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2012; 38( 5 ):727 -35. [Links] 16. Kim JY, Lee JS, Park CW. Extracorporeal shock wave treatment is not useful after arthroscopic rotator cuff fixing. Arc Phys Medication Rehabil. 2012; 93( 7 ):1259 -68. [Links] 17. Krasny C, Enenkel M, Aigner N, Wlk M, Landsiedl F (מרפאת אלטרנטיבה). Ultrasound-guided needling incorporated with shock-wave treatment for the treatment of calcifying tendonitis of the shoulder.

2005; 87( 4 ):501 -7. [Hyperlinks] 18. Galasso O, Amelio E, Riccelli DA, Gasparini G. Short-term results of extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus: a double-blind, randomized, placebo-controlled trial. BMC Musculoskelet Disord. 2012; 13( 6 ):86. [Hyperlinks] 19. Engebretsen K, Grotle M, Bautz-Holter E, Ekeberg OM, Juel NG, Brox JI.

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Phys Ther. 2011; 91( 1 ):37 -47. [Hyperlinks] 20. Schofer MD, Hinrichs F, Peterlein CD, Arendt M, Schmitt J. High versus low-energy extracorporeal shock wave therapy of potter's wheel cuff tendinopathy: a prospective, randomised, controlled study. Acta Orthop Belg. 2009; 75( 4 ):452 -8. [Links] 21. Hsu CJ, Wang DY, Tseng KF, Fong YC, Hsu HC, Jim YF.

Shoulder Elbow Joint Surg. 2008; 17( 1 ):55 -9. [Hyperlinks] 22. Albert JD, Meadeb J, Guggenbuhl P, Marin F, Benkalfate T, Thomazeau H, et al. High-energy extracorporeal shock-wave therapy for calcifying tendinitis of the rotator cuff: a randomised trial. J Bone Joint Surg Br. 2007; 89( 3 ):335 -41. [Hyperlinks] 23. Cacchio A, Paoloni M, Barile A, Don R, de Paulis F, Calvisi V, et al.

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Phys Ther. 2006; 86(5):672 -82. [ Hyperlinks] 24. Sabeti-Aschraf M, Dorotka R, Goll A, Trieb K. Extracorporeal shock wave therapy in the treatment of calcific tendinitis of the potter's wheel cuff. Am J Sports Medication. 2005; 33( 9 ):1365 -8. [Hyperlinks] 25. Pleiner J, Crevenna R, Langenberger H, Keilani M, Nuhr M, Kainberger F, et al.

A randomized controlled test. Wien Klin Wochenschr. 2004; 116(15-16):536 -41. [Links] 26. Cosentino R, De Stefano R, Selvi E, Frati E, Manca S, Frediani B, et al. Extracorporeal shock wave treatment for chronic calcific tendinitis of the shoulder: solitary blind research study. Ann Rheum Dis. 2003; 62( 3 ):248 -50. [Links] 27. Loew M, Daecke W, Kusnierczak D, Rahmanzadeh M, Ewerbeck V.

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J Bone Joint Surg Br. 1999; 81( 5 ):863 -7. [Hyperlinks] 28. Chang KV, Chen SY, Chen WS, Tu YK, Chien KL. Comparative effectiveness of concentrated shock wave treatment of various intensity degrees and also radial shock wave treatment for dealing with plantar fasciitis: a methodical evaluation as well as network meta-analysis. Arc Phys Med Rehabil.

[Hyperlinks] 29. Rompe JD, Furia J, Weil L, Maffulli N. Shock wave therapy for chronic plantar fasciopathy. Br Medication Bull. 2007; 81-82: 183-208. [Links] 30. Crawford F, Thomson C. Interventions for dealing with plantar heel pain. Cochrane Database Syst Rev. 2003;-LRB- 3 ): CD000416. [Links] 31. Kearney R, Costa ML.

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Foot Ankle Joint Int. 2010; 31( 8 ):689 -94. [Hyperlinks] 32. Ogden JA, Alvarez RG, Marlow M. Shockwave therapy for chronic proximal plantar fasciitis: a meta-analysis. Foot Ankle Int. 2002; 23( 4 ):301 -8. [Hyperlinks] 33. Laufer Y, Dar G. Effectiveness of thermal as well as athermal short-wave diathermy for the management of knee osteoarthritis: a systematic evaluation as well as meta-analysis.

2012; 20( 9 ):957 -66. [Hyperlinks] 34. Alves EM, Angrisani AT, Santiago MB. The use of extracorporeal shock waves in the therapy of osteonecrosis of the femoral head: a methodical review. Clin Rheumatol. 2009; 28( 11 ):1247 -51. [Links] 35. Del Buono A, Papalia R, Khanduja V, Denaro V, Maffulli N. Administration of the higher trochanteric discomfort syndrome: a systematic evaluation.

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2012; 102:115 -23. [Hyperlinks] 36. Schaden W, Fischer A, Sailer A. Extracorporeal shock wave treatment of nonunion or postponed osseous union. Clin Orthop Relat Res. 2001;-LRB- 387 ):90 -4. [Links] 37. Furia JP, Juliano PJ, Wade AM, Schaden W, Mittermayr R. Shock wave therapy contrasted with extramedullary screw addiction for nonunion or proximal fifth metatarsal metaphyseal-diaphyseal cracks. Shockwave therapy is a relatively new therapy option in orthopedic and rehabilitation medication. The result of shockwaves was first recorded throughout The second world war when the lungs of castaways were noted to be damaged with no superficial evidence of trauma. It was discovered the shockwaves produced by depth fees were accountable for the interior injuries.

The very first clinical treatment created from this study was lithotripsy. This permitted concentrated shockwaves to basically dissolve kidney stones without surgical treatment. Today, over 98% of all kidney rocks are treated with this technology. The use of shockwaves to deal with tendon associated pain started in the early 1990s. A medical shockwave is nothing more than a controlled explosion that creates a sonic pulse, just like a plane breaking the audio obstacle.

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The precise system through which shockwave therapy acts to treat ligament pathology is not known. The leading explanation is based on the inflammatory recovery reaction. It is really felt the shockwaves trigger microtrauma to the unhealthy ligament tissue. This results in inflammation, which enables the body to send out recovery cells as well as boost the blood flow to the injured site.

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Multiple researches have actually been conducted to analyze the efficiency of shockwave treatment. Numerous have shown a favorable reaction versus placebo treatment and others have actually revealed no benefit over placebo. No researches have actually reported any kind of considerable negative effects when made use of for orthopedic conditions. Contraindications to shockwave treatment consist of hemorrhaging disorders and maternity.

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High-energy treatments are provided in the operating room with regional or general anesthetic. Low-energy treatments are carried out in the facility and also do not call for anesthesia or shots. SCOI presently makes use of a low-energy device. A professional puts the probe on the area of greatest inflammation as well as the shockwaves are provided over 10 20 minutes.

Patients are usually treated with 3 5 sessions separated by a week. In between therapies, clients are able to perform all typical day-to-day tasks. Some clients report prompt pain alleviation however the healing response typically requires 6 8 weeks. Very early results are encouraging and also study proceeds at several websites around the country.

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