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question concerning Sonorex effectiveness on wrist tissues #2

Posted by Jonathan on 4/15/00 at 00:00 (018756)

Dear David,

Dr. Brian Day writes that Sonorex is effective for, 'tendinopathies around the wrist and the knee.' What studies have proven that Sonorex can prove effective for the wrist area? What is the success rate for treatment of localised tendinitis in the wrist? Also, what are some of the things that have made Sonorex more effective in treating ailments like tendinitis? For example has it proven more effective if the patient can pin point the exact site of trouble, or if they are suffering from localised tendinitis, etc. I'm wondering if the success rate for wrist tendinitis is alo 75 to 90%. Additionally, where does Sonorex come up with the 75 to 90% success rate? Is it also 50 to 90%?

Thanks again,

Jonathan
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Re: question concerning Sonorex effectiveness on wrist tissues #2

David L on 4/17/00 at 00:00 (018825)

We are unaware of any good, blinded, prospective medical articles
regarding ESWT of tendinopathies of the wrist and knee. There are some anecdotal reports and several European sites have had some experience with this. We have also had the opportunity to treat a nunber of patients with wrist tendinopathies, and our results have been good. We would expect that the results woud be similiar to those of other sites if patients meet the proper selection criteria. Patients should have pain localized to an area which can be easily identified by digital pressure over the area. X-ray or other imaging study should rule out abnormal pathology in the area to be treated. Although ESWT is usually successful, it is not a ' miracle cure'
and up to 25% of even properly selected patients may not respond to
treatment. You are correct in that we select patients who have very
localized pain and exclude those who have diffuse pain. This is one of the selection criteria which improves Sonorex therapy success rates.
Sincerely,
David E. Lowy
Vice President, Canada
Sonorex Therapy Centers Toll Free 1 877 766-6287 http://www.sonorex.com



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Re: question concerning Sonorex effectiveness on wrist tissues #2

Jonathan on 4/19/00 at 00:00 (019004)

Dear David,

Have those patients treated by the clinic with wrist tendinitis had the same success rates as those who have tendinitis in other areas or even heel spurs? With the 25% of people who fail to notice results, what are some of the common themes that make them fail to respond? Since I assume that they were all selected properly, why did it not work? Was their pain diffuse, did they have other compounding problems, etc?

Thanks,

Jonathan

posted to the eswt board


Re: question concerning Sonorex effectiveness on wrist tissues #2

David L on 4/20/00 at 00:00 (019043)

At this time, once patients are properly selected ( localized pain,
imaging study with no unusual pathology, absence of bleeding
disorder,absence of systemic illness which could cause pain, no
pregnancy,etc.) there is no accurate way to predict who will respond and who will not respond to ESWT. In all conditions treated, there appears to be group of ' non responders' (10-25%). Just as some patients do not respond to anti-inflammatory drugs, steroid injections, physiotherapy, braces, splints, or even surgery, some do not respond to ESWT. The reason for this is presently unclear, just as it is with these other types of treatment. Fortunately however, in our experience, those with wrist tendinopathies appear respond to Sonorex Sonocur treatment as well as those treated with endinopathies in other locations
posted to the eswt board

Re: question concerning Sonorex effectiveness on wrist tissues #2

David L on 4/17/00 at 00:00 (018825)

We are unaware of any good, blinded, prospective medical articles
regarding ESWT of tendinopathies of the wrist and knee. There are some anecdotal reports and several European sites have had some experience with this. We have also had the opportunity to treat a nunber of patients with wrist tendinopathies, and our results have been good. We would expect that the results woud be similiar to those of other sites if patients meet the proper selection criteria. Patients should have pain localized to an area which can be easily identified by digital pressure over the area. X-ray or other imaging study should rule out abnormal pathology in the area to be treated. Although ESWT is usually successful, it is not a ' miracle cure'
and up to 25% of even properly selected patients may not respond to
treatment. You are correct in that we select patients who have very
localized pain and exclude those who have diffuse pain. This is one of the selection criteria which improves Sonorex therapy success rates.
Sincerely,
David E. Lowy
Vice President, Canada
Sonorex Therapy Centers Toll Free 1 877 766-6287 http://www.sonorex.com



posted to the eswt board


Re: question concerning Sonorex effectiveness on wrist tissues #2

Jonathan on 4/19/00 at 00:00 (019004)

Dear David,

Have those patients treated by the clinic with wrist tendinitis had the same success rates as those who have tendinitis in other areas or even heel spurs? With the 25% of people who fail to notice results, what are some of the common themes that make them fail to respond? Since I assume that they were all selected properly, why did it not work? Was their pain diffuse, did they have other compounding problems, etc?

Thanks,

Jonathan

posted to the eswt board


Re: question concerning Sonorex effectiveness on wrist tissues #2

David L on 4/20/00 at 00:00 (019043)

At this time, once patients are properly selected ( localized pain,
imaging study with no unusual pathology, absence of bleeding
disorder,absence of systemic illness which could cause pain, no
pregnancy,etc.) there is no accurate way to predict who will respond and who will not respond to ESWT. In all conditions treated, there appears to be group of ' non responders' (10-25%). Just as some patients do not respond to anti-inflammatory drugs, steroid injections, physiotherapy, braces, splints, or even surgery, some do not respond to ESWT. The reason for this is presently unclear, just as it is with these other types of treatment. Fortunately however, in our experience, those with wrist tendinopathies appear respond to Sonorex Sonocur treatment as well as those treated with endinopathies in other locations
posted to the eswt board