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Updated: Aug 24, 2026
A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
Published on: August 2, 2024
Comparison of two ultrasonographic localization techniques for the treatment of lateral epicondylitis with
Gianluca Melegati1, Davide Tornese, Marco Bandi
1Center for Sports Rehabilitation, Galeazzi Orthopedics Institute, Milan, Italy.
Objective:
To describe and compare two ultrasonographic localization techniques for the treatment of lateral epicondylitis with extracorporeal shock wave therapy (ESWT).
Design:
Forty-one subjects selected through clinical examination were randomly assigned to two groups of treatment.
Interventions:
Each subject received a three-session ultrasound-guided ESWT (performed weekly). Lateral tangential focusing was used in group A, whereas back tangential focusing was used for group B.
Main Outcome Measures:
Total Elbow Scoring System (TESS) and a visual analogue scale (VAS) were used to evaluate each subject before the treatment and at six months follow-up.
Results:
TESS and VAS pretreatment scores were homogeneous between the groups (p > 0.05). In both groups there was a significant (p < 0.05) increase in the TESS score and a decrease in the VAS score but there was no resolution of the pain. TESS and VAS follow-up scores were homogeneous between the two groups (p > 0.05).
Conclusions:
There was no difference between the two techniques of using ESWT.
