Treatment of medial tibial stress syndrome with extracorporeal shockwave treatment: a literature review
DOI:
https://doi.org/10.5935/0104-7795.20170026Keywords:
Therapeutic Approaches, Treatment Outcome, High-Energy Shock WavesAbstract
Medial tibial stress syndrome is a common injury due to mechanical overload, especially in athletes due to local inflammation and bone stress. Shockwave therapy (ESWT) has been used as a treatment for this pathology due to its analgesic and anti-inflammatory effects. Objective: To evaluate the effectiveness of ESWT in the analgesic treatment of medial tibial stress syndrome and measures of functionality. Methods: A review of the literature was conducted, with clinical studies in humans included. Results: 3 articles fulfilled the inclusion criteria, including 166 patients. The trials involved a wide variety of interventions, types of devices, frequency and energy used, as well as differences in the number of sessions and types of shock waves used in treatment. Conclusion: There is still no consistent evidence regarding the use of ESWT in the conservative treatment of medial tibial stress syndrome, with small studies of low methodological quality. Studies included in this review did not report significant side effects.
Downloads
References
Winters M, Eskes M, Weir A, Moen MH, Backx FJ, Bakker EW. Treatment of medial tibial stress syndrome: a systematic review. Sports Med. 2013;43(12):1315-33. DOI: http://dx.doi.org/10.1007/s40279-013-0087-0
Reshef N, Guelich DR. Medial tibial stress syndrome. Clin Sports Med. 2012;31(2):273-90. DOI: http://dx.doi.org/10.1016/j.csm.2011.09.008
Moen MH, Tol JL, Weir A, Steunebrink M, De Winter TC. Medial tibial stress syndrome: a critical review. Sports Med. 2009;39(7):523-46. DOI: http://dx.doi.org/10.2165/00007256-200939070-00002
Viitasalo JT, Kvist M. Some biomechanical aspects of the foot and ankle in athletes with and without shin splints. Am J Sports Med. 1983;11(3):125-30. DOI: http://dx.doi.org/10.1177/036354658301100304
Newman P, Witchalls J, Waddington G, Adams R. Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med. 2013;4:229-41. DOI: http://dx.doi.org/10.2147/OAJSM.S39331
Rompe JD, Hope C, Küllmer K, Heine J, Bürger R. Analgesic effect of extracorporeal shock-wave therapy on chronic tennis elbow. J Bone Joint Surg Br. 1996;78(2):233-7. DOI: http://dx.doi.org/10.1302/0301-620X.78B2.0780233
Gerdesmeyer L, Wagenpfeil S, Haake M, Maier M, Loew M, Wörtler K, et al. Extracorporeal shock wave therapy for the treatment of chronic calcifying tendonitis of the rotator cuff: a randomized controlled trial. JAMA. 2003;290(19):2573-80. DOI: http://dx.doi.org/10.1001/jama.290.19.2573
Rompe JD, Cacchio A, Furia JP, Maffulli N. Low-energy extracorporeal shock wave therapy as a treatment for medial tibial stress syndrome. Am J Sports Med. 2010;38(1):125-32. DOI: http://dx.doi.org/10.1177/0363546509343804
Newman P, Waddington G, Adams R. Shockwave treatment for medial tibial stress syndrome: A randomized double blind sham-controlled pilot trial. J Sci Med Sport. 2017;20(3):220-224. DOI: http://dx.doi.org/10.1016/j.jsams.2016.07.006
Moen MH, Rayer S, Schipper M, Schmikli S, Weir A, Tol JL, et al. Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study. Br J Sports Med. 2012;46(4):253-7. DOI: http://dx.doi.org/10.1136/bjsm.2010.081992
van Leeuwen MT, Zwerver J, van den Akker-Scheek I. Extracorporeal shockwave therapy for patellar tendinopathy: a review of the literature. Br J Sports Med. 2009;43(3):163-8. DOI: http://dx.doi.org/10.1136/bjsm.2008.050740
Downloads
Published
Issue
Section
License
Copyright (c) 2017 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
