Original scientific paper
https://doi.org/10.21860/medflum2020_237303
Efficacy of pain treatment with shock wave therapy in plantar fasciitis, calcific tendinitis of the shoulder and lateral epicondylitis of the elbow
Tanja Grubić Kezele
orcid.org/0000-0001-6769-5263
; Zavod za fiziologiju i imunologiju, Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska
Jan Nemrava
; Zavod za fizikalnu i rehabilitacijsku medicinu-lokalitet Sušak, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Tamara Kauzlarić-Živković
; Odjel za fizikalnu medicinu i rehabilitaciju, Thalassotherapia Opatija, Opatija, Hrvatska
Luka Đudarić
orcid.org/0000-0002-2524-1906
; Odjel za radiologiju, Opća bolnica Pula, Pula, Hrvatska
Ariana Fužinac-Smojver
; Katedra za temeljne medicinske znanosti, Fakultet zdravstvenih studija Sveučilišta u Rijeci, Rijeka, Hrvatska
Abstract
Introduction: Shock wave therapy (SWT) is a non-invasive method based on mechanical pulses widening through the human body and causing microscopic interstitial and extracellular biological effects, including tissue regeneration. Aim: The aim of this retrospective study was to analyze efficacy and differences in pain treatment with SWT in patients with plantar fasciitis, calcific tendinitis of the shoulder and lateral epicondylitis of the elbow after three and five consecutive treatments. Participants and methods: The patients data were taken from the database at the Departmentof Physical and Rehabilitation Medicine of the Clinical Hospital Center in Rijeka and used only in purpose of this work, and according to the Helsinki Declaration, stayed anonymous: age, sex, pain intensity measurements obtained using the Visual Analogue Scale. The participants were devided into two groups (TUV3 and TUV5). The data were taken from 148 patients: plantar fasciitis N = 50, calcific tendinitis of the shoulder N = 50 and lateral epicondylitis of the elbow N = 48. Results: The therapy with SWT proved to be successful in patients with diagnosis of plantar fasciitis, calcific tendinitis of the shoulder and lateral epicondylitis of the elbow. The analyzed results showed that three or five treatments both resulted in pain reduction in all three diagnosis, with five treatments being more efficient than just three applied treatments (p < 0,001; p < 0,001; p < 0,001). It has also been established that after three applied treatments a better effect of pain reduction is achieved in plantar fascitis than in calcific tendinitis of the shoulder and lateral epicondylitis of the elbow, and after five applied treatments there was no difference in pain reduction between diagnoses. Conclusion: Therefore, this study recommends the application of five treatments in all three diagnoses in order for patients to have better pain relief.
Keywords
plantar fasciitis; tendinitis; epicondylitis; pain; shockwave therapy
Hrčak ID:
237303
URI
Publication date:
1.6.2020.
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