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Current Evidence of Extracorporeal Shockwave Therapy in Chronic Achilles Tendinopathy

Ludger Gerdesmeyer, Rainer Mittermayr, Martin Fuerst, Munjed Al Muderis, Richard Thiele, Amol Saxena, Hans Gollwitzer

Dept. Orthopaedic Surgery and Traumatology University Schleswig Holstein Campus Kiel Arnold Heller Strasse D-24105 Kiel, Germany


Výborné výsledky v léčbě tendinopatie Achillovy šlachy


Chronic Achilles tendinopathy has been described as the most common overuse injury in sports medicine.

Several treatment modalities such as activity modification, heel lifts, arch supports, stretching exercises, nonsteroidal anti-inflammatories, and eccentric loading are known as standard treatment mostly without proven evidence.

After failed conservative therapy, invasive treatment may be considered. Extracorporeal shock wave therapy (ESWT) has been successfully used in soft-tissue pathologies like lateral epicondylitis, plantar fasciitis, tendinopathy of the shoulder and also in bone and skin disorders. Conclusive evidence recommending ESWT as a treatment for Achilles tendinopathy is still lacking. In plantar fasciitis as well as in calcific shoulder tendinopathy shock wave therapy is recently the best evaluated treatment option. This article analysis the evidence based literature of ESWT in chronic Achilles tendinopathy. Recently published data have shown the efficacy of focused and radial extracorporeal
shock wave therapy.

© 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.


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