47:
1267:
90:
125:
305:
Research suggests that ESWT can accelerate the blood flow, facilitating the healing of the inflamed
Achilles tendon. In one study involving 23 patients with chronic Achilles tendinopathy, 20 reported improvement in their condition and pain scores after ESWT; three saw no change, and none reported any
163:
In the UK, the
National Institute for Health and Care Excellence (NICE) found that the evidence for ESWT in the majority of indications is conflicting, and therefore ESWT should only be used where there are special arrangements for clinical governance and audit. Two 2017 reviews had similar findings,
246:
began a study of the effects of shock waves on tissue. In 1972, on the basis of preliminary studies performed by
Dornier Medical Systems, an agreement was reached with Egbert Schmiedt, director of the urologic clinic at the University of Munich. The development of the Dornier lithotripter progressed
209:
in treated tissue. This mechanism is distinct from the high-intensity shock waves used in lithotripsy and medium-intensity shock waves used for anti-inflammatory purposes in orthopedics. Clinical studies, including double-blind randomized trials, have demonstrated LI-ESWT's ability to significantly
247:
through several prototypes, ultimately culminating in
February 1980 with the first treatment of a human by shockwave lithotripsy (SWL). The production and distribution of the Dornier HM3 lithotripter began in late 1983, and SWL was approved by the U.S. Food and Drug Administration in 1984.
867:
Yin MC, Ye J, Yao M, Cui XJ, Xia Y, Shen QX, et al. (August 2014). "Is extracorporeal shock wave therapy clinical efficacy for relief of chronic, recalcitrant plantar fasciitis? A systematic review and meta-analysis of randomized placebo or active-treatment controlled trials".
185:
ESWT is used for wound healing and has shown positive results in short-term and long-term outcomes in diabetic patients with foot ulcers. Randomised controlled trials into the use of ESWT for healing venous leg ulcers are needed as there is a lack of evidence in this area.
752:
Louwerens JK, Sierevelt IN, van Noort A, van den
Bekerom MP (August 2014). "Evidence for minimally invasive therapies in the management of chronic calcific tendinopathy of the rotator cuff: a systematic review and meta-analysis".
1329:
Gündüz R, Malas FÜ, Borman P, Kocaoğlu S, Özçakar L (May 2012). "Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical and ultrasonographical comparison".
269:
in three small studies; there were short-term improvements in symptoms and few adverse effects, but the medium-term results are unknown, and the results are difficult to generalize due to the low quality of the studies.
628:"Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs"
302:, and recovering normal muscle tone following various disorders. The use of ESWT was demonstrated in patients with frozen shoulders compared to therapeutic ultrasound with exercises.
250:
In the 1980s people using ESWT for kidney stones noticed that it appeared to increase bone density in nearby bones, leading them to explore it for orthopedic purposes.
266:
1206:"Gastroenterology and Urology Devices; Reclassification of the Extracorporeal Shock Wave Lithotripter AGENCY: Food and Drug Administration, HHS ACTION: Proposed rule"
587:"The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction"
1422:
Fridman R, Cain JD, Weil L, Weil L (November–December 2008). "Extracorporeal shockwave therapy for the treatment of
Achilles tendinopathies: a prospective study".
806:
Wiegerinck JI, Kerkhoffs GM, van
Sterkenburg MN, Sierevelt IN, van Dijk CN (June 2013). "Treatment for insertional Achilles tendinopathy: a systematic review".
234:
for the procedure in order to help them remain still and reduce possible discomfort. Sedation is not required in its application for soft tissue injuries.
431:"Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones"
1079:
Bocchino, Alessia
Celeste; Pezzoli, Marta; Martínez-Salamanca, Juan Ignacio; Russo, Giorgio Ivan; Lo Giudice, Arturo; Cocci, Andrea (March 2023).
478:
182:
ESWT is also used to promote bone healing and treat bone necrosis. It is an effective alternative to surgical treatment of non-healing fractures.
546:"Assessment of the Effectiveness of Extracorporeal Shock Wave Therapy (ESWT) For Soft Tissue Injuries (ASSERT): An Online Database Protocol"
222:
The lithotripter attempts to break up the stone with minimal collateral damage by using an externally applied, focused, high-intensity
511:
46:
1375:"The effectiveness of extracorporeal shockwave therapy for frozen shoulder in patients with diabetes: randomized control trial"
57:
1230:
Chamberlain GA, Colborne GR (2016). "A review of the cellular and molecular effects of extracorporeal shockwave therapy".
279:
1463:
262:, in 2012 a study called the Assessment of the Effectiveness of ESWT for Soft Tissue Injuries was launched (ASSERT).
31:
1266:
472:
243:
190:
141:
17:
298:
ESWT is used in physical therapy for pain reduction, increase in metabolism at the cellular level,
172:
89:
1355:
1282:"Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome"
1255:
831:
411:
287:
206:
1081:"Low-intensity extracorporeal shock wave therapy for erectile dysfunction: Myths and realities"
1439:
1404:
1347:
1311:
1247:
1175:
1157:
1118:
1100:
1061:
1012:
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823:
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567:
523:
492:
460:
403:
368:
315:
176:
67:
735:"Extracorporeal shockwave lithotripsy for calcific tendonitis (tendinopathy) of the shoulder"
695:"Lateral epicondylitis: This is still a main indication for extracorporeal shockwave therapy"
1431:
1394:
1386:
1339:
1301:
1293:
1239:
1165:
1149:
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450:
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358:
348:
109:
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Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, Hilfiker R (September 2017).
299:
194:
145:
129:
1137:
1080:
512:"Pancreatic stone and treatment using ERCP and ESWL procedures: a case study and review"
455:
430:
1399:
1374:
1306:
1281:
1170:
1113:
1056:
1032:"Extracorporeal shock wave therapy for the healing and management of venous leg ulcers"
1031:
652:
627:
562:
545:
363:
336:
157:
124:
30:"shock wave therapy" redirects here. For the use of electrical shocks in therapy, see
1457:
1205:
399:
283:
1359:
1259:
904:"Extracorporeal shockwave therapy for refractory greater trochanteric pain syndrome"
415:
1297:
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211:
202:
168:
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643:
603:
586:
429:
Setthawong V, Srisubat A, Potisat S, Lojanapiwat B, Pattanittum P (August 2023).
189:
Low-intensity extracorporeal shock wave therapy has been used as a treatment for
198:
149:
137:
113:
105:
1280:
Franco JV, Turk T, Jung JH, Xiao YT, Iakhno S, Garrote V, Vietto V (May 2018).
1007:
990:
939:
922:
881:
711:
694:
1343:
910:. National Institute for Health and Clinical Excellence. January 2011. IPG376.
819:
766:
741:. National Institute for Health and Clinical Excellence. November 2003. IPG21.
231:
1161:
1153:
1104:
856:. National Institute for Health and Clinical Excellence. August 2009. IPG311.
795:. National Institute for Health and Clinical Excellence. August 2009. IPG312.
682:. National Institute for Health and Clinical Excellence. August 2009. IPG313.
1243:
386:
Chung, Bryan; Wiley, J. Preston (2002). "Extracorporeal
Shockwave Therapy".
223:
197:
options by aiming to restore natural erectile function by inducing cellular
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Extracorporeal shockwave therapy is used as a second line measure to treat
1136:
Gruenwald, Ilan; Appel, Boaz; Kitrey, Noam D.; Vardi, Yoram (April 2013).
903:
849:
788:
675:
1096:
734:
227:
1390:
104:) is a treatment using powerful acoustic pulses which is mostly used to
79:
789:"Extracorporeal shockwave therapy for refractory Achilles tendinopathy"
136:
The most common use of extracorporeal shockwave therapy (ESWT) is for
265:
As of 2018 use of ESWT had been studied as a potential treatment for
1435:
989:
Wang CJ, Cheng JH, Kuo YR, Schaden W, Mittermayr R (December 2015).
850:"Extracorporeal shockwave therapy for refractory plantar fasciitis"
585:
Korakakis V, Whiteley R, Tzavara A, Malliaropoulos N (March 2018).
964:
Zhongguo Gu Shang = China
Journal of Orthopaedics and Traumatology
153:
123:
88:
259:
242:
Beginning in 1969 and funded by the German Ministry of Defense,
337:"Extracorporeal shockwave therapy in musculoskeletal disorders"
676:"Extracorporeal shockwave therapy for refractory tennis elbow"
156:) using an acoustic pulse. It is also reported to be used for
962:
Kong FR, Liang YJ, Qin SG, Li JJ, Li XL (January 2010). "".
991:"Extracorporeal shockwave therapy in diabetic foot ulcers"
1232:
Veterinary and Comparative Orthopaedics and Traumatology
1373:
Muthukrishnan R, Rashid AA, Al-Alkharji F (July 2019).
290:, and arthritis. The evidence for these uses is weak.
1424:
Journal of the American Podiatric Medical Association
1225:
1223:
1195:
National Kidney Foundation, Accessed February 6, 2017
544:
Maffulli G, Hemmings S, Maffulli N (September 2014).
1208:. Federal Register (US Government). February 8, 1999
693:Thiele S, Thiele R, Gerdesmeyer L (December 2015).
66:
56:
39:
870:Archives of Physical Medicine and Rehabilitation
267:chronic prostatitis/chronic pelvic pain syndrome
808:Knee Surgery, Sports Traumatology, Arthroscopy
27:Ultrasonic, non-invasive, outpatient treatment
1138:"Shockwave treatment of erectile dysfunction"
8:
1286:The Cochrane Database of Systematic Reviews
1036:The Cochrane Database of Systematic Reviews
923:"Biological mechanism of shockwave in bone"
435:The Cochrane Database of Systematic Reviews
341:Journal of Orthopaedic Surgery and Research
282:, including tendon and ligament injuries,
179:, and greater trochanteric pain syndrome.
45:
1398:
1305:
1169:
1112:
1055:
1006:
938:
710:
651:
602:
561:
454:
362:
352:
132:stone that was smashed using lithotripsy
539:
537:
327:
128:Some of the passed fragments of a 1-cm
470:
280:treating orthopedic problems in horses
164:with moderate level evidence at best.
36:
755:Journal of Shoulder and Elbow Surgery
210:improve erectile function and penile
7:
510:Hayes JM, Ding SL (September 2012).
499:. U.S. National Library of Medicine.
18:Extracorporeal shockwave lithotripsy
1379:Journal of Physical Therapy Science
921:Cheng JH, Wang CJ (December 2015).
477:: CS1 maint: PMC embargo expired (
75:
1085:Investigative and Clinical Urology
908:Interventional procedures guidance
854:Interventional procedures guidance
793:Interventional procedures guidance
739:Interventional procedures guidance
680:Interventional procedures guidance
632:British Journal of Sports Medicine
591:British Journal of Sports Medicine
258:In response to concerns raised by
51:ESWT device (EMS Swiss DolorClast)
25:
1265:
1030:Cooper B, Bachoo P (June 2018).
995:International Journal of Surgery
927:International Journal of Surgery
699:International Journal of Surgery
497:MedlinePlus Medical Encyclopedia
400:10.2165/00007256-200232130-00004
98:Extracorporeal shockwave therapy
40:Extracorporeal shockwave therapy
1142:Therapeutic Advances in Urology
516:The New Zealand Medical Journal
1298:10.1002/14651858.CD012551.pub3
1048:10.1002/14651858.CD011842.pub2
550:Translational Medicine @ UniSa
447:10.1002/14651858.CD007044.pub4
226:pulse. The patient is usually
171:, shoulder rotator cuff pain,
1:
214:in men with vasculogenic ED.
644:10.1136/bjsports-2016-096515
604:10.1136/bjsports-2016-097347
201:, triggering the release of
1480:
1008:10.1016/j.ijsu.2015.06.024
940:10.1016/j.ijsu.2015.06.059
882:10.1016/j.apmr.2014.01.033
712:10.1016/j.ijsu.2015.09.034
278:ESWT is commonly used for
29:
1344:10.1007/s10067-012-1939-y
820:10.1007/s00167-012-2219-8
767:10.1016/j.jse.2014.02.002
144:(urinary calculosis) and
76:
44:
32:Electroconvulsive therapy
1154:10.1177/1756287212470696
335:Wang, Ching-Jen (2012).
1244:10.3415/VCOT-15-04-0057
160:and pancreatic stones.
493:"Salivary duct stones"
354:10.1186/1749-799X-7-11
205:factors and promoting
133:
94:
1332:Clinical Rheumatology
127:
92:
1097:10.4111/icu.20220327
191:erectile dysfunction
1391:10.1589/jpts.31.493
173:Achilles tendinitis
106:treat kidney stones
1464:Medical treatments
288:navicular syndrome
207:neovascularization
193:. It differs from
134:
95:
1001:(Pt B): 207–209.
933:(Pt B): 143–146.
705:(Pt B): 165–170.
638:(18): 1340–1347.
316:Laser lithotripsy
300:revascularisation
294:Physiotherapy use
177:plantar fasciitis
87:
86:
16:(Redirected from
1471:
1448:
1447:
1419:
1413:
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911:
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876:(8): 1585–1593.
864:
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814:(6): 1345–1355.
803:
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761:(8): 1240–1249.
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110:physical therapy
80:edit on Wikidata
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1292:(5): CD012551.
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1211:
1209:
1204:
1203:
1199:
1191:
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1135:
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1078:
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1073:
1042:(6): CD011842.
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522:(1361): 89–97.
509:
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491:
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469:
441:(8): CD007044.
428:
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423:
394:(13): 851–865.
388:Sports Medicine
385:
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296:
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158:salivary stones
148:(stones in the
146:biliary calculi
130:calcium oxalate
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23:
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15:
12:
11:
5:
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1430:(6): 466–468.
1414:
1385:(7): 493–497.
1365:
1338:(5): 807–812.
1321:
1272:
1219:
1197:
1185:
1128:
1091:(2): 118–125.
1071:
1022:
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966:(in Chinese).
954:
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597:(6): 387–407.
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1238:(2): 99–107.
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1198:
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1193:"Lithotrypsy"
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284:kissing spine
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1210:. Retrieved
1200:
1188:
1148:(2): 95–99.
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1141:
1131:
1088:
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1039:
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1025:
998:
994:
984:
970:(1): 12–15.
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232:anesthetized
221:
212:hemodynamics
188:
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169:tennis elbow
166:
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135:
120:Medical uses
101:
97:
96:
1212:February 6,
306:worsening.
199:microtrauma
150:gallbladder
138:lithotripsy
114:orthopedics
93:ESWT device
322:References
203:angiogenic
195:palliative
152:or in the
58:ICD-10-PCS
1162:1756-2872
1105:2466-0493
556:: 46–51.
347:(1): 11.
218:Procedure
140:to treat
1458:Category
1444:19017855
1409:31417208
1360:13109216
1352:22278162
1316:29757454
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