mitte. ---------------------------------------------------------------------------------------------------patients were treated with two different ESWT machines for plantar fasciitis. Results: After

and

weeks, the two different machines resolved patient pain completely in

. After

months,

and

were still pain free.

Conclusion: Shockwave therapy is "an effective and non-invasive method of treatment."

ESWT

Shockwave therapy

_____________________________________________ _______ Analgesic effect of low energy extracorporeal shock waves in tendinosis calcarea, epicondylitis humeri radialis and plantar fasciitis Maier M, Durr HR, Kohler S, Staupendahl D, Pfahler M, Refior HJ, Meier M. Orthopadische Klinik am Klinikum Grosshadern Ludwig-Maximilians Universitat, Munchen. ---------------------------------------------------------------------------------------------------patients were observed with Achilles Tendinitis, epicondylitis of the elbow, and plantar fasciitis. Low-energy ESWT was provided. months, all three (groups had) a "significant improvement," with the plantar fasciitis patients demonstrating the greatest improvement, followed by Conclusion: After

those with Achilles Tendinitis.

ESWT

_____________________________________________ _______ Shock wave therapy for chronic proximal plantar fasciitis. Clin Orthop Jun;( ): Ogden JA, Alvarez R, Levitt R, Cross GL, Marlow M. Atlanta Medical Center, GA, USA. ---------------------------------------------------------------------------------------------------A randomized study to assess the effects of electrohydraulic ESWT was conducted on with chronic heel pain caused by proximal plantar fasciitis present for - months.

patients

Results: After result.

months, the treated group had

more of the treated patients had a successful

Conclusion: The directed application of electrohydraulic-generated shock waves is a safe and

effective nonsurgical method for treating chronic, recalcitrant heel pain syndrome that has been present for at least months and has been refractory to other commonly used nonoperative therapies. The results suggest that this therapeutic modality should be considered before any surgical options, and even may be preferable to cortisone injection, which has a recognized risk of rupture of the plantar fascia and recurrence of symptoms.

ESWT

shock waves

_____________________________________________ ________ Using extracorporeal shockwave therapy in orthopedics--a meta-analysis TITLE: Der Einsatz der extrakorporalen Stosswellentherapie in der Orthopadie-- eine Metaanalyse. Z Orthop Ihre Grenzgeb Sep-Oct; ( ): AUTHORS: Heller KD; Niethard FU AUTHOR AFFILIATION: Orthopadische Universitatsklinik, Rheinisch-Westfalischen Technischen Hochschule Aachen. ---------------------------------------------------------------------------------------------------Authors looked at cases from publications and abstracts that underwent ESWT were evaluated. The authors took the best studies ( papers with cases) and examined the results. Conclusion: "Because of the high complication rate in operative treatment of

heel spur, ESWT seems to be justifiable."

ESWT

ESWT

_____________________________________________ _______ Low-energy extracorporeal shock wave therapy for painful heel: a prospective controlled single-blind study. Arch Orthop Trauma Surg ; ( ): AUTHORS: Rompe JD; Hopf C; Nafe B; Burger R AUTHOR AFFILIATION: Department of Orthopaedics, University Hospital, Mainz, Germany. ---------------------------------------------------------------------------------------------------This study looked at patients with heel pain present for low-energy ESWT. Others received simulated ESWT.

months or more. Some received true,

Conclusion: "There was significant alleviation of pain and improvement of function at all follow-up (visits) in the treatment group."

simulated ESWT

ESWT

_____________________________________________ ______ Symptomatic low-energy shockwave therapy in heel pain and radiologically detected plantar heel spur TITLE: Symptomatische niedrig-energetische Stosswellentherapie bei Fersenschmerzen und radiologisch nachweisbarem plantaren Fersensporn. Z Orthop Ihre Grenzgeb Mar-Apr; ( ): AUTHORS: Krischek O; Rompe JD; Herbsthofer B; Nafe B AUTHOR AFFILIATION: Orthopadische Universitatsklinik Mainz. ---------------------------------------------------------------------------------------------------patients with long-term heel pain and a heel spur on X-ray were treated with two different levels of ESWT energy.

Conclusion: Results showed that "there was clear improvement and relief of pain in both groups on manual pressure and while walking and an increase of the pain-free walking ability from minutes before the treatment to and hours respectively after months....The extracorporal shock-wave therapy is an effective treatment in refractory heel pain."

X ESWT

extracorporal shock-wave therapy

_____________________________________________ _______ Complications, side-effects and contraindications in the use of medium and high-energy extracorporeal shock waves in orthopedics TITLE: Komplikationen, Nebenwirkungen und Kontraindikationen der Anwendung mittel-und hochenergetischer extrakorporaler Stosswellen im orthopadischen Bereich. Z Orthop Ihre Grenzgeb Mar-Apr; ( ): AUTHORS: Sistermann R; Katthagen BD AUTHOR AFFILIATION: Orthopadische Klinik, Stadtische Kliniken Dortmund, Klinikzentrum Mitte, Dortmund. ---------------------------------------------------------------------------------------------------The authors looked at

shockwave procedures in

patients for evidence of complications.

Conclusion: In general lithotripsy (shockwave therapy) has only minor complications when it is used accurately.

shockwave

(shockwave therapy

lithotripsy

_____________________________________________ _______

Extracorporeal shock-wave therapy. Experimental basis, clinical application TITLE: Extrakorporale Stosswellentherapie. Experimentelle Grundlagen, klinischer Einsatz. Orthopade Mar; ( ): AUTHORS: Rompe JD; Kullmer K; Vogel J; Eckardt A; Wahlmann U Eysel P; Hopf C; Kirkpatrick CJ; Burger R; Nafe B AUTHOR AFFILIATION: Orthopadische Universitatsklinik Mainz. ---------------------------------------------------------------------------------------------------Conclusion: "In the treatment of persistent tennis elbow, plantar fasciitis, calcifying tendinitis, and pseudarthrosis, our data show that extracorporeal shock waves may provide analgesic and osteoinductive reactions with nearly no side effects."

tennis elbow extracorporeal shock waves

pseudarthrosis

osteo-inductive analgesic