الفهرس | Only 14 pages are availabe for public view |
Abstract Objective: To evaluate the efficacy of shockwave therapy versus ultrasound guided steroid injection in treatment of chronic Supraspinatous Tendinopathy. Methodology: The study was conducted on 30 patients with calcific and non-calcific Supraspinatus Tendinopathy for more than 3 months. Clinical assessment was done for all patients including pain scoring by the visual analogue scale and full shoulder examination at the start of the study and 6 weeks later. Shoulder ultrasound was done at the start of the study. Fifteen patients received 4 sessions of radial shockwave therapy (Intelect® Radial Shockwave, United Kingdom) 3 bar pressure, 2000 pulses, 20 HZ. Fifteen patients received a single ultrasound guided subacromial steroid injection (1 ml triamcinolone 40 mg and 1 ml lidocaine). Results: Both groups showed statistical significant improvement regarding pain relief (VAS) and clinical examination: tenderness, shoulder range of motion and muscle power. There was no statistical significant difference between both groups. Conclusion: Radial shockwave therapy has no additional benefit over ultrasound guided steroid injection on the short-term in patients with chronic supraspinatus tendinopathy. |