Clinical Outcomes Following Radial Shockwave Therapy in Lateral Epicondylitis Patients: Preliminary Study

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Sutida Sakunkaruna
Chompunoot Suwanasri
Attaporn Mongkonpattarasuk

Abstract

Lateral epicondylitis is very common among people who repeatedly use the wrist or arm. The patients usually experience pain at the outside of their elbows while extending their wrists. The purpose of this study is to study the preliminary results of radial shockwave therapy in patients with elbow ligament inflammation, pain and the ability to perform arm activities. This preliminary included 9 people with elbow pain who were measured before the first treatment, week 4 and week 7. Pain tolerance on the outside of the elbow (the most painful position) while providing pressure of about 1 centimeter2/second with Pressure Algometer (2) measures the strength of the hand compression in the elbow bend position at 90 degrees (3). Nerve Arm Dynamics radial3 (upper limb neurodynamic test [ULNT 2]). Statistically significant differences (p<0.05) were found before and after treatment. The data obtained from this study indicate that the radial shockwave conservation treatment in patients with lateral epicondylitis is likely to reduce pain and promote activity with better use of hands and arms.

Article Details

How to Cite
1.
Sakunkaruna S, Suwanasri C, Mongkonpattarasuk A. Clinical Outcomes Following Radial Shockwave Therapy in Lateral Epicondylitis Patients: Preliminary Study. Health Sci J Thai [Internet]. 2024 Jun. 10 [cited 2024 Jul. 3];6(2):67-73. Available from: https://he02.tci-thaijo.org/index.php/HSJT/article/view/263551
Section
Original articles

References

Lutz FR. Radial tunnel syndrome: an etiology of chronic lateral elbow pain. Orthop Sports Phys Ther. 1991; 14(1):14-17.

Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia.JPhysiother.2015;61(4):174181.doi:10.1016/j.jphys.2015.07.015.

Spacca G, Necozione S, Cacchio A. Radial Shock Wave therapy for lateral epicondylitis; prospective randomized controlled single-blind study. Eur Med Phys. 2005; 41:17-25

Suwanasri C, Khamdej J. The responses of upper limb neurodynamic tension test 2 (radial bias) in Thai healthy people aged 18-30 years J of Med Tech and Phys Ther 2011; 23(3):284-296.

Kinser AM, Sands WA, Stone MH. Reliability and Validity of a Pressure Algometer J Strength Cond Res. 2009; 23(1):312-314.

Pelfort X, Claramunt RT, Soler JFS, Hinarejos P, Blanquet J, Valverde D, Monllaub JC. Pressure algometer is a useful tool to quantify pain in the medial part of the knee: An intra- and inter-reliability study in healthy subjects. Orthop & Trauma: Surg & Res. 2015; 101:559-563.

Mangone G, Veliaj A, Postiglione M, Viliani T, Pasquetti P. Radial extracorporeal shock-wave therapy in rotator cuff calcific tendinosis. Clin Cases Miner Bone Metab. 2010; 7(2):91-96.

Gollwitzer H, Diehl P, von Korff A, Rahlfs VW, Gerdesmeyer L. Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the efficacy of a new electromagnetic shock wave device. J Foot Ankle Surg. 2007 ;46(5):348-357. doi: 10.1053/j.jfas.2007.05.011.

Melikyan EY, Shahin E, Miles J, Bainbridge LC. ESWT treatment for tennis elbow: a randomized double-blind study. J Bone Joint Surg. 2003; 85(6):852-855.

Stasinopoulos D, Johnson MI. Effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis). Br J Sports Med. 2005; 39(3):132-136.

Cacchio A, Paoloni M, Barile A, Don R, de Paulis F, Calvisi V, Ranavolo A, Frascarelli M, Santilli V, Spacca G. Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study. Phys Ther. 2006; 86(5):672-682.

Greve JM, Grecco MV, Santos-Silva PR. Comparison of radial shockwaves and conventional physiotherapy for treating plantar fasciitis. Clinics (Sao Paulo). 2009; 64(2):97-103. doi:10.1590/s1807-59322009000200006

Rompe J, Hopf C, Kullmer K, et al. Analgesic effects of ESWT on chronic tennis elbow. J Bone Joint Surg [Br]. 1996; 78:233–237.

Król P, Franek A, Durmala J, Blaszczak E, Ficek K, Król B, Detko E, Wnuk B, Bialek L, Taradaj J. Focused and Radial Shock Wave therapy in the treatment of tennis elbow: A pilot randomized controlled study. J Hum Kinet. 2015; 47:127-135. DOI: 10.1515/hukin-2015-0068

Schmitz C, DePace R. Pain relief by extracorporeal shockwave therapy: an update on the current understanding. Urol Res. 2009; 37:231-234.

Yilmaz K, Bayramlar KY, Ayhan C, Tufekci O. Investigating the effects of neuromobilization in lateral epicondylitis. J Hand Ther. 2022 ;35(1):97-106.

Engebretsen K, Grotle M, Bautz-Holter E, Sandvik L, Juel NG, Ekeberg OM, Brox JI, Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomized study. BMJ 2009; 15:339:b3360.

Furia JP, Rompe JD, Maffulli N. Low-Energy extracorporeal Shock Wave Therapy as a Treatment for Greater Trochanteric Pain Syndrome Am J Sports Med. 2009; 37(9):1806-1813.