|Indication||Article Title||Journal Reference||Author||Key Points|
|Plantar Fasciitis||Long-Term Results of Extracorporeal Shock Wave Technology for Plantar Fasciitis||Am J Sports Med. 2006 Apr;34(4):592-6.||C. Wang, MD||Patients were followed 5 - 6|
years after ESWT and reported 82.7% good to excellent results (69.1%
excellent, 13.6% good). The study control group using conservative
therapies reported only 55% good results after the same amount of time.
|Plantar Fasciitis||Effectiveness of Extracorporeal Shock Wave Technology in 353 Patients with Chronic Plantar Fasciitis||The Journal of the American Podiatric Medical Association Volume 95 No.6 November/December 2005||D. Norris, MD||Post-treatment survey of 353|
patients reporting 76% of patients experiencing 43% decline in pain and
66% of patients experiencing 44% increase in mobility. 69% of patients
indicated they would recommend the high energy extracorporeal shock wave
|Osteonecrosis of the Femoral Head||Treatment for Osteonecrosis for|
the Femoral Head: Comparison of Extracorporeal Shock Waves with Core
Decompression and Bone-Grafting
|The Journal of Bone and Joint Surgery November 2005||C. Wang, MD||Extracorporeal Shock Wave|
Treatment appeared to be more effective than core decompression and
nonvascularized fibular grafting for providing short-term pain relief
for patients affected by early stages of osteonecrosis of the femoral
|Plantar Fasciitis||Electrohydraulic High-Energy Shock- Wave Treatment for Chronic Proximal Plantar Fasciitis||Journal of Bone and Joint Surgery, Inc. Volume 86-A, Number 10, October 2004||J. Ogden, MD||Reports that high-energy shock|
waves to the heel is a safe and effective non-invasive method to treat
chronic plantar fasciitis with outcomes maintained one year and up to
|Effect of Shock Wave Therapy on Patellar Tendonopathy in a Rabbit Model||Journal of Orthopaedic Research, 22 (2004) pp. 221-227||R. Hsu, MD||Histological exams at 4and 16 weeks after ESWT found increased tenocyte production with neovascularization at 16 weeks.|
|Plantar Fasciitis||Symptom Duration of Plantar Fasciitis and the Effectiveness of Orthotripsy||Foot & Ankle International, Vol. 24,No. 12/December 2003||R. Alvarez, MD||Discusses that patients have a|
slightly better outcome if they have had chronic plantar fasciitis for
1-2 years compared to patients who had been diagnosed longer. An
important secondary finding was that one hundred and twenty three
patients were followed 2-5 years and their outcomes were maintained.
|Calcaneal Bone Spurs||Effect of Extracorporeal Shock Waves on Calcaneal Bone Spurs||Foot & Ankle International, Vol. 24,No. 12/December 2003||G. Lee, MD||Reviews 308 patients treated with|
ESWT and finds that the presence or absence of heel spurs does not
affect the likelihood of a positive outcome. 82% of patients with heel
spurs had excellent to good outcomes and 79% of patients without heel
spurs reported excellent to good outcomes.
|Rotator Cuff Tendonitis*||Extracorporeal Shock Wave Therapy for the Treatment of Chronic Calcifying Tendonitis of the Rotator Cuff||JAMA, Nov. 19, 2003||L. Gerdesmeyer, MD||This study discusses that high energy shockwave application is more effective than placebo and|
significantly more effective than low energy application. At 12 months
the high-energy group had 86% complete resolution, compared to the
low-energy and sham subjects who at 12 months were only 37% and 25%
|Shock Wave Therapy Induces Neovascularization at the Tendon-Bone Junction: A Study in Rabbits||Journal of Orthopaedic Research, 21 (2003) pp. 984-989||C. Wang, MD||Article finds that "the|
mechanism of shock wave therapy involved the early release of angiogenic
growth factors (eNOS and VEGF) and subsequent induction of
neovascularization and tissue proliferation. The neovascularizatoin may
play a role in pain relief of tendonitis and the repair of chronically
inflamed tendon tissues at the tendon-bone junction."
|Lateral Epicondylitis||Shock Wave Therapy for Patients with Lateral Epicondylitis of the Elbow: A One- to Two- Year Follow-up Study||The American Journal of Sports Medicine, Vol. 30, No. 3, 2002||C. Wang, MD||One to two year study following|
43 patients with lateral epicondylitis reporting 90.9% complaint-free or
significantly better results with OssaTron® Shock Wave Technology.
Control group patients who received sham treatment reported no change.
|Plantar Fasciitis||Extracorporeal Shock Wave Therapy for Chronic Proximal Plantar Fasciitis||Clinics in Podiatric Medicine and Surgery, October 2002, Vol. 19, No. 4||W. Strash, DPM, FACFAS||Article reporting 74% excellent to good results after twelve weeks and 87% excellent to very good results after 6 months with 48 human feet with high energy ESWT.|
|Plantar Fasciitis||Extracorporeal Shock Wave Therapy|
(ESWT) for the Treatment of Chronic Plantar Fasciitis: Indications,
Protocol, and a Comparison of Results to Fasciotomy
|The Journal of Foot & Ankle Surgery, June 2002, Vol. 41, Number 3||L. Weil, Jr., DPM||Study with mean follow-up of 8.4 months reporting 82% good to excellent results with high-energy electrohydraulic ESWT.|
|Plantar Fasciitis||Shock Wave Therapy for Patients with Plantar Fasciitis: A One-Year Follow-up Study||Foot & Ankle International, March 2002, Vol. 23, Nov. 3||C. Wang, MD||One year follow-up study reporting greater than 93% success and retention post high-energy OssaTron® ESWT.|
|Plantar Fasciitis||Preliminary Results on the Safety and Efficacy of the OssaTron® for Treatment of Plantar Fasciitis||Foot & Ankle International, March 2002, Vol. 23 No. 3||R. Alvarez, MD||Study reporting safety and efficacy success with 18 out of 20 patients improved/pain free after ESWT with the high-energy OssaTron® device.|
|Plantar Fasciitis||Shock Wave Therapy for Chronic Plantar Fasciitis: A Meta-Analysis||Foot & Ankle International, April 2002, Vol. 23 No.4||J. Ogden, MD||Analysis reviewed 20 studies on|
shock wave for plantar fasciitis and concluded that the studies
demonstrated that ESWT should be considered before any surgical
intervention for plantar fasciitis.
|Animal Study*||Neovascularization at the Tendon-Bone Junction: An Experiment in Dogs||The Journal of Foot and Ankle Surgery, Vol. 41, No. 1, January/February 2002||C. Wang, MD||Discusses the effect of shock|
waves in generating neovascularization and muscularized vessels when
shock waves were applied to dogs using the OssaTron®.
|Nonunion - Delayed Union*||Extracorporeal Shock Wave Therapy of Nonunion or Delayed Osseous Union||Clinical Orthopaedics and Related Research, Number 387, pp. 90-94, June, 2001||W. Schaden, MD||In 75.7% of treatedpatients, one treatment with shock waves resulted in bony consolidation with a simultaneous decrease in symptoms.|
|Nonunion*||Treatment of Nonunions of Long Bone Fractures with Shock Waves||Clinical Orthopaedics and Related Research, No. 387, June 2001||C. Wang, MD||72 subjects with longbone nonunions were studied - 40% had boney union at 3 months, 60.9% at 6 months and 80% at 12 months post-ESWT with the OssaTron®.|
|Plantar Fasciitis||Treatment of Painful Heel Syndrome With Shock Waves||Clinical Orthopaedics and Related Research, Number 387, pp. 41-46, June, 2001||H. Chen, MD||Study reporting 73.5%|
excellent to good results with 68 heels post-ESWT after twelve weeks and
87% excellent to good results with 54 heels with six months follow-up.
|Lateral Epicondylitis||Treatment of Lateral Epicondylitis of the Elbow with Shock Waves||Clinical Orthopaedics and Related Research, Number 387, pp. 60-67, June, 2001||J. Ko, MD||Article demonstrates that healing|
effect from ESWT is time dependent. 57.9% reporting excellent to good
responses at 12 weeks which increased to 73% excellent to good response
at 24 weeks post-ESWT.
|Plantar Fasciitis||Shock Wave Therapy of Chronic Proximal Plantar Fasciitis||Clinical Orthopaedics and Related Research, Number 387, pp. 47-59, June, 2001||J. Ogden, MD||OssaTron® FDA clinical study involving 302 patients reporting 74% excellent to good results post high energy ESWT.|
|Plantar Fasciitis||Treatment of Painful Heels Using Extracorporeal Shock Wave||J Formos Med Assoc. 2000, Vol. 99, No. 7||C. Wang, MD||Study reporting 81% excellent to very good results involving 58 patients after 12 weeks with high energy OssaTron® ESWT.|
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