Extra-Corporeal Shock Wave Treatment (ESWT) for Tennis Elbow

TREATMENT OPTIONS FOR TENNIS ELBOW

Braces and Straps for Tennis Elbow

Physical Therapy for Tennis Elbow

Extra-Corporeal Shock Wave Treatment (ESWT) for Tennis Elbow

Corticosteroid Injections for Tennis Elbow

Low Level Laser Therapy for Tennis Elbow

Platelet Rich Plasma (PRP) Injection for Tennis Elbow

Autologous Blood Injections (ABI) for Tennis Elbow

 

Treatment Ratings

R E S C U R

RISK: 4/5

4_Hearts_Treatment_Rating

The procedure can be painful and has potential for localized bruising and tenderness. Overall, it is reasonably safe, and there were no serious adverse effects noted in recent studies.

Schmitz C, Császár NBM, Milz S, et al. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database. British Medical Bulletin. 2015;116(1):115-138.

E

EFFECTIVENESS: 2/5

2_Hearts_Treatment_Rating

Studies are conflicting, and many guidelines list it as “not recommended.” Some recent studies show it is helpful for up to 80 % of patients treated. Overall there appears to be a trend favoring this treatment but studies are still conflicting.

Speed C. A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence. Br J Sports Med. 2014 Nov; 48(21):1538-42.

Schmitz C, Császár NBM, Milz S, et al. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database. British Medical Bulletin. 2015;116(1):115-138. doi:10.1093/bmb/ldv047.

Sims SE, Miller K, Elfar JC, Hammert WC. Non-surgical treatment of lateral epicondylitis: a systematic review of randomized controlled trials. Hand (N Y). 2014 Dec; 9(4):419-46.

S

SELF CARE: 0/5  

0_Hearts_Treatment_Rating

You can’t do this on your own.

C

COST: 2/5

2_Hearts_Treatment_Rating  

Online costs quotes range from $1000-2000 for one treatment. Pretty expensive, but less expensive than surgery.

Stasinopoulos D, Johnson MI. The effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis). British Journal of Sports Medicine 2005;39:132-136.

http://www.cochrane.org/CD003524/MUSKEL_shock-wave-therapy-for-elbow-pain

U

USEFULNESS (overall rating): 2/5

2_Hearts_Treatment_Rating

This treatment uses pulses of energy (shock waves) to produce a mechanical force at the area of injury which would hopefully stimulate healing in damaged tissues. Many clinicians have held out ESWT as a safe alternative to more invasive procedures such as surgery. It is generally considered “safe and effective” but it does have negative side effects, and its overall effectiveness has not been established. ESWT side effects typically are mild, usually including soreness at the application site, redness or bruising, though some patients describe the procedure as quite painful. Studies on the effectiveness of ESWT have been conflicting. Some has shown some benefit, while others have shown it is no better than placebo. Given its relatively low risk, it may be worth a try if all other methods fail.

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