Author:
Santos, Paulo Roberto
Institution:
Hospital Santo Rita - São Paulo, Brazil
Introduction:
The purpose of this study was to clinically evaluate the efficacy of Extracorporeal Shockwave
Therapy using an electra hydraulic shockwave device to treat soft tissue pathologies.
Materials and Methods:
The study was conducted in Hospital Santa Rita in São Paulo where an Ossatron - HMT is installed.
From January 2002 to December 04, 132 patients (63 female and 59 male), with an average age of 51 years (mm 28 and max 83 years) were submifted to shockwave therapy in the following soft tissues pathologies:
32 tendinitis calcoreo of the shoulder, 13 tendinosis of the shoulder, 36 plantar fascUtis, 19 epicondylitis, 18 Achilles tendon tendinosis, 12 trochanteric bursitis of the femur, 2 patetar tendinosis
Inclusion criteria were at least 6 months of unsuccessful conservative treatment.
To evaluate the intensity of pain, the outcome was assessed in four categories using Roles and
Maudsley and VAS (visual analogue scale).
One to three sessions of shockwave therapy were performed using the standard protocols; patients
were reviewed at 3-6 weeks, 3 and 6 months after treatment.
Local anaesthesia and/or general anaesthesia was performed.
Results:
Twelve patients were excluded because of inadequate follow-up, 120 patients were included in the analysis. The results were as follows:
Pathologies / Results excellent good poor nil
tendinitis calcarea of the shoulder 64% 13,3% 11,6% 11,1%
tendinosis of the shouder 54,5% 18% 18,5% 9%
plantar fascntis 54% 10% 18% 18%
Achilles tendon tendinosis 60% 10,7% 1 7,6% 11,7%
trochanteric bursitis 70% 8,4% 5% 16,6%
patelar tendinosis 50% 50% 0 0
Epicondylitis 58,7% 16,3% 10% 15%
Conclusions:
The results of the study showed that extracorporeal shockwave therapy is an effective and safe treatment for entesopathies.

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