|
Indication |
Article Title |
Journal Reference |
Author |
Key
Points |
|
Patellar Tendinopathy |
Extracorporeal Shockwave for Chronic
Patellar Tendinopathy |
Am J Sports Med. 2007 Feb 16;ePub. |
C. Wang, MD |
At 2 - 3 year follow up, 90% of patients
treated with the OssaTron reported excellent
to good results. Only 50% of control group
patients reported good results. Recurrance
rate was 13% in the ESWT group and 50% in
the control group. |
|
Stress Fracture |
Extracorporeal Shock Wave Therapy for
Resistant Stress Fracture in Athletes |
Am J Sports Med. 2007 Feb 9;ePub. |
Taki, M et al |
Athletes ages 17 to 22 with resistant (chronic
6-12 months) stress fractures were treated
with ESWT. Athletes were able to resume
normal sports activities soon after
treatment. |
|
Actue Fractures |
The Effects of Extracorporeal Shockwave
in Acute High-Energy Long Bone Fractures of
the Lower Extremity |
Arch Orthop Trauma Surg 2006 Oct;ePub. |
Wang, CJ et al |
High-Energy fracture patients were
treated with ESWT during their inital
surgical fixation during the fractures acute
fracture. At 12 months, the rate of
non-union was 11% in teh ESWT group vs. 20%
in the control group. |
|
Plantar Fasciitis |
Long-Term Results of Extracorporeal Shock
Wave Technology for Plantar Fasciitis |
Am
J Sports Med. 2006 Apr;34(4):592-6. |
C.
Wang, MD |
Patients were followed 5 - 6 years after
ESWT and reported 82.7% good to excellent
results (69.1% excellent, 13.6% good). The
study control group using conservative
therapies reported only 55% good results
after the same amount of time. |
|
Plantar Fasciitis |
Effectiveness of Extracorporeal Shock Wave
Technology in 353 Patients with Chronic
Plantar Fasciitis |
The Journal of the American Podiatric
Medical Association Volume 95 No.6 November/December
2005 |
D.
Norris, MD |
Post-treatment survey of 353 patients
reporting 76% of patients experiencing 43%
decline in pain and 66% of patients
experiencing 44% increase in mobility. 69%
of patients indicated they would recommend
the high energy extracorporeal shock wave
procedure. |
|
Osteonecrosis |
Treatment for Osteonecrosis for the Femoral
Head: Comparison of Extracorporeal Shock
Waves with Core Decompression and
Bone-Grafting |
The Journal of Bone and Joint Surgery
November 2005 |
C.
Wang, MD |
Extracorporeal Shock Wave Treatment appeared
to be more effective than core decompression
and nonvascularized fibular grafting for
providing short-term pain relief for
patients affected by early stages of
osteonecrosis of the femoral head. |
|
Plantar Fasciitis |
Electrohydraulic High-Energy Shock- Wave
Treatment for Chronic Proximal Plantar
Fasciitis |
Journal of Bone and Joint Surgery, Inc.
Volume 86-A, Number 10, October 2004 |
J.
Ogden, MD |
Reports that high-energy shock waves to the
heel is a safe and effective non-invasive
method to treat chronic plantar fasciitis
with outcomes maintained one year and up to
five years. |
|
Animal Study |
Effect of Shock Wave Therapy on Patellar
Tendonopathy in a Rabbit Model |
Journal of Orthopaedic Research, 22
(2004) pp. 221-227 |
R. Hsu, MD |
Histological exams at 4
and 16 weeks after ESWT found increased
tenocyte production with neovascularization
at 16 weeks. |
|
Plantar Fasciitis |
Symptom Duration of Plantar Fasciitis and
the Effectiveness of Orthotripsy |
Foot & Ankle International, Vol. 24,No. 12/December
2003 |
R.
Alvarez, MD |
Discusses that patients have a slightly
better outcome if they have had chronic
plantar fasciitis for 1-2 years compared to
patients who had been diagnosed longer. An
important secondary finding was that one
hundred and twenty three patients were
followed 2-5 years and their outcomes were
maintained. |
|
Plantar Fasciitis |
Effect of Extracorporeal Shock Waves on
Calcaneal Bone Spurs |
Foot & Ankle International, Vol. 24,No. 12/December
2003 |
G.
Lee, MD |
Reviews 308 patients treated with ESWT and
finds that the presence or absence of heel
spurs does not affect the likelihood of a
positive outcome. 82% of patients with heel
spurs had excellent to good outcomes and 79%
of patients without heel spurs reported
excellent to good outcomes. |
|
Rotator Cuff Tendonitis |
Extracorporeal Shock Wave Therapy for the
Treatment of Chronic Calcifying Tendonitis
of the Rotator Cuff |
JAMA, Nov. 19, 2003 |
L. Gerdesmeyer, MD |
This study discusses that high energy
shock
wave application is more effective than
placebo and significantly more effective
than low energy application. At 12 months
the high-energy group had 86% complete
resolution, compared to the low-energy and
sham subjects who at 12 months were only 37%
and 25% respectively. |
|
Animal Study |
Shock Wave Therapy Induces
Neovascularization at the Tendon-Bone
Junction: A Study in Rabbits |
Journal of Orthopaedic Research, 21
(2003) pp. 984-989 |
C. Wang, MD |
Article finds that "the mechanism of
shock wave therapy involved the early
release of angiogenic growth factors (eNOS
and VEGF) and subsequent induction of
neovascularization and tissue proliferation.
The neovascularizatoin may play a role in
pain relief of tendonitis and the repair of
chronically inflamed tendon tissues at the
tendon-bone junction." |
|
Lateral Epicondylitis |
Shock Wave Therapy for Patients with Lateral
Epicondylitis of the Elbow: A One- to Two-
Year Follow-up Study |
The American Journal of Sports Medicine,
Vol. 30, No. 3, 2002 |
C.
Wang, MD |
One to two year study following 43 patients
with lateral epicondylitis reporting 90.9%
complaint-free or significantly better
results with OssaTron® Shock Wave Technology.
Control group patients who received sham
treatment reported no change. |
|
Plantar Fasciitis |
Extracorporeal Shock Wave Therapy for
Chronic Proximal Plantar Fasciitis |
Clinics in Podiatric Medicine and Surgery,
October 2002, Vol. 19, No. 4 |
W.
Strash, DPM, FACFAS |
Article reporting 74% excellent to
good results after twelve weeks and 87%
excellent to very good results after 6
months with 48 human feet with high
energy ESWT. |
|
Plantar Fasciitis |
Extracorporeal Shock Wave Therapy (ESWT) for
the Treatment of Chronic Plantar Fasciitis:
Indications, Protocol, and a Comparison of
Results to Fasciotomy |
The Journal of Foot & Ankle Surgery, June
2002, Vol. 41, Number 3 |
L.
Weil, Jr., DPM |
Study with mean follow-up of 8.4 months
reporting 82% good to excellent
results with high-energy
electrohydraulic ESWT. |
|
Plantar Fasciitis |
Shock Wave Therapy for Patients with Plantar
Fasciitis: A One-Year Follow-up Study |
Foot & Ankle International, March 2002, Vol.
23, Nov. 3 |
C.
Wang, MD |
One year follow-up study reporting greater
than 93% success and retention
post high-energy OssaTron® ESWT. |
|
Plantar Fasciitis |
Preliminary Results on the Safety and
Efficacy of the OssaTron® for Treatment of
Plantar Fasciitis |
Foot & Ankle International, March 2002, Vol.
23 No. 3 |
R.
Alvarez, MD |
Study reporting safety and efficacy success
with 18 out of 20 patients improved/pain
free after ESWT with the
high-energy OssaTron® device. |
|
Plantar Fasciitis |
Shock Wave Therapy for Chronic Plantar
Fasciitis: A Meta-Analysis |
Foot & Ankle International, April 2002, Vol.
23 No.4 |
J.
Ogden, MD |
Analysis reviewed 20 studies on shock wave
for plantar fasciitis and concluded that the
studies demonstrated that ESWT should be
considered before any surgical intervention
for plantar fasciitis. |
|
Animal Study |
Neovascularization at the Tendon-Bone
Junction: An Experiment in Dogs |
The Journal of Foot and Ankle Surgery,
Vol. 41, No. 1, January/February 2002 |
C. Wang, MD |
Discusses the effect of shock waves in
generating neovascularization and
muscularized vessels when shock waves were
applied to dogs using the OssaTron®. |
|
Nonunion - Delayed Union |
Extracorporeal Shock Wave Therapy of
Nonunion or Delayed Osseous Union |
Clinical Orthopaedics and Related
Research, Number 387, pp. 90-94, June, 2001 |
W. Schaden, MD |
In 75.7% of treated
patients, one treatment with shock waves
resulted in bony consolidation with a
simultaneous decrease in symptoms. |
|
Nonunion |
Treatment of Nonunions of Long Bone
Fractures with Shock Waves |
Clinical Orthopaedics and Related
Research, No. 387, June 2001 |
C. Wang, MD |
72 subjects with long
bone nonunions were studied - 40%
had boney union at 3 months, 60.9% at 6
months and 80% at 12 months post-ESWT with
the OssaTron®. |
|
Plantar Fasciitis |
Treatment of Painful Heel Syndrome With
Shock Waves |
Clinical Orthopaedics and Related Research,
Number 387, pp. 41-46, June, 2001 |
H.
Chen, MD |
Study reporting 73.5% excellent to
good results with 68 heels post-ESWT after
twelve weeks and 87% excellent to good
results with 54 heels with six months
follow-up. |
|
Lateral Epicondylitis |
Treatment of Lateral Epicondylitis of the
Elbow with Shock Waves |
Clinical Orthopaedics and Related Research,
Number 387, pp. 60-67, June, 2001 |
J.
Ko, MD |
Article demonstrates that healing effect
from ESWT is time dependent. 57.9% reporting
excellent to good responses at 12 weeks
which increased to 73% excellent to good
response at 24 weeks post-ESWT. |
|
Plantar Fasciitis |
Shock Wave Therapy of Chronic Proximal
Plantar Fasciitis |
Clinical Orthopaedics and Related Research,
Number 387, pp. 47-59, June, 2001 |
J.
Ogden, MD |
OssaTron® FDA clinical study involving 302
patients reporting 74% excellent to
good results post high energy ESWT. |
|
Plantar Fasciitis |
Treatment of Painful Heels Using
Extracorporeal Shock Wave |
J
Formos Med Assoc. 2000, Vol. 99, No. 7 |
C.
Wang, MD |
Study reporting 81% excellent to
very good results involving 58 patients
after 12 weeks with high energy OssaTron®
ESWT. |