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Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome

June 30, 2023/0 Comments/in Vol 3 | Issue 1 | Jan June 2023/by Editor JRS

Review Article | Volume 3 | Issue 1 | JRS Jun – June 2023 | Page 22-25 | Oyama Arruda Frei Caneca Junior , Ibrahim Afranio Willi Liu . DOI: 10.13107/jrs.2023.v03.i01.077 Author: Oyama Arruda Frei Caneca Junior [1], Ibrahim Afranio Willi Liu [2] [1] Director of SMBTOC, Orthopedic Surgeon at GOT Recife (Orthopedics and Traumatology […]

Achilles Tendinopathy, Pathophysiology, Diagnosis, and Management with Shockwave Therapy

June 30, 2023/0 Comments/in Vol 3 | Issue 1 | Jan June 2023/by Editor JRS

Review Article | Volume 3 | Issue 1 | JRS Jun – June 2023 | Page 26-31 | Paul German Terán , Estefania Anabel Lozada , Alvaro Santiago LeMarie. DOI: 10.13107/jrs.2023.v03.i01.79 Author: Paul German Terán [1], Estefania Anabel Lozada [1], Alvaro Santiago LeMarie [2] [1] Department of Traumatology and Orthopedics, Orthopedic Specialties Center, Quito, Ecuador, […]

Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome

June 30, 2023/0 Comments/in Vol 3 | Issue 1 | Jan June 2023/by Editor JRS

Achilles Tendinopathy, Pathophysiology, Diagnosis, and Management with Shockwave Therapy

June 30, 2023/0 Comments/in Vol 3 | Issue 1 | Jan June 2023/by Editor JRS

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Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome

June 30, 2023/0 Comments/in Vol 3 | Issue 1 | Jan June 2023/by Editor JRS

Author: Oyama Arruda Frei Caneca Junior [1], Ibrahim Afranio Willi Liu [2]

[1] Director of SMBTOC, Orthopedic Surgeon at GOT Recife (Orthopedics and Traumatology Group), Brazil,
[2] Director of the Brazilian Medical Society for Shockwave Treatment-SMBTOC and Brazilian Orthopedic Society-SBOT Pain Committee.

Address of Correspondence
Dr. Oyama Arruda Frei Caneca Junior,
Director of SMBTOC, Orthopedic Physician at GOT Recife (Orthopedics and Traumatology Group), Brazil.
E-mail: oyama.arruda@gmail.com

Abstract

Peritrochanteric hip pain or great trochanter pain syndrome (GTPS) is a frequent complaint in offices and is the most common cause of pain and tenderness affecting the lateral part of the hip. Traditional conservative treatment of GTPS includes the use of anti-inflammatory drugs, physical therapy, and changing activities of daily living. In resistant cases, shockwave treatment presents satisfactory results considered good and excellent in 70 to 80% of GTPS cases treated by this technique, reducing the need for other treatments and the use of medications for long eriods. The treatment of GTPS with shock waves can be performed with focal waves or radial pressure waves, with the application of 3 initial sessions with an interval of one week, frequencies between 4 and 6 Hz, with 500 initial pulses in the region and at least 2000 pulses using energy between medium and high intensity at the point of greatest sensitivity on palpation, It is also important to treat the trigger points of the hip region. Due to the anatomical characteristics of a deep joint and the frequent presence of an associated myofascial pain, hip pathologies are a good option for the concomitant use of focal and radial pressure waves.

Keywords: Greater trochanteric pain syndrome; Trochanteric bursitis; hip pain; lateral hip pain; Shock waves; Radial pressure waves.

References:

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Carlisi E, Cecini M, Di Natali G, Manzoni F, Tinelli C, Lisi C. Focused extracorporeal shock wave therapy for greater trochanteric pain syndrome with gluteal tendinopathy: a randomized controlled trial. Clin Rehabil. 2019 Apr;33(4):670-680. doi: 10.1177/0269215518819255.
Schroeder AN, Tenforde AS, Jelsing EJ. Extracorporeal shockwave therapy in the management of sports medicine injuries. Curr Sports Med Rep. 2021 Jun 1;20(6):298-305. doi: 10.1249/JSR.0000000000000851.
Mitchkash M, Robinson D, Tenforde AS. Efficacy of extracorporeal pulse-activated therapy in the management of lower-extremity running-related injuries: findings from a large case cohort. J Foot Ankle Surg. 2020 Jul-Aug;59(4):795-800. doi: 10.1053/j.jfas.2020.02.008.
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How to Cite this article: Junior OAFC, Liu IAW | Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome. | Journal of Regenerative Science | Jan – June 2023; 3(1): 22-25.

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Achilles Tendinopathy, Pathophysiology, Diagnosis, and Management with Shockwave Therapy

June 30, 2023/0 Comments/in Vol 3 | Issue 1 | Jan June 2023/by Editor JRS

Author: Paul German Terán [1], Estefania Anabel Lozada [1], Alvaro Santiago LeMarie [2]

[1] Department of Traumatology and Orthopedics, Orthopedic Specialties Center, Quito, Ecuador,
[2] Anatomy Professor, Faculty of Medicine, International University of Ecuador.

Address of Correspondence
Dr. Paul German Terán,
Department of Traumatology and Orthopedics, Orthopedic Specialties Center, Quito, Ecuador.
E-mail: paulteranmd@gmail.com

Abstract

The Achilles tendon is a strong structure that is frequently injured in runners and jumpers, but it can also be present in patients who do not engage in any sports. This clinical syndrome is characterized by pain, structural changes, and impairment of physical function. Achilles tendinopathy is extensively studied because it can be devastating, with slow and prolonged recovery that can take a year or more, and a high risk of re-injury. This condition is classified into insertional and non-insertional Achilles tendinopathy, depending on the affected region of the tendon. Intrinsic and extrinsic factors contribute to the intratendinous changes in vascularization and elevated pain neurotransmitters. The diagnosis is primarily based on the patient’s clinical history, and imaging techniques such as ultrasound, including sonoelastography, and magnetic resonance imaging can be useful in identifying the nature, location, and extent of the lesion. Treatment options for Achilles tendinopathy include rehabilitation, image-guided injections, shockwave therapy, ultrasound therapy, percutaneous intratissue electrolysis, orthotics, medications, and surgery. Among these options, shockwave therapy may provide the best tolerance, pain relief, and functional recovery.

Keywords: Achilles tendon, tendinopathy, insertional, non-insertional, extracorporeal shock waves.

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How to Cite this article: Terán PG, Lozada EA, LeMarie AS. | Achilles Tendinopathy, Pathophysiology, Diagnosis, and Management with Shockwave Therapy. | Journal of Regenerative Science | Jan – June 2023; 3(1): 26-31.

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Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome

Achilles Tendinopathy, Pathophysiology, Diagnosis, and Management with Shockwave Therapy

Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome

Achilles Tendinopathy, Pathophysiology, Diagnosis, and Management with Shockwave Therapy

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Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome

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Achilles Tendinopathy, Pathophysiology, Diagnosis, and Management with Shockwave Therapy

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