Extracorporeal shock wave therapy: Clinical applications and regulation

  title={Extracorporeal shock wave therapy: Clinical applications and regulation},
  author={Scott R McClure and Tom Weinberger},
  journal={Clinical Techniques in Equine Practice},
Abstract Shock wave therapy is a relatively new modality for use in equine practice. The application of shock waves is dependent on an accurate diagnosis and localization of the lesion. At this time we are still gaining knowledge on proper application and what musculoskeletal problems will respond to treatment. This chapter describes how we use shock wave therapy and what we currently treat with shock wave therapy. 

Figures from this paper

Review of the application and efficacy of extracorporeal shockwave therapy in equine tendon and ligament injuries

Extracorporeal shockwave therapy has been implemented as a treatment for musculoskeletal injuries in horses and has been shown to improve lameness, decrease time of healing and improve ultrasonographic appearance of tendon and ligament injuries.

Continuing Study of Analgesia Resulting From Extracorporeal Shock Wave Therapy

In the force plate analysis, it is found that there is a 2-day period of analgesia in horses with naturally occurring forelimb lameness, and horses should not be allowed to compete for 2 days after ESWT.

The Effect of Extracorporeal Shock Wave Therapy on Myofascial Pain Syndrome

The ESWT in patients with MPS in trapezius muscle are as effective as TPI and TENS for the purpose of pain relief and improving cervical range of motion.

Extracorporeal Shockwave Therapy Increases Growth Factor Release from Equine Platelet-Rich Plasma In Vitro

Data indicate that the application of ESWT to PRP increases the expression of growth factors in vitro, which suggests that the combination therapy of local PRP injection followed by ESWT may stimulate release of growth factor from platelets after they have been injected into the area of injury.

Extracorporeal shockwave therapy raises mechanical nociceptive threshold in horses with thoracolumbar pain.

Three treatments of ESWT 2 weeks apart raised MNT over a 56-day period in horses with back pain, but did not influence change in CSA of the multifidus muscle.

Focused extracorporeal versus Radial shock wave therapy in treatment of chronic lateral epicondylitis ( randomized control trial )

It was concluded that Radial shock wave therapy (B) had only effects on pain more than Focused shockWave therapy (A) but Focusedshock wave therapy(A) had effects on muscle function and inflammation and tendon changes more than Radialshock wave Therapy (B).

The Effect of the Extracorporeal Shock Wave Therapy on Scaphoid Fracture Nonunions

ESWT is an effective method in treatment of scaphoid fracture nonunion with significant statistical differences between the 2 groups, where the treatment group showed greater improvement in the healing response.

Inflammatory mediators are potential biomarkers for extracorporeal shockwave therapy in horses.

Plans to test the hypothesis that a single application of ESWT will alter the circulating protein concentrations of 10 inflammatory mediators in horse plasma showed success, and plasma concentrations of TNF-α, IL-1β,IL-1RA, Il-6 and TLR2 were significantly affected by ESWT, and deserve further investigation as possible biomarkers of ES WT.

Effect of extracorporeal shock wave therapy on equine umbilical cord blood mesenchymal stromal cells in vitro

Evaluated the effects of ESWT on equine umbilical cord blood mesenchymal stromal cells (CB-MSCs) proliferative, metabolic, migrative, differentiation, and immunomodulatory properties in vitro to determine if synergistic effects occur in the treatment of musculoskeletal injuries if ESWT and equine CB-MSC therapies are combined.



Initial experiences with extracorporeal shock wave therapy for treatment of bone spavin in horses — part II

ESWT provides a viable noninvasive mechanism of treating refractory bone spavin in the horse and decreases in the lameness of 80% of the horses treated.

Safety of shock wave therapy in performance horses.

Shock wave therapy can induce a period of cutaneous analgesia after treatment and does not induce microfractures nor does it have an effect on the modulus of elasticity of bone.

Extracorporeal Shock Wave Therapy: What is It? What Does it Do to Equine Bone?

When extracorporeal shock wave therapy (ESWT) was administered to the equine metacarpus/ metatarsus, there was subperiosteal and subendosteal hemorrhage, but no microfractures were detected. No

Shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder.

The results showed energy-dependent success, with relief of pain ranging from 5% in the control group up to 58% after two high-energy sessions, and the Constant scores and the radiological disintegration of calcification were also dose-dependent.

In Vivo Evaluation of Extracorporeal Shock Wave Therapy for Collagenase Induced Suspensory Ligament Desmitis

Extracorporeal shock wave therapy improved the rate of healing of collagenase-induced suspensory ligament desmitis in horses, as measured by ultrasonographic imaging and improved fiber alignment and echogenicity of the ligament in treated ligaments when compared with control ligaments.

Extracorporeal Shock Wave Therapy of Nonunion or Delayed Osseous Union

The application of extracorporeal shock wave therapy should be the first choice of treatment for patients with nonunions and delayed bone fracture healing and resulted in bony consolidation with a simultaneous decrease in symptoms.

Effects of extracorporeal shock wave therapy and radial pressure wave therapy on elasticity and microstructure of equine cortical bone.

Extracorporeal shock wave therapy and radial pressure wave therapy did not affect the material properties of equine bone at the energy and pulse values used in this study.

The effect of high energy shock waves focused on cortical bone: an in vitro study.

Findings in this study mean that the process can be controlled and that the cortical effects will be predictable and reproducible, and should be considered a preliminary test concerning the effects of high energy shock wave on bone.

Treatment of Dorsal Metacarpal Disease in the Thoroughbred Racehorse with Radial Extracorporeal Shock Wave Therapy

Radial extracorporeal shock wave therapy was used to treat 50 Thoroughbred racehorses with dorsal metacarpal disease that was unresponsive to conventional therapy. Forty-five of 50 (90%) of these