advantages of low energy ESWT in athletesPosted by Ed Davis, DPM on 2/03/05 at 22:06 (168452)
Patients who are serious runners in my practice tend to wish to avoid treatments that will interfere with their training schedules so the application of low energy ESWT has been ideal as supported by this paper:
Ed Davis, DPM
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Journal of Bone and Joint Surgery - British Volume, Orthopaedic Proceedings
Vol 86-B, Issue SUPP III, 365.
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
European Federation of National Associations of Orthopaedics and Traumatology (EFORT): Oral Presentations: ESWT
Helsinki – 4–10 June, 2003
President – Professor Dr. Nikolaus Böhler
O3304 SHOCK WAVE APPLICATION FOR CHRONIC PLANTAR FASCIITIS IN RUNNING ATHLETES – A PROSPECTIVE, RANDOMIZED, PLACEBO-CONTROLLED TRIAL
J.D. Rompe, J. Decking, J. Schoellner, B. Nafe and J. Heine
Dept. of Orthopedic Surgery, Johannes Gutenberg University School of Medicine, Mainz, Germany
Aims: To assess the efþcacy of repeated low-energy extracorporeal shock wave application (ESWA) for chronic plantar fasciitis in runners. Methods: 45 running athletes with intractable plantar heel pain were enrolled in a randomized single-blind trial with a parallel-group design and blinded independent observer, to evaluate the efþcacy of three applications of 2100 impulses of ESWA (Group I) compared with sham treatment (Group II). Follow-up examinations were done at six months, and at one year after ESWA. The primary efþcacy endpoint was reduction of subjectsÕ self-assessment of pain on þrst walking in the morning on a visual analog scale (range, 0 Ð 10 points) at six months after shock wave application. Results: After six months self-assessment of pain on þrst walking in the morning as primary efþcacy endpoint showed a signiþcant reduction from an average 6.9 to 2.1 points in Group I, and from an average 6.9 to 4.7 points in Group II on the visual analog scale. The mean difference between both groups was 2.6 points (p= 0.0004; 95% CI: 1.3 Ð 3.9; power = 0.9). After twelve months pain on þrst walking in the morning showed a further reduction in both groups, to an average 1.5 points in Group I, and to 4.4 points in Group II (p < 0.0001). Conclusion: The current study showed that three treatments with 2100 impulses of low-energy ESWA were a safe and effective non-surgical method for treating chronic plantar fasciitis compared with sham therapy.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
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Re: oops, mdoerator, placed in wrong section by mistakeEd Davis, DPM on 2/03/05 at 22:47 (168458)
It is over in ESWT - pls. delete from here.
Re: advantages of low energy ESWT in athletesDr. Z on 2/03/05 at 23:09 (168461)
I agree ESWT is an excellent choice in the high performance athlete