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Related Experiment Videos

Shock wave therapy for lateral elbow pain.

R Buchbinder1, S Green, M White

  • 1Department of Clinical Epidemiology, Cabrini Hospital and Monash Unversity, Suite 41, Cabrini Medical Centre, 183 Wattletree Rd, Malvern, Victoria, Australia, 3144. rachelle.buchbinder@med.monash.edu.au

The Cochrane Database of Systematic Reviews
|March 1, 2002
PubMed
Summary

Extracorporeal shock wave therapy (ESWT) shows conflicting results for treating tennis elbow. Pooled data did not demonstrate significant benefits over placebo, indicating a need for further research.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Pain Management

Background:

  • Lateral elbow pain, commonly known as tennis elbow, is a prevalent condition affecting elbow and wrist function.
  • Extracorporeal shock wave therapy (ESWT) utilizes acoustic waves for treating tendon disorders.
  • Previous reviews have explored ESWT's efficacy, with a notable German-language review in 2000.

Purpose of the Study:

  • To systematically evaluate the effectiveness and safety of ESWT for treating lateral elbow pain in adults.
  • To synthesize evidence from randomized and pseudo-randomized controlled trials comparing ESWT to placebo or other interventions.

Main Methods:

  • Comprehensive literature searches were conducted across major databases (MEDLINE, CINAHL, EMBASE, SCISEARCH) and specialized trial registries.

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  • Two independent reviewers assessed trial eligibility based on pre-defined criteria, including study design and participant characteristics.
  • Data extraction involved continuous and binary outcomes, with analysis using weighted mean differences and relative risks, employing random and fixed effects models.

    • Main Results:

    • Two trials comparing ESWT to placebo in chronic lateral elbow pain patients were included.
    • Initial trial results showed significant benefits for ESWT, but pooled analysis of both trials failed to reach statistical significance.
    • No significant improvements in pain at rest or during specific wrist/finger extension movements were observed with ESWT compared to placebo at various time points.

    Conclusions:

    • The available evidence from the reviewed trials presents conflicting findings regarding ESWT's effectiveness for lateral elbow pain.
    • Further high-quality randomized controlled trials are necessary to definitively establish the therapeutic value of ESWT for this condition.