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JAMA ESWT tennis elbow article

Posted by scott r on 11/18/03 at 17:16 (137881)

http://jama.ama-assn.org/cgi/content/abstract/290/19/2573?etoc

Re: JAMA ESWT tennis elbow article

Pauline on 11/18/03 at 20:46 (137905)

Interesting that JAMA finds ESWT beneficial to conditions treatable by
Orthopedists, but unfavorable to P.F. which can be treated by Pods.

Am I reading between the lines or could this be part of the reason for slow insurance coverage?

Re: JAMA ESWT tennis elbow article

Dr. Z on 11/19/03 at 18:51 (138008)

The article is about shoulders not elbows . Really great news that there are articles detailing multi-center ESWT procedures. This is the first article that compares low and high energy treatments. It concludes that high energy gave better results with elbows
ESWT for elbows is FDA approved and ONLY done by orthopedic surgeons.
There is very little coverage with ESWT for both elbows and heels.
I have no idea if slow insurance coverage is due to podiatric use.
Excellence Shockwave Therapy Group just trained its 10th orthopedic surgeon this week.
I am meeting with my orthopods this weeks to discuss the use of ESWT and shoulders. I can't wait to introduce them to this technique. I do know that dornier is in the process of getting FDA approval for both elbows and shoulders, so the future looks bright for ESWT for other tendon problems besides feet

Re: JAMA ESWT tennis elbow article

Pauline on 11/20/03 at 14:24 (138108)

Dr.Z,
Who trained you on elbows and shoulders?

Re: JAMA ESWT tennis elbow article

Dr. Z on 11/20/03 at 19:16 (138162)

The doctor who orginally trained Dr. Z with the big O

Re: JAMA ESWT tennis elbow article

Pauline on 11/21/03 at 10:23 (138227)

How did you train by just watching or did you actually deliver ESWT to patient's shoulders and elbows using the big O in your office?

Re: JAMA ESWT tennis elbow article

Dr. Z on 11/23/03 at 12:37 (138466)

I had doctors doing the procedure who are specialists in the shoulder/Elbow. I had the experience with to use/operate the machine. I guess you could call me the tech when these procedure were done.

Re: JAMA ESWT tennis elbow article

Pauline on 11/23/03 at 20:07 (138505)

If I recall there were only 6 machines marketed in the U.S. before the FDA pulled the marketing plug on that machine. Guess if they wanted to use one they had to search it out since all advertising was also forbidden at the time. I wonder how many would have actually used it on their patients.

Maybe the early guys would have been denounced by their colleagues had they use it. They sure didn't run too tell many of their friends about the treatment.

Even today, in over all numbers, many of them still don't seem to be on board even though they now have access to FDA approved machines.

Re: JAMA ESWT tennis elbow article

Dr. Z on 11/23/03 at 21:05 (138514)

I am confused. What is the purpose, goal of this post. Are you saying that ESWT isn't catching on.

Re: JAMA ESWT tennis elbow article

Pauline on 11/23/03 at 22:22 (138520)

Since there was only 6 big O machines sold in the entire U.S. and no advertising it must have been hard for orthos to find you if they wanted training.

Were there any journal articles published in the U.S. on treating shoulders and elbows with ESWT at that time? It didn't seem like a popular treatment here.

Re: JAMA ESWT tennis elbow article

Julie on 11/24/03 at 08:02 (138533)

Pauline

I believe that ESWT has been used to treat tennis elbow for some time in Europe. (America's always behind with these things :)

Not sure about shoulders, but if it's available, I want to try it on my rotator cuff tendinitis! Thanks for the thought.

Re: JAMA ESWT tennis elbow article

Pauline on 11/24/03 at 13:34 (138549)

Julie your correct. The U.S. didn't even get it's first machine FDA approved until 2000 I think, so doctors were hard pressed to treat anything with ESWT.

If I were you I'd try it too. I hope you have success with it. Funny how tendinitis and bursitis takes it's toll on our joints. Luckily we now have something new in the way of treatments to try.