Shockwave Therapy Helps Patients With Frozen Shoulders

Shockwave Therapy Helps Patients With Frozen Shoulders Blog

Numerous people suffer from a health problem known as “frozen shoulder” or adhesive capsulitis. This condition inflicts substantial amounts of pain and makes it harder to move joints. Fortunately, a recent study reveals that extracorporeal shockwave therapy can deliver relief.

  •  The ailment makes it difficult to work or exercise
  •  Patients frequently experience considerable discomfort
  •  Hard to treat, but ESWT appears to offer a solution

In 2016, a clinical trial was conducted by two researchers named Robert Donatelli and Ahmad Hussein. They decided to find out if shockwave therapy could reduce the symptoms of frozen shoulder. This treatment method uses sophisticated equipment to transmit powerful energy pulses into a patient’s tissue.

Researcher’s’ Comments

Donatelli and Hussein noted that frozen shoulder has become a fairly prevalent health condition, yet physicians still disagree about the best way to treat it. No one attempted to use extracorporeal shockwave therapy as a treatment in the past, according to the researchers.

Study Methods

Two groups of 53 people took part in Hussein and Donatelli’s scientific study. These patients had been diagnosed with adhesive capsulitis by physiotherapy specialists in New York. One group experienced four shockwave therapy treatments each week for 28 days.

Members of the other group thought that they received equivalent treatments. However, the equipment didn’t actually transmit any energy pulses into their bodies. Both groups learned about beneficial exercises to perform in their homes. The researchers asked them to exercise on a regular basis.

Results, Analysis

Trial participants answered questions and underwent testing three times. This happened prior to the study, after treatment ended and 140 days after completion. The patients who experienced real shockwave therapy found that it greatly alleviated their medical condition in multiple ways.

  •  ESWT offers favorable short-term and long-term results
  •  The therapy delivered considerable relief for many patients
  •  It worked far better than exercise combined with a placebo

The researchers concluded that this treatment method is both effective and unlikely to cause any harm. Their clinical trial’s results appeared in the European Journal of Physiotherapy. This quarterly publication was formerly known as Advances in Physiotherapy, and it has remained in print for 17 years.

To sum it up, a well-designed study has determined that extracorporeal shockwave therapy offers a desirable solution for people with frozen shoulder.

The treatment may work best when patients schedule multiple sessions and perform curative exercises at home. Feel free to contact us if you have any questions about this health condition or ESWT.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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