Member May 2025: Advances in Clinical Application of Extracorpal shockwave therapy (ESWT) (On Demand)-Session Recording

Video Transcription

Video Summary

In a session organized by AAPMNR, Dr. Haruki Ishii, a clinical assistant professor at NYU Langone Hospital, discussed the application of extracorporeal shockwave therapy for musculoskeletal (MSK) conditions. Shockwave therapy, a non-invasive intervention using sound or pressure waves, is significant for treating various MSK issues like tendinopathies, osteoarthritis, and bone stress injuries. Dr. Ishii emphasized understanding the differentiation between focal and radial shockwaves, noting that focal shockwaves penetrate deeper tissues, suitable for tendons and bones, while radial shockwaves address surface-level injuries. Shockwave therapy is considered effective for pain reduction and functional improvement, with studies supporting its efficacy over placebo for conditions like plantar fasciitis and lateral epicondylitis. However, results may vary based on patient age and symptom duration. The therapy, which requires minimal time away from activities, should complement existing treatments like physical therapy rather than replace them. Adverse effects are minimal, but contraindications include pregnancy and acute infections. While shockwave therapy shows promise, further research is essential to refine treatment protocols for specific conditions.

Keywords

extracorporeal shockwave therapy

musculoskeletal conditions

tendinopathies

osteoarthritis

pain reduction

focal shockwaves

radial shockwaves

plantar fasciitis

lateral epicondylitis