[Extracorporeal shock-wave treatment in orthopedics and rehabilitation. Update]

Ruano-Ravina A
Record ID 32005000460
Original Title: Tratamiento con ondas de choque extracorpóreas en ortopedia y rehabilitación. Actualización
Authors' objectives:

In the last years extracorporeal shock wave treatment have been used in treating musculoskeletal pathologies. Nevertheless, the application criteria are not clear and its effectiveness is unknown. The aim of this review was to assess the effectiveness and safety of the extracorporeal shock wave treatment in orthopedics and rehabilitation.

Authors' results and conclusions: Extracorporeal shock wave treatment is used for plantar fasciitis, shoulder tendinitis and medial epicondilytis. In nearly all studies, the studied treatment is not more effective than other treatments. In many cases, it does not pose more benefit than a placebo treatment. Sometimes extracorporeal shock waves are painful and can cause little hemorrhages like hematomas, petechias or flare.
Authors' recommendations: Extracorporeal shock wave treatment is not more effective than other treatments or placebo in musculoskeletal diseases. It can be considered safe although uncomfortable for the patient. It has to be applied under supervision.
Authors' methods: Systematic Review
Project Status: Completed
Year Published: 2004
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Lithotripsy
  • Calcinosis
  • High-Energy Shock Waves
  • Ossification, Heterotopic
Organisation Name: Scientific Advice Unit, avalia-t; The Galician Health Knowledge Agency (ACIS)
Contact Address: Conselleria de Sanidade, Xunta de Galicia, San Lazaro s/n 15781 Santiago de Compostela, Spain. Tel: 34 981 541831; Fax: 34 981 542854;
Contact Name: avalia-t@sergas.es
Contact Email: avalia-t@sergas.es
Copyright: Galician Agency for Health Technology Assessment (AVALIA-T)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.