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Shockwave therapy (SWT) has been increasingly used for treating various tendinopathies due to its non-invasive nature and potential for promoting healing. Studies have shown variable but generally positive outcomes in terms of percentage improvement across different tendinopathies. Here’s a summary of the reported improvements for some common tendinopathies:
1. Plantar Fasciitis
Improvement: Studies report an improvement rate of 60% to 80% in patients with chronic plantar fasciitis after undergoing shockwave therapy. Long-term follow-up studies indicate sustained relief in many patients.
2. Achilles Tendinopathy
Improvement: SWT has shown improvement rates ranging from 50% to 70% in patients with chronic Achilles tendinopathy. Pain reduction and functional improvements are typically observed within 3 to 6 months after treatment.
3. Patellar Tendinopathy (Jumper's Knee)
Improvement: Research indicates a 60% to 80% improvement in pain and function in patients with patellar tendinopathy following shockwave therapy. These benefits are often noted within a few months of treatment.
4. Lateral Epicondylitis (Tennis Elbow)
Improvement: For lateral epicondylitis, shockwave therapy has shown an improvement rate of 60% to 75%, with significant pain reduction and enhanced grip strength observed in treated patients.
5. Medial Epicondylitis (Golfer's Elbow)
Improvement: SWT for medial epicondylitis reports an improvement range of 50% to 70%. Patients generally experience reduced pain and improved functionality within a few months post-treatment.
6. Rotator Cuff Tendinopathy
Improvement: Shockwave therapy for rotator cuff tendinopathy has shown improvement rates of 50% to 70%. Patients typically report pain relief and improved shoulder function within 6 months of treatment.
7. Gluteal Tendinopathy
Improvement: Patients with gluteal tendinopathy have reported 50% to 75% improvement after undergoing shockwave therapy, with notable reductions in pain and improvements in hip function.
Mechanism and Efficacy
Shockwave therapy promotes healing by inducing microtrauma, which stimulates neovascularisation, enhances blood circulation, and accelerates tissue repair. The therapy also breaks down calcifications and reduces chronic inflammation in the affected tendons.
Shockwave therapy is a promising treatment option for various tendinopathies, with improvement rates generally ranging from 50% to 80% depending on the condition and severity. While individual responses may vary, many patients experience significant pain relief and functional improvement, making SWT a valuable tool in the management of chronic tendinopathies. Always consult with a healthcare provider to determine the suitability and expected outcomes of shockwave therapy for specific cases.
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