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20 Years of Treatment of Bone Non-Unions and Delayed Unions with Shock Waves

June 30, 2024/0 Comments/in Vol 4 | Issue 1 | Jan June 2024/by Editor JRS

??? | Vol 4 | Issue 1 | January-June 2024 | page: 27-30| Paulo F Kertzman DOI: https://doi.org/10.13107/jrs.2024.v04.i01.131 Author: Paulo F Kertzman [1] [1] Departamento de Ortopedia, Santa Casa de São Paulo, São Paulo, SP, Brazil. Address of Correspondence Dr. Paulo F Kertzman Departamento de Ortopedia, Santa Casa de São Paulo, São Paulo, SP, Brazil. […]

Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis

June 30, 2024/0 Comments/in Vol 4 | Issue 1 | Jan June 2024/by Editor JRS

Case Report | Vol 4 | Issue 1 | January-June 2024 | page: 31-34 | Ricardo Kobayashi DOI: https://doi.org/10.13107/jrs.2024.v04.i01.133 Author: Ricardo Kobayashi [1] [1] Department of Neurology, Pain Center, University of São Paulo, Brazil. Address of Correspondence Dr. Ricardo Kobayashi, Department of Neurology, Pain Center, University of São Paulo, Brazil. E-mail: koba@globo.com Abstract Introduction: Plantar […]

20 Years of Treatment of Bone Non-Unions and Delayed Unions with Shock Waves

June 30, 2024/0 Comments/in Vol 4 | Issue 1 | Jan June 2024/by Editor JRS

Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis

June 30, 2024/0 Comments/in Vol 4 | Issue 1 | Jan June 2024/by Editor JRS

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20 Years of Treatment of Bone Non-Unions and Delayed Unions with Shock Waves

June 30, 2024/0 Comments/in Vol 4 | Issue 1 | Jan June 2024/by Editor JRS

DOI: https://doi.org/10.13107/jrs.2024.v04.i01.131

Author: Paulo F Kertzman [1]

[1] Departamento de Ortopedia, Santa Casa de São Paulo, São Paulo, SP, Brazil.

Address of Correspondence
Dr. Paulo F Kertzman
Departamento de Ortopedia, Santa Casa de São Paulo, São Paulo, SP, Brazil.
E-mail: paulofkertzman@uol.com.br

Abstract

The treatment of bone non-unions continues to be complex and prolonged in many cases. The advent of the use of mechanical waves has made it possible, through the phenomenon of mechanotransduction, to have a non-invasive tool with a low rate of complications.
This study analyzes the experience of the last 20 years with the use of shock waves.

Keywords: Non-union, shock waves, Delayed union, Mechanotransduction

References:

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How to Cite this article: Kertzman PF. 20 Years of Treatment of Non-Unions and Delayed Unions with Shock Waves. Journal of Regenerative Science 2024;January-June;4(1):27-30.

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Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis

June 30, 2024/0 Comments/in Vol 4 | Issue 1 | Jan June 2024/by Editor JRS

DOI: https://doi.org/10.13107/jrs.2024.v04.i01.133

Author: Ricardo Kobayashi [1]

[1] Department of Neurology, Pain Center, University of São Paulo, Brazil.

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

Abstract

Introduction: Plantar fasciitis (PF) is an important cause of musculoskeletal pain and radial pressure waves (RPWs) can be used for patients not improving after 3 months of other non-operative measures. However, in refractory cases of PT, it is imperative to investigate possible differential diagnoses and one of its important differential diagnoses is tarsal tunnel syndrome (TTS). TTS is a rare but important condition which is regularly under diagnosed leading to a range of symptoms affecting the plantar aspect of the foot typically associated with a neuropathic pain pattern.
Case Report: We report a case of PF with TTS and associated neuropathic components. At first, nortriptyline 50 mg and 5% lidocaine patch were used, which improved the neuropathic pattern. After that, three RPW sessions were conducted at weekly intervals, with energy between 2 and 3 bars, frequency between 5 and 7 hertz. In addition to the area of greatest pain in the plantar fascia, treatment was also applied to the myofascial trigger points of the triceps surae and posterior tibial muscles. Three months after the last RPW session, the patient reported a 90% improvement in pain intensity, without limitations in daily activities.
Conclusion: This case highlights the importance of differential diagnoses of PF, especially before the indication of RPW in refractory cases. In addition to the neuropathic pattern associated with TTS, neuropathic pain associated with tendinopathies of the lower limbs is common (1/4 of cases) and needs to be identified and treated in conjunction with tendinopathy for a more effective result.
Keywords: Chronic pain, Plantar fasciitis, Tarsal tunnel syndrome, Mixed pain, Neuropathic pain, Shockwaves

References:

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How to Cite this article: Kobayashi R | Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis. Journal of Regenerative Science 2024;January-June;4(1):31-34

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20 Years of Treatment of Bone Non-Unions and Delayed Unions with Shock Waves

Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis

20 Years of Treatment of Bone Non-Unions and Delayed Unions with Shock Waves

Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis

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20 Years of Treatment of Bone Non-Unions and Delayed Unions with Shock Waves

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Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis

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