[Extracorporeal shock wave therapy in musculoskeletal disorders]
Virgilio S, Alcaraz A, Klappenbach R, Pichon-Riviere A, Augustovski F, García Martí S, Bardach A, Ciapponi A.
Record ID 32018001450
Original Title: Ondas de choque extracorpóreas para afecciones musculoesqueléticas
Authors' recommendations: CONCLUSIONS Moderate-quality evidence suggests that extracorporeal shock wave therapy when compared with other standard non-surgical treatments is safe, might reduce pain and improve function in patients with shoulder calcified tendinitis refractory to other conservative treatments. Moderate-quality evidence suggests that extracorporeal shock wave therapy when compared with placebo showed less benefits in terms of pain and function in patients with plantar fasciitis refractory to treatment. Moderate-quality evidence suggests that extracorporeal shock wave therapy when compared with placebo and other standard treatments used does not show differences in pain reduction and function improvement in patients with refractory elbow lateral epicondylitis, trochanteric pain syndrome, arthrosis or tendinopathies of the lower extremities. The Dutch clinical practice guidelines on management of shoulder subacromial tendinitis recommend extracorporeal shock wave therapy for the treatment of patients with calcified tendinitis of the shoulder. The clinical practice guidelines on management of plantar fasciitis and elbow lateral epicondylitis surveyed do not recommend using this technology for these indications. Both the public health sponsors from United Kingdom, United States Canada, and Colombia and private sponsors from the United States surveyed cover extracorporeal shock wave therapy for patients with calcified tendinitis of the elbow. However, most of them do not cover this technology for other musculoskeletal conditions, since it is considered at experimental stage. No studies assessing the cost-effectiveness of this technology have been found for Argentina.
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
- Musculoskeletal Diseases
- High-Energy Shock Waves
- Elbow Tendinopathy
- Shoulder Pain
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: firstname.lastname@example.org
Contact Email: email@example.com
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
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