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
References:
1. Tsai P, Edison J, Wang C, Sefton J, Manning KQ, Gramlich MW. Myofascial trigger point (MTrP) size and elasticity properties can be used to differentiate characteristics of MTrPs in lower back skeletal muscle. Sci Rep 2024;14:7562.
2. Štěpánková T, Quittková A, Čech Z, Machač S. Sonographic measurement of deep fascia parameters – Interrater reliability. Surg Radiol Anat 2024;46:1481-9.
3. Farin PU, Jaroma H. Sonographic findings of rotator cuff calcifications. J Ultrasound Med 1995;14:7-14.
4. Patil P, Dasgupta B. Role of diagnostic ultrasound in the assessment of musculoskeletal diseases. Ther Adv Musculoskelet Dis 2012;4:341-55.
5. Kazam JK, Nazarian LN, Miller TT, Sofka CM, Parker L, Adler RS. Sonographic evaluation of femoral trochlear cartilage in patients with knee pain. J Ultrasound Med 2011;30:797-802.
6. Naredo E, Rodriguez-Garcia SC, Terslev L, Martinoli C, Klauser A, Hartung W, et al. The EFSUMB guidelines and recommendations for musculoskeletal ultrasound – part II: Joint pathologies, pediatric applications, and guided procedures. [EFSUMB-Leitlinien und -Empfehlungen für den muskuloskelettalen Ultraschall – Teil II: Gelenkpathologien, pädiatrische Anwendungen und geführte Verfahren] Ultraschall Med 2022;43:252-73.
7. Wuerfel T, Schmitz C, Jokinen LL. The effects of the exposure of musculoskeletal tissue to extracorporeal shock waves. Biomedicines 2022;10:1084.
8. De la Corte-Rodríguez H, Román-Belmonte JM, Rodríguez-Damiani BA, Vázquez-Sasot A, Rodríguez-Merchán EC. Extracorporeal shock wave therapy for the treatment of musculoskeletal pain: A narrative review. Healthcare (Basel) 2023;11:2830.
9. 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.
10. 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.
11. Ryskalin L, Morucci G, Natale G, Soldani P, Gesi M. Molecular mechanisms underlying the pain-relieving effects of extracorporeal shock wave therapy: A focus on fascia nociceptors. Life (Basel) 2022;12:743.
12. Di Renzi D, Zavaroni S, Mazzola M, Petroselli L, Bruno AA, Trischitta D, et al. Treatment for symptomatic calcific tendinopathy of the shoulder: Ultrasound-guided needling lavage and extracorporeal shock wave therapy vs extracorporeal shock wave therapy. A prospective observational study. Muscles Ligaments Tendons J 2023;3:440-8.
13. Khesa L. The Comparative Efficacy of Spinal Manipulative Therapy and Extracorporeal Shockwave Therapy in the Treatment of Chronic Lumbar Facet Syndrome. (Doctoral Thesis). Johannesburg: University of Johannesburg; 2012.
14. Fulceri F, Ryskalin L, Morucci G, Busoni F, Soldani P, Gesi M. Pain-relieving effects of shockwave therapy for ledderhose disease: An ultrasound-based study of an unusual bilateral case. Life (Basel) 2024;14:169.
15. Simplicio CL, Purita J, Murrell W, Santos GS, Dos Santos RG, Lana JF. Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine. J Clin Orthop Trauma 2020;11:S309-18.
16. Gómez-Chiguano GF, Navarro-Santana MJ, Cleland JA, Arias-Buría JL, Fernández-de-las-Peñas C, Ortega-Santiago R, et al. Effectiveness of ultrasound-guided percutaneous electrolysis for musculoskeletal pain: A systematic review and meta-analysis. Pain Med 2020;22:1055-71.
17. Sanchez-Ibáñez JM. Clinical Course in the Treatment of Chronic Patellar Tendinopathy through Ultrasound Guided Percutaneous Electrolysis Intratissue (EPIVR): Study of a Population Series of Cases in Sport. Hawaii: Atlantic International University; 2009.
18. Perrot S, Cohen M, Barke A, Korwisi B, Rief W, Treede RD. The IASP classification of chronic pain for ICD-11: Chronic secondary musculoskeletal pain. Pain 2019;160:77-82.
19. Lin I, Wiles L, Waller R, Goucke R, Nagree Y, Gibberd M, et al. What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: Systematic review. Br J Sports Med 2020;54:79-86.
20. Rio E, Docking SI. Adaptation of the pathological tendon: You cannot trade in for a new one, but perhaps you don’t need to? Br J Sports Med 2018;52:622-3.
21. Sánchez-Ibáñez JM. A molecular mechanisms of regeneration in chronic tendinopathy using ultrasound-guided intratissue percutaneous electrolysis (EPI®). MOJ Immunol 2017;5:00148.
22. Kaux JF, Forthomme B, Goff CL, Crielaard JM, Croisier JL. Current opinions on tendinopathy. J Sports Sci Med 2011;10:238-53.
23. Lee CC, Lin WR, Hsu JM, Chow YC, Tsai WK, Chiang PK, et al. Comparison of electrohydraulic and electromagnetic extracorporeal shock wave lithotriptors for upper urinary tract stones in a single center. World J Urol 2019;37:931-5.
24. Chang TH, Lin WR, Tsai WK, Chiang PK, Chen M, Tseng JS, et al. Comparison of ultrasound-assisted and pure fluoroscopy-guided extracorporeal shockwave lithotripsy for renal stones. BMC Urol 2020;20:183.
25. Jakobeit C, Winiarski B, Jakobeit S, Welp L, Spelsberg G. Ultrasound-guided, high-energy extracorporeal – shock-wave treatment of symptomatic calcareous tendinopathy of the shoulder. ANZ J Surg 2002;72:496-500.
26. Bechay J, Lawrence C, Namdari S. Calcific tendinopathy of the rotator cuff: A review of operative versus nonoperative management. Phys Sportsmed 2020;78:241-6.
27. Rompe JD, Rumler F, Hopf C, Nafe B, Heine J. Extracorporal shock wave therapy for calcifying tendinitis of the shoulder. Clin Orthop Relat Res 1995;321:196-201.
28. Anwar N, Li S, Long L, Zhou L, Fan M, Zhou Y, et al. Combined effectiveness of extracorporeal radial shockwave therapy and ultrasound-guided trigger point injection of lidocaine in upper trapezius myofascial pain syndrome. Am J Transl Res 2022;14:182-96.
29. Fang, W. H., Chen, X. T., & Vangsness Jr, C. T. (2021). Ultrasound-Guided Knee Injections Are More Accurate Than Blind Injections: A Systematic Review of Randomized Controlled Trials. Arthroscopy, Sports Medicine, and Rehabilitation, 3(4), e1177-e1184. https://doi.org/10.1016/j.asmr.2021.01.028
30. Raeissadat, S. A., Rayegani, S. M., Faghihi Langroudi, T., & Khoiniha, M. (2017). Comparing the accuracy and efficacy of ultrasound-guided versus blind injections of steroid in the glenohumeral joint in patients with shoulder adhesive capsulitis. Clinical Rheumatology, 36(4), 933-940. https://doi.org/10.1007/s10067-016-3393-8
31. Lee, H.-J., Lim, K.-B., Kim, D.-Y., & Lee, K.-T. (2009). Randomized controlled trial for efficacy of intra-articular injection for adhesive capsulitis: ultrasonography-guided versus blind technique. Archives of Physical Medicine and Rehabilitation, 90(12), 1997-2002. https://doi.org/10.1016/j.apmr.2009.07.025
32. Paoletta, M., Moretti, A., Liguori, S., Snichelotto, F., Menditto, I., Toro, G., Gimigliano, F., & Iolascon, G. (2021). Ultrasound imaging in sport-related muscle injuries: Pitfalls and opportunities. Medicina, 57(10), 1040. https://doi.org/10.3390/medicina57101040
33. Saha, P., Smith, M., & Hasan, K. (2023). Accuracy of Intraarticular Injections: Blind vs. Image Guided Techniques,Review of Literature. Journal of Functional Morphology and Kinesiology, 8, 93. https://doi.org/10.3390/jfmk8030093
34. Shin, Y., Yang, J., Lee, Y. H., & Kim, S. (2021). Artificial intelligence in musculoskeletal ultrasound imaging. Ultrasonography, 40(1), 30-44. https://doi.org/10.14366/usg.20080
35. Fodor, D., Rodriguez-Garcia, S. C., Cantisani, V., Hammer, H. B., Hartung, W., Klauser, A., Martinoli, C., Terslev, L., Alfageme, F., Bong, D., Bueno, A., Collado, P., D’Agostino, M. A., de la Fuente, J., Iohom, G., Kessler, J., Lenghel, M., Malattia, C., Mandl, P., Mendoza-Cembranos, D., Micu, M., Möller, I., Najm, A., Özçakar, L., Picasso, R., Plagou, A., Sala-Blanch, X., Sconfienza, L. M., Serban, O., Simoni, P., Sudoł-Szopińska, I., Tesch, C., Todorov, P., Uson, J., Vlad, V., Zaottini, F., Bilous, D., Gutiu, R., Pelea, M., Marian, A., & Naredo, E. (2021). The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies. Die EFSUMB-Leitlinien und -Empfehlungen für den muskuloskelettalen Ultraschall. Teil I: Extraartikuläre Pathologien. Supplementary material available at: https://doi.org/10.1055/a-1562-1455
36. Akçin, A. İ., Eyvaz, N., Dündar, Ü., Toktaş, H., Yeşil, H., Eroğlu, S., & Adar, S. (2025). The clinical efficacy of extracorporeal shock wave therapy combined with platelet rich plasma and exercise for lateral epicondylitis: Prospective randomized sham-controlled ultrasonographic study. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2025.01.420
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.
|
