Brazilian Medical Society for Shock Wave Treatment

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Editorial | Vol 4 | Issue 2 |  July-December 2024 | page: 01-01 | Ana Mourão

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.137

Author: Ana Mourão [1]

[1] Department of Physiatry, Service at Pedro Ernesto University Hospital, Rio de Janeiro, Brazil.

Address of Correspondence
Dr. Ana Mourão,

Department of Physiatry, Service at Pedro Ernesto University Hospital, Rio de Janeiro, Brazil.

E-mail: ana.mourao@hupe.uerj.br

Editorial

It is with great honor and responsibility that I write for the “Journal of Regenerative Science” in an issue dedicated to Brazil, highlighting the importance of the Brazilian Medical Society for Shock Wave Treatment (SMBTOC). The invitation from the editor-in-chief, Dr. Daniel Moya, is recognition of our continuous efforts in promoting health and innovation. Furthermore, I feel grateful and honored by the eminent responsibility.
Since our founding on March 08, 2001, SMBTOC has been a driving force in the field of shock waves in Brazil. It was born from a group of orthopedic enthusiasts in São Paulo. It soon expanded its horizons to encompass various medical specialties, such as Physiatry, pain clinic, anesthesia, rheumatology, radiology, acupuncture, among others.
The growing popularity of shock wave treatment, based on strong scientific evidence and proven efficacy, highlights the importance of performing it under the supervision of well-trained and qualified physicians. This focus maintains the integrity and efficiency of the method, distancing us from the risks associated with less successful practices.
In 2018, we reformulated our name to the SMBTOC, reflecting the breadth and diversity of our commitment. Our impact is strengthened through social media, digital platforms and educational programs, which have already trained more than 1,000 doctors, a true demonstration of our commitment to professional excellence and innovation.
In the international arena, SMBTOC has solidified its leadership by actively participating in the founding of the International Federation for Shock Wave Treatment in March 2023, in Cosenza, Italy. This international collaboration fosters ethics, research and education in the therapeutic use of shock waves, both focal and radial.
We are immersed in a dynamic and constantly evolving world; SMBTOC‘s commitment is to translate scientific evidence into efficient clinical practices through various educational events. This continuous effort is vital to improve the quality of health and, consequently, the quality of life of patients.
Finally, adhering to the spirit of service, I recognize that our mission is built on rigorous ethics, continuous learning, and the vision of altruistic associativism. Cognitive humility guides us in understanding that there is always room for growth and innovation.
Let us continue, SMBTOC, as a legacy of many who preceded us and who now works to foster a future full of significant contributions to medicine and global health.
With everyone’s effort, our society has consolidated itself as one of the largest and most important in the world in the study of shock waves, and we will continue to grow and innovate.

How to Cite this article: Mourão A. Brazilian Medical Society for Shock Wave Treatment | Journal of Regenerative Science | July-December 2024; 4(2): 01-01.

 

 

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Brazilian Medical Society for Shockwave Therapy: World Leader in the Field of Shockwaves

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Editorial | Vol 4 | Issue 2 |  July-December 2024 | page: 02-03 | Daniel Moya

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.139

Author: Daniel Moya [1]

[1] Department of Orthopaedics, Buenos Aires British Hospital, Buenos Aires, Argentina.

Address of Correspondence
Dr. Daniel Moya,

Department of Orthopaedics, Buenos Aires British Hospital, Buenos Aires, Argentina.

E-mail: drdanielmoya@yahoo.com.ar

Editorial

The Brazilian Medical Society for Shockwave Therapy (SMBTOC) has a long history. It was created nearly 24 years ago, specifically on March 8, 2001 [1]. It is probably the second largest in the world, after the Chinese society. I have been fortunate to be in contact with the institution from its very 1st day, which has allowed me to closely follow its evolution and gain a deep understanding of its development. It is a good example of what any scientific society should be.
What is Expected from a Scientific Association?
Scientific societies play a fundamental role in various fields:
1. Regulations: A scientific society, especially when based on the use of a specific technique, studies its mechanisms of action, evaluates which devices are suitable and their features, describes indications and contraindications, develops treatment protocols, and warns about possible complications. In this way, guidelines and recommendations are developed, creating evidence-based directions for medical practice to ensure quality patient care [2].
Based on these recommendations, reliable medical services are accredited.
In the case of SMBTOC, the institution’s commitment is admirable and undoubtedly surpasses any other in the world.
2. Education: Medical education without ideological or commercial bias is an essential role of scientific societies. Since its creation, SMBTOC has been developing training courses at different levels, workshops, and international congresses. Its work has expanded in Brazil’s vast territory. SMBTOC has reached even the most remote corners of the country.
Beyond basic education, due to the dynamic nature of our field, continuous medical training is necessary for ongoing updates. SMBTOC implements this through its “Advanced Courses,” dedicated to professionals already certified with vast prior experience.
3. Hierarchy of Scientific Information: The past few decades have witnessed an exponential growth in scientific publications [3], but not everything published is necessarily true [4]. It is the responsibility of scientific societies to distinguish accurate information from low-quality or commercially biased data.
4. Forum for the exchange of experiences: Scientific societies connect professionals from different generations with varying levels of knowledge, perspectives, commercial trends, and even values.
The interaction in a single environment of professionals with different backgrounds and approaches to their profession, and varied levels of experience enriches discussions and provides balance between different trends. In this respect, SMBTOC is also an example to follow, being a society open not only to participants from Brazil but also from all of Latin America.
The exchange of information enriches the group and benefits our practice.
SMBTOC puts this into practice not only through in-person meetings but also through frequent webinars it organizes.
5. Promoting research and advancing knowledge: It is another fundamental task of any scientific society. The generation of new ideas and the search for new applications and protocols are reflected in the high number of publications originating from SMBTOC.
6. Protection of their members: Scientific associations must look after the interests of all their members, including safeguarding professional practice, upholding the hierarchy of medical acts, and actively protecting their members from unfair legal demands. In the past SMBTOC has given very strong evidence of the determination of its Boards of Directors to fulfill this task.
7. Role in society: Science has moved away from secrecy and opened up to society. While this has many positive aspects, indiscriminate access to information has a downside. The general public is not educated to distinguish between true and false information. Social media is full of pseudoscientists spreading fake news and incorrect interpretations of real data. There is also a lot of information with commercial tendencies. Unfortunately, even “serious professionals” have joined this wave to gain “clients” or simply take shortcuts in the once slow and tedious process required to gain academic recognition.
8. International collaboration: Scientific collaboration is as old as science itself [5]. In today’s times, we have tools that facilitate interaction between different national scientific societies. Above all, this interaction must be based on mutual respect, integrity, transparency, and reciprocity [5].
Defending these values is not always easy for Latin American scientific societies. Modern Western science was deeply entangled with colonialism, and the legacy of this still permeates science today [6].
There is a tendency to underestimate local scientific production and points of view, especially in a procedure such as shock waves, that initially had a “Eurocentric” bias.
SMBTOC has also faced these attempts of “intellectual imperialism” [6]. However, it remains the only recognized scientific institution in the field of shockwaves in Brazil by the “Conselho Federal de Medicina” (Federal Council of Medicine). It is endorsed by the Brazilian Society of Orthopedics and Traumatology, a massive association that invites SMBTOC to participate scientifically in its annual National meeting. It also has the support of the vast majority of international scientific societies in the specialty.
In summary, medical scientific societies are fundamental for maintaining quality, innovation, and ethics in medicine, as well as improving public health through collaboration and education. SMBTOC is a great example of this.

References:

1. Simplício C, Teixeira Mourão AL, Saueressig Kruel AV, D’Almeida A, De Vasconcelos Alves FR, Shinzato GT, et al. Treatise on Shock Waves. Brazilian Medical Society of Shock Wave Treatment -Alef editora-São Paulo, Brazil. 2022;1:14-16.
2. Moya D, Wei S, Simplicio C, Guiloff L, Kwangsun P, Di Giorno A, et al. Scientific evidence of shock waves in orthopedics and traumatology: It is time to set the record straight. J Regen Sci. 2023;3:1-6.
3. Bornmann L, Haunschild R, Mutz R. Growth rates of modern science: A latent piecewise growth curve approach to model publication numbers from established and new literature databases. Humanit Soc Sci Commun 2021;8:224.
4. Ioannidis JP. Why most published research findings are false. PLoS Med 2005;2:e124.
5. Vráblová M, Bonetti G, Henehan G, Brown RE, Sykora P, Marks RS, et al. Promoting international scientific cooperation: The role of scientific societies. Eur Biotech J 2024;3:115-21.
6. Deb Roy R. Science Still Bears the Fingerprints of Colonialism. The Conversation. Science. Smithsonian Magazine; 2018. Available from: https://www.smithsonianmag.com/science-nature/science-bears-fingerprints-colonialism-180968709 [Last accessed on 2024 Oct 20].

How to Cite this article: Moya D | Brazilian Medical Society for Shockwave Therapy: World Leader in the Field of Shockwaves | Journal of Regenerative Science | July-December 2024; 4(2): 02-03.

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Shock Wave Treatment and Rotator Cuff Tears: Rightly Blamed or Victim of Methodological Bias?

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Original Article | Vol 4 | Issue 2 |  July-December 2024 | page: 04-07 | Daniel Moya, Jai-Hong Cheng, Jorge Rojas, Mani P. Singh, Wei Sun, Diego Gómez, Federico Alfano, Alfonso Di Giorno, Jae-Man Lee, Fabiana Del Val

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.141

Author: Daniel Moya [1], Jai-Hong Cheng [2], Jorge Rojas [3], Mani P. Singh [4], Wei Sun [5], Diego Gómez [6], Federico Alfano [7], Alfonso Di Giorno [8], Jae-Man Lee [9], Fabiana Del Val [10]

[1] Department Of Orthopedics and Traumatology, Buenos Aires British Hospital, Buenos Aires, Argentina.
[2] Department of Medical Research, Center for Shockwave Medicine and Tissue Engineering,Kaohsiung Chang Gung Memorial Hospital, Taiwan.
[3] Department Of Orthopedics and Traumatology, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
[4] Department of Rehabilitation and Regenerative Medicine, Columbia University Medical Center, New York, USA.
[5] Department of Orthopaedics, China-Japan Friendship Hospital, Chaoyang, Beijing, China.
[6] Department Of Orthopedics and Traumatology, Buenos Aires British Hospital, Buenos Aires, Argentina.
[7] Hospital Privado Gipuzkoa Asunción Klinika, Tolosa, Gipuzkoa, España.
[8] Centri Medici Riabilitativi Di Giorno, Bologna, Italia.
[9] Yonsei Bone Orthopedic Clinic and Bone Physiofit Center, Seoul, Korea.
[10] Private practice. Ave 1ero de mayo 411 pte Col. Primero de mayo Ciudad Madero, Tamaulipas, Mexico CP 89450.

Address of Correspondence
Dr. Daniel Moya,
Department Of Orthopedics and Traumatology, Buenos Aires British Hospital, Buenos Aires, Argentina.
E-mail: drdanielmoya@yahoo.com.ar

Abstract

Focused shock waves are a frequently used non-invasive therapeutic option for the treatment of rotator cuff calcifications. Over the last 30 years, numerous studies have been published that support its high level of recommendation. Reports of complications are isolated and very infrequent. In this communication, we analyze why there are no valid arguments to relate the application of shock waves with rotator cuff injuries.
Keywords: Shock wave, Rotator Cuff, Complications

References:

1. Moya D, Ramón S, Schaden W, Wang CJ, Guiloff L, Cheng JH. The role of extracorporeal shockwave treatment in musculoskeletal disorders. J Bone Joint Surg Am 2018;100:251-63.
2. Louwerens JK, Sierevelt IN, van Noort A, van den Bekerom MP. Evidence for minimally invasive therapies in the management of chronic calcific tendinopathy of the rotator cuff: A systematic review and meta-analysis. J Shoulder Elbow Surg 2014;23:1240-9.
3. Moya D, Ramón S, Guiloff L, Terán P, Eid J, Serrano E. Poor results and complications in the use of focused shockwaves and radial pressure waves in musculoskeletal pathology. [Malos resultados y complicaciones en el uso de ondas de choque focales y ondas de presión radial en patología musculoesquelética.] Rehabilitación 2022;56:64-73.
4. Han J, Jeong HJ, Kim YK, Oh JH. Posterior rotator cuff tears: Is extracorporeal shockwave therapy a risk factor? Clin Orthop Surg 2023;15:281-9.
5. Wang CJ, Cheng JH, Chou WY, Hsu SL, Chen JH, Huang CY. Changes of articular cartilage and subchondral bone after extracorporeal shockwave therapy in osteoarthritis of the knee. Int J Med Sci 2017;14:213-23.
6. Wang CJ, Wang FS, Yang KD, Weng LH, Sun YC, Yang YJ. The effect of shock wave treatment at the tendon-bone interface-an histomorphological and biomechanical study in rabbits. J Orthop Res 2005;23:274-80.
7. Mouzopoulos G, Stamatakos M, Mouzopoulos D, Tzurbakis M. Extracorporeal shock wave treatment for shoulder calcific tendonitis: A systematic review. Skeletal Radiol 2007;36:803-11.
8. Delvecchio F, Auge BK, Munver R, Brown SA, Brizuela R, Zhong P, et al. Shock wave lithotripsy causes ipsilateral renal injury remote from the focal point: The role of regional vasoconstriction. J Urol 2003;169:1526-9.
9. Lin TC, Lin CY, Chou CL, Chiu CM. Achilles tendon tear following shock wave therapy for calcific tendinopathy of the Achilles tendon: A case report. Phys Ther Sport 2012;13:189-92.
10. Oda H, Sano K, Kunimasa Y, Komi PV, Ishikawa M. Neuromechanical modulation of the achilles tendon during bilateral hopping in patients with unilateral achilles tendon rupture, over 1 year after surgical repair. Sports Med 2017;47:1221-30.
11. Tarantino D, Palermi S, Sirico F, Corrado B. Achilles tendon rupture: Mechanisms of injury, principles of rehabilitation and return to play. J Funct Morphol Kinesiol 2020;5:95.
12. Rompe JD, Kirkpatrick CJ, Kullmer K, Schwitalle M, Krischek O. Dose-related effects of shock waves on rabbit tendo Achillis. A sonographic and histological study. J Bone Joint Surg Br 1998;80:546-52.
13. Chen Y, Lyu K, Lu J, Jiang L, Zhu B, Liu X, et al. Biological response of extracorporeal shock wave therapy to tendinopathy in vivo (review). Front Vet Sci 2022;9:851894.
14. D’Agostino MC, Craig K, Tibalt E, Respizzi S. Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg 2015;24:147-53.
15. Cardoso TB, Pizzari T, Kinsella R, Hope D, Cook JL. Current trends in tendinopathy management. Best Pract Res Clin Rheumatol 2019;33:122-40.
16. Cyteval C, Baron-Sarrabère MP, Jorgensen C, Cottin A, Benis J, Sany J, et al. Etude IRM avant et aprEs lithotritie des tendinopathies calcifiantes de l’épaule [MRI study before and after extracorporal shock wave therapy in calcifying tendinitis of the shoulder]. J Radiol 2003;84:681-4. [French]
17. Brañes J, Contreras HR, Cabello P, Antonic V, Guiloff L, Brañes M. Shoulder rotator cuff responses to extracorporeal shockwave therapy: Morphological and immunohistochemical analysis. Shoulder Elbow 2012;4:163-8.
18. Lorbach O, Kusma M, Pape D, Kohn D, Dienst M. Influence of deposit stage and failed ESWT on the surgical results of arthroscopic treatment of calcifying tendonitis of the shoulder. Knee Surg Sports Traumatol Arthrosc 2008;16:516-21.
19. Rebuzzi E, Coletti N, Schiavetti S, Giusto F. Arthroscopy surgery versus shock wave therapy for chronic calcifying tendinitis of the shoulder. J Orthop Traumatol 2008;9:179-85.
20. Daecke W, Kusnierczak D, Loew M. Extrakorporale Stosswellentherapie (ESWT) bei der Tendinosis calcarea der Rotatorenmanschette. Langzeitergebnisse und Stellenwert [Extracorporeal Shockwave Therapy (ESWT) in tendinosis calcarea of the rotator cuff. Long-term results and efficacy]. Orthopade 2002;31:645-51. [German]
21. Cao L, Wang YQ, Yu T, Sun Y, He J, Zhong Y, et al. The effectiveness and safety of extracorporeal shock wave lithotripsy for the management of kidney stones: A protocol of systematic review and meta-analysis. Medicine (Baltimore) 2020;99:e21910.
22. Chung E, Cartmill R. Evaluation of long-term clinical outcomes and patient satisfaction rate following low intensity shock wave therapy in men with erectile dysfunction: A minimum 5-year follow-up on a prospective open-label single-arm clinical study. Sex Med 2021;9:100384.
23. Slezak C, Flatscher J, Slezak P. A comparative feasibility study for transcranial extracorporeal shock wave therapy. Biomedicines 2022;10:1457.
24. Myojo M, Ando J, Uehara M, Daimon M, Watanabe M, Komuro I. Feasibility of extracorporeal shock wave myocardial revascularization therapy for post-acute myocardial infarction patients and refractory angina pectoris patients. Int Heart J 2017;58:185-90.
25. Cassar A, Prasad M, Rodriguez-Porcel M, Reeder GS, Karia D, DeMaria AN, et al. Safety and efficacy of extracorporeal shock wave myocardial revascularization therapy for refractory angina pectoris. Mayo Clin Proc 2014;89:346-54.
26. Liu B, Zhang Y, Jia N, Lan M, Du L, Zhao D, et al. Study of the safety of extracorporeal cardiac shock wave therapy: Observation of the ultrastructures in myocardial cells by transmission electron microscopy. J Cardiovasc Pharmacol Ther 2018;23:79-88.
27. Schmitz C, Császár NB, Rompe JD, Chaves H, Furia JP. Treatment of chronic plantar fasciopathy with extracorporeal shock waves (review). J Orthop Surg Res 2013;8:31.

How to Cite this article: Moya D, Cheng JH, Rojas J, Singh MP, Sun W, Gómez D, Alfano F, Di Giorno A, Lee JM, Val FD | Shock Wave Treatment and Rotator Cuff Tears: Rightly Blamed or Victim of Methodological Bias?. | Journal of Regenerative Science | July-December 2024; 4(2): 04-07.

 

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Latin American Survey on Shock Wave Therapy

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Original Article | Vol 4 | Issue 2 |  July-December 2024 | page: 08-11 | R Kobayashi , L Schledorn de Camargo , Daniel Moya

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.143

Author: R Kobayashi [1], L Schledorn de Camargo [2], Daniel Moya [3]

[1] Department of Neurology, Pain Center, University of São Paulo, Brazil.
[2] Médico ortopedista formado pela Faculdade de Medicina de Ribeirão Preto -USP, Brazil.
[3] Department of Orthopaedics, Hospital Británico de Buenos Aires, Argentina.

Address of Correspondence
Dr. Ricardo Kobayashi,
Department of Neurology, Pain Center, University of São Paulo, Brazil.
E-mail: koba@globo.com

Abstract

The use of shock waves in musculoskeletal pathologies has become very widespread in recent years. However, a clear consensus has not been reached regarding therapeutic parameters, and there is great variability in treatment indications and protocols.
This publication seeks to diagnose the situation in Latin America and is based on a survey carried out on physicians from different specialties and countries who practice the therapeutic use of shock waves. The questionnaire was carried out during the first Congress of the International Federation of Shock Wave Treatment and the V Brazilian Congress of Shock Wave Therapy.
Keywords: Shock Waves; Survey, Musculoskeletal

References:

1. Wang CJ. An overview of shock wave therapy in musculoskeletal disorders. Chang Gung Med J 2003;26:220-32.
2. Wang CJ. Extracorporeal shockwave therapy in musculoskeletal disorders. J Orthop Surg Res 2012;7:11.
3. Moya D, Ramón S, Schaden W, Wang CJ, Guiloff L, Cheng JH. The role of extracorporeal shockwave treatment in musculoskeletal disorders. J Bone Joint Surg Am 2018;100:251-63.
4. Tenforde AS, Borgstrom HE, DeLuca S, McCormack M, Singh M, Hoo JS, et al. Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM R 2022;14:611-9.
5. Loske AM, Moya D. Shock waves and radial pressure waves: Time to put a clear nomenclature into practice. J Regen Sci 2021;1:4-8.
6. Eid J, Moya D. Quality standards and techniques for the application of focused shockwaves and radial pressure waves in musculoskeletal disorders. J Regen Sci 2021;1:9-12.
7. Mentimeter. Available from: https://www.mentimeter.com [Last accessed on 2024 Nov 05].
8. Wang CJ, Wang FS, Yang KD, Weng LH, Ko JY. Long-term results of extracorporeal shockwave treatment for plantar fasciitis. Am J Sports Med 2006;34:592-6.
9. Schneider HP, Baca J, Carpenter B, Dayton PD, Fleische AE, Sachs BD. American college of foot and ankle surgeons clinical consensus statement: Diagnosis and treatment of adult acquired infracalcaneal heel pain. J Foot Ankle Surg 2018;57:370-81.
10. Liu K, Zhang Q, Chen L, Zhang H, Xu X, Yuan Z, et al. Efficacy and safety of extracorporeal shockwave therapy in chronic low back pain: A systematic review and meta-analysis of 632 patients. J Orthop Surg Res 2023;18:455.
11. Jun JH, Park GY, Chae CS, Suh DC. The Effect of extracorporeal shock wave therapy on pain intensity and neck disability for patients with myofascial pain syndrome in the neck and shoulder: A meta-analysis of randomized controlled trials. Am J Phys Med Rehabil 2021;100:120-9.
12. Yao G, Chen J, Duan Y, Chen X. Efficacy of extracorporeal shock wave therapy for lateral epicondylitis: A systematic review and meta-analysis. Biomed Res Int 2020;2020:2064781.
13. Leal C, Ramon S, Furia J, Fernandez A, Romero L, Hernandez-Sierra L. Current concepts of shockwave therapy in chronic patellar tendinopathy. Int J Surg 2015;24:160-4.
14. Llombart R, Mariscal G, Barrios C, Llombart-Ais R. The best current research on patellar tendinopathy: A review of published meta-analyses. Sports (Basel) 2024;12:46.
15. Charles R, Fang L, Zhu R, Wang J. The effectiveness of shockwave therapy on patellar tendinopathy, Achilles tendinopathy, and plantar fasciitis: A systematic review and meta-analysis. Front Immunol 2023;14:1193835.
16. Challoumas D, Pedret C, Biddle M, Ng NY, Kirwan P, Cooper B, et al. Management of patellar tendinopathy: A systematic review and network meta-analysis of randomised studies. BMJ Open Sport Exerc Med 2021;7:e001110.
17. Moya D, Ramón S, Guiloff L, Gerdesmeyer L. Current knowledge on evidence-based shockwave treatments for shoulder pathology. Int J Surg 2015;24:171-8.
18. Bannuru RR, Flavin NE, Vaysbrot E, Harvey W, McAlindon T. High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: A systematic review. Ann Intern Med 2014;160:542-9.
19. Ioppolo F, Tattoli M, Di Sante L, Attanasi C, Venditto T, Servidio M, et al. Extracorporeal shock-wave therapy for supraspinatus calcifying tendinitis: A randomized clinical trial comparing two different energy levels. Phys Ther 2012;92:1376-85.
20. Furia JP. High-energy extracorporeal shock wave therapy as a treatment for insertional Achilles tendinopathy. Am J Sports Med 2006;34:733-40.
21. Furia JP, Rompe JD, Maffulli N. Low-energy extracorporeal shock wave therapy as a treatment for greater trochanteric pain syndrome. Am J Sports Med 2009;37:1806-13.
22. Ramon S, Russo S, Santoboni F, Lucenteforte G, Di Luise C, de Unzurrunzaga R, et al. Focused shockwave treatment for greater trochanteric pain syndrome: A multicenter, randomized, controlled clinical trial. J Bone Joint Surg Am 2020;102:1305-11.
23. Moya D, Ramón S, Guiloff L, Terán P, Eid J, Serrano E. Malos resultados y complicaciones en el uso de ondas de choque focales y ondas de presión radial en patología musculoesquelética [Poor results and complications in the use of focused shockwaves and radial pressure waves in musculoskeletal pathology]. Rehabilitacion (Madr) 2022;56:64-73. [Spanish]

How to Cite this article: Kobayashi R, Camargo LS, Moya D | Latin American Survey on Shock Wave Therapy | Journal of Regenerative Science | July-December 2024; 4(2): 08-11.

 

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Personalized Multimodal Treatment for Adhesive Capsulitis: A Case Series on Regenerative Medicine and Noninvasive Therapies

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Original Article | Vol 4 | Issue 2 |  July-December 2024 | page: 12-14 | Napoliane Costa Santos, André Vinicius Saueressig Kruel, Alex Pontes de Macedo, Fabio Ramos Costa, Luyddy Pires, Maria Laura Schiefelbein, Palmerindo Antônio Tavares de Mendonça Néto, Renata Takeyama de Oliveira, Daiane Agostini, Jose Fábio Lana

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.145

Author: Napoliane Costa Santos [1], André Vinicius Saueressig Kruel [2], Alex Pontes de Macedo [1], Fabio Ramos Costa [3], Luyddy Pires [1], Maria Laura Schiefelbein [4], Palmerindo Antônio Tavares de Mendonça Néto [5], Renata Takeyama de Oliveira [1], Daiane Agostini [2], Jose Fábio Lana [1]

[1] Department of Orthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, Brazil,
[2] Proregen Clínica Médica, Bento Gonçalves, Rio Grande do Sul, Brasil.
[3] TRATE – Traumatologia Esportiva, Salvador, Brazil,
[4] Departamento de Ortopedia, TRATE, Traumatologia Esportiva, Salvador, BA, Brazil, Federal University of Health Science of Porto Alegre, Porto Alegre, Brazil,
[5] Instituto Regenera Dor, Juazeiro do Norte, Ceará, Brazil.

Address of Correspondence
Dr. André Kruel
Proregen Clínica Médica, Bento Gonçalves, Rio Grande do Sul, Brasil.
E-mail: kruel.andre@gmail.com

Abstract

Introduction: Adhesive capsulitis causes chronic shoulder pain and restricted range of motion (ROM). Conventional treatments often offer limited relief, prompting the need for innovative approaches, such as high-intensity pulsed electromagnetic field (PEMF) therapy, shockwave therapy, and orthobiologic injections.

Objective: To evaluate the efficacy of a multimodal approach combining shockwave therapy, high-intensity PEMF therapy, orthobiologic injections, and complementary therapies in improving pain and shoulder function in patients with adhesive capsulitis.

Methods: This retrospective case series included five patients treated in Indaiatuba, São Paulo, Brazil, between May 2023 and October 2024. Individualized multimodal protocols were performed. Pain and ROM were assessed pre- and post-treatment.

Discussion: All patients showed significant improvements in pain and ROM after treatment. High-intensity PEMF therapy, shockwave therapy, and orthobiologics enhanced tissue regeneration, supported by complementary therapies. Personalized protocols optimized outcomes, with synergistic effects observed between treatments.

Conclusion: A multimodal, personalized approach effectively reduced pain and improved function in adhesive capsulitis patients. This strategy shows promise, especially for those unresponsive to conventional treatments, warranting further research.

Keywords: Adhesive capsulitis, High intensity pulsed electromagnetic field therapy, Orthobiologics, Regenerative medicine, Shockwave therapy

References:

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How to Cite this article: Santos NC, Saueressig Kruel AV, de Macedo AP, Costa FR, Pires L, Schiefelbein ML, de Mendonça Néto PAT, de Oliveira RT, Agostini D, Fábio Lana J | Personalized Multimodal Treatment for Adhesive Capsulitis: A Case Series on Regenerative Medicine and Noninvasive Therapies. | Journal of Regenerative Science | July-December 2024; 4(2): 12-17.

 

 

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Extracorporeal Shock Waves in Metabolic Inflammation

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Review Article | Vol 4 | Issue 2 |  July-December 2024 | page: 18-25 | Cláudio Lopes Simplício, Izair Jefthe Rodrigues, Guilherme Antônio Moreira De Barros

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.147

Author: Cláudio Lopes Simplício [1], Izair Jefthe Rodrigues [2], Guilherme Antônio Moreira De Barros [3]

[1] RJ Brazil Ortofisio Clinic – Instdor Clinic, São Paulo State University (UNESP), Botucatu, Brazil,
[2] Department of Neurosurgery, Regen® Institute of Reparative Medicine, Valinhos, São Paulo, Brazil.
[3] Antalgic Therapy and Palliative Care Department, Faculdade de Medicina de Botucatu, UNESP-SP, Botucatu, Brazil

Address of Correspondence
Dr. Cláudio Lopes Simplício,

São Paulo State University (UNESP), Botucatu, Brazil.

E-mail:c.simplicio@unesp.br

Abstract

Adhesive The presentation of this paper provides a comprehensive overview of the challenges associated with metabolic syndrome in clinical practice, while highlighting the innovative role of extracorporeal shock waves as a therapeutic tool to manage metabolic inflammation. A multidisciplinary approach is emphasized, suggesting that collaboration among different areas of expertise is essential to improve patient health outcomes.
Keywords: Metabolic inflammation, Oxidative stress, Extracorporeal shock waves

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How to Cite this article: Simplício CL, Rodrigues IJ, De Barros GA. Extracorporeal Shock Waves in Metabolic Inflammation. | Journal of Regenerative Science | July-December 2024; 4(2): 18-25.

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Extracorporeal Shock Waves and Ultrasound: A Combined Approach in the Treatment of Musculoskeletal Injuries

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Original Article | Vol 4 | Issue 2 |  July-December 2024 | page: 26-31 | Cláudio Lopes Simplício, Everaldo Gregio-Junior, Guilherme Antônio Moreira de Barros, Izair Jefthe Rodrigues

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.149

Author: Cláudio Lopes Simplício [1], Everaldo Gregio-Junior [2], Guilherme Antônio Moreira de Barros [3], Izair Jefthe Rodrigues [4]

[1] Orthopedics – Physiatrist – Antalgic Therapy, RJ Brazil Ortofisio Clinic – Instdor Clinic- São Paulo State, University (UNESP) Botucatu – São Paulo, Brazil,
[2] Department of Medical Imaging, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil; Professor of the Ultrasonography course at Cetrus School, São Paulo, Brazil,
[3] Department of Antalgic Therapy and Palliative Care, Antalgic Therapy and Palliative Care, Faculdade de Medicina de Botucatu, UNESP, São Paulo, Brazil,
[4] Department of Neurosurgery, Regen® Institute of Reparative Medicine, Valinhos, São Paulo, Brazil

Address of Correspondence
Dr. Cláudio Lopes Simplício,

Orthopedics – Physiatrist – Antalgic Therapy, RJ Brazil Ortofisio Clinic – Instdor Clinic- São Paulo State, University (UNESP) Botucatu – São Paulo, Brazil.

Email: c.simplicio@unesp.br

Abstract

The combination of extracorporeal shock wave therapy (ESWT) and ultrasound (US) emerges as an innovative and effective approach in the treatment of musculoskeletal injuries. This integration provides significant benefits in both diagnosis and treatment, resulting in better clinical outcomes and faster recovery for patients. US stands out as a non-invasive diagnostic tool that offers real-time imaging, and is widely used in the assessment of various musculoskeletal conditions, including injuries to the shoulder, elbow, wrist, knee, and ankle.
ESWT is an effective method that has expanded to treat a variety of musculoskeletal pathologies through the application of acoustic waves. The interaction between US and shock waves is crucial in ensuring precision in interventions, allowing for more targeted and effective treatment.
In addition to enhancing the accuracy of injections and therapeutic interventions, US also plays a critical role in monitoring clinical progress and the early detection of complications. Studies show that the combination of these approaches results in significant pain relief and improved functionality for patients. Therefore, the integrated use of US and shock wave therapy represents a valuable strategy in the management of musculoskeletal injuries, broadening its application in clinical practices.
Keywords: Ultrasound, Musculoskeletal injuries, Extracorporeal shock waves

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How to Cite this article: Simplício CL, Junior EG, Barros GAMD, Rodrigues IJ | Extracorporeal Shock Waves and Ultrasound: A Combined Approach in the Treatment of Musculoskeletal Injuries. | Journal of Regenerative Science | July-December 2024; 4(2): 00-00.

 

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Extracorporeal Shockwave Therapy in the Treatment of Adhesive Capsulitis of the Shoulder: A Novel Approach-CapsuWave

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Original Article | Vol 4 | Issue 2 |  July-December 2024 | page: 32-39 | Cláudio Lopes Simplício, Daiane Agostini, André V. S. Kruel, Guilherme Antônio Moreira de Barros, Izair Jefthe Rodrigues

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.151

Author: Cláudio Lopes Simplício, Daiane Agostini, André V. S. Kruel, Guilherme Antônio Moreira de Barros, Izair Jefthe Rodrigues

[1] RJ Brazil Ortofisio Clinic-Instdor Clinic-São Paulo State, Universidade Estadual Paulista, Botucatu–São Paulo, Brazil,
[2] Proregen Clinic-Bento Gonçalves, State of Rio Grande do Sul, Brazil,
[3] Proregen Clinic, Bento Gonçalves-State of Rio Grande do Sul, Brazil,
[4] Antalgic Therapy and Palliative Care, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, São Paulo, Brazil,
[5] Regen® Institute of Reparative Medicine, São Paulo, Brazil.

Address of Correspondence
Cláudio Lopes Simplício,
RJ Brazil Ortofisio Clinic-Instdor Clinic-São Paulo State, Universidade Estadual Paulista, Botucatu–São Paulo, Brazil.
E-mail: c.simplicio@unesp.br

Abstract

Adhesive capsulitis, commonly known as frozen shoulder, is a musculoskeletal condition characterized by intense pain and progressive limitation of mobility in the glenohumeral joint, often associated with diseases such as diabetes and autoimmune conditions. Its etiology remains incompletely understood but involves inflammatory and fibrotic factors that lead to adhesions of the articular capsule. The clinical presentation is divided into three phases: Inflammatory, frozen, and resolution, each varying in duration and symptom intensity. Extracorporeal shockwave therapy (ESWT) has emerged as a non-invasive treatment approach for this condition, showing positive results in improving range of motion and reducing pain. ESWT works by modulating the inflammatory response and promoting tissue regeneration, as evidenced by studies demonstrating its beneficial effects, especially when combined with other therapies. A detailed case study of a 58-year-old patient with a trauma history indicating adhesive capsulitis is presented, highlighting the symptoms and limitations encountered. Treatment included shockwave applications, following the CapsuWave technique, which optimizes treatment administration. Results suggest that ESWT offers a more accelerated functional recovery compared to other therapies, such as corticosteroid injections. Continued investigation into the pathophysiology of adhesive capsulitis and the efficacy of shockwave therapy is crucial for developing more effective treatment options. A multidisciplinary approach, integrating diverse areas of medicine, is essential for the proper management of this complex condition, aiming not only for pain reduction but also for improving the patients’ quality of life.
Keywords: Adhesive capsulitis, Shoulder pain, Extracorporeal shockwave therapy

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How to Cite this article: Simplício CL, Agostini D, Kruel AVS, de Barros GAM, Rodrigues IJ. Extracorporeal Shockwave Therapy in the Treatment of Adhesive Capsulitis of the Shoulder: A Novel Approach-CapsuWave. | Journal of Regenerative Science | July-December 2024; 4(2): 32-39.

 

 

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The power of case reports

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Editorial | Vol 4 | Issue 1 |  January-June 2024 | page: 01-02 | Daniel Moya

DOI: https://doi.org/10.13107/jrs.2024.v04.i01.117

Author: Daniel Moya [1]

[1] Department of Orthopaedics. Buenos Aires British Hospital, Argentina.

Address of Correspondence
Dr. Daniel Moya,
Department of Orthopaedics. Buenos Aires British Hospital, Argentina.
E-mail: drdanielmoya@yahoo.com.ar

Editorial:

Medical education has currently a variety of tools as never before in the history of mankind. Options include everything from telepresence to virtual reality. However, interaction with patients remains, as in the past, an unsurpassed source of learning. Health-care practice provides learning about the way different pathologies manifest, their clinical course, and the response to different treatments.

A simple way to share that experience is through case reporting. A case report consists of a detailed description of significant clinical information of a case or a small group of patients, presenting pathologies not previously described, new therapeutic methodologies, or cases with an unusual response to treatment.

This type of study has often been underestimated because it is a category of publication with a low level of evidence [1-4] and does not have a high citation rate [1, 2, 4, 5]. These causes have led to case reports being a small segment of health publications [4].

However, these studies can provide important information [1-9]. Case reports can be the basis of future large-scale clinical studies [6], can reveal facts that often go unnoticed in large series of patients [3], and be the starting point for the development of new treatments [3]. They can demonstrate results in one or a few cases with therapeutic methods previously tested in animal experiments [4].

Case reports have made it possible to detect severe adverse effects [3, 4]. Nayak described that the teratogenic effect of thalidomide was identified through a case report of phocomelia [3].

We must also be aware that the publication of a case report is often the first step of a young colleague in the world of publications. That is why it should be encouraged. The publication of case reports allows even those who have less economic or institutional support for their academic activity to transmit their experience. It is a way to democratize scientific exchange and not depend only on supposed elites that end up transforming clinical research production groups into small aristocracies that generate only a one-way exchange.

Writing a case report has been described not only as an academic procedure but also as an art [8].

There is useful information in the literature about how to write this type of manuscripts [3, 4, 6, 8, 10]. Cases must be original and transmit information that has an impact on clinical practice. They must be structured like the rest of the publications, provide a complete and correct description of the case, and have solid bibliographic support.

Starting in this volume we will include case reports. On this occasion, they come from different colleagues from Ibero America. We also incorporated a new section that consists of critical reading of scientific publications related to regenerative medicine. Contributions, proposals, and criticisms will be welcome.

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How to Cite this article: Moya D | The Power of Case Reports. | Journal of Regenerative Science | Jan-Jun 2024; 4(1): 01-02.

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Extracorporeal Shock Wave Therapy in Calcifying Tendonitis of the Shoulder. Case Report

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Case Report | Vol 4 | Issue 1 |  January-June 2024 | page: 03-05 | Oyama Arruda Frei Caneca Júnior

DOI: https://doi.org/10.13107/jrs.2024.v04.i01.119

 

Author: Oyama Arruda Frei Caneca Júnior [1]

[1] GOT – Orthopedics and Traumatology Group, Recife, Brazil.

Address of Correspondence
Oyama Arruda Frei Caneca Júnior,

GOT – Orthopedics and Traumatology Group, Recife, Brazil.

E-mail: oyama.arruda@gmail.com

Abstract

Calcific tendonitis in the shoulder is very common. Patients who do not improve with physical therapy treatment may benefit from shockwave treatment before an invasive procedure is indicated. The focused shockwave treatment has a high degree of recommendation in calcific tendonitis of the shoulder, according to several studies with a high level of evidence. This report shows a 58-year-old female patient with calcific tendonitis of the shoulder with pain for more than 6 months without response to medication and rehabilitation treatment. Four sessions of 3000 pulses were performed with a focused shockwave piezoelectric device, with a maximum level of energy of 0.4 mj/mm2. Pain remission and calcification resorption were verified 3 months after the last application. Extracorporeal Shockwave Treatment is a safe and effective alternative for calcific tendonitis of the shoulder.
Keywords: ESWT, calcific tendinopathy, shoulder

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7. Moya D, Ramón S, Schaden W, Wang CJ, Guiloff L, Cheng JH. The role of extracorporeal shockwave treatment in musculoskeletal disorders. J Bone Joint Surg Am 2018;100:251-63.
8. Moya D, Ramón S, Guiloff L, Gerdesmeyer L. Current knowledge on evidence-based shockwave treatments for shoulder pathology. Int J Surg 2015;24:171-8.

How to Cite this article: Caneca OAF Jr. Extracorporeal Shock Wave Therapy in Calcifying Tendonitis of the Shoulder. Case Report. Journal of Regenerative Science 2024;January-June;4(1):03-05

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