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Related Experiment Video

Updated: May 22, 2026

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
03:50

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

Published on: August 2, 2024

ESWT for tendinopathy: technology and clinical implications.

Henk van der Worp1, Inge van den Akker-Scheek, Hans van Schie

  • 1Center for Sports Medicine, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands. h.van.der.worp@umcg.nl

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|May 2, 2012
PubMed
Summary

Extracorporeal shockwave therapy (ESWT) shows varied clinical effectiveness for tendinopathy. While in vitro studies demonstrate biological effects, clinical evidence remains inconsistent, necessitating further research for optimal treatment parameters.

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Area of Science:

  • Orthopedics
  • Physical Therapy
  • Regenerative Medicine

Background:

  • Chronic tendinopathy is increasingly viewed as degenerative, shifting focus from anti-inflammatory treatments to regenerative therapies.
  • Extracorporeal shockwave therapy (ESWT) is a physical modality using pressure waves for tendinopathy treatment.
  • Understanding the differences between focused and radial ESWT is crucial for clinical application.

Purpose of the Study:

  • To review the existing literature on extracorporeal shockwave therapy (ESWT) for tendinopathy.
  • To specifically examine the distinctions between focused and radial ESWT modalities.
  • To evaluate the clinical effectiveness and biological effects of ESWT.

Main Methods:

  • A narrative review of wave characteristics, generation methods, and in vitro effects of ESWT.

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Last Updated: May 22, 2026

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  • Systematic review of clinical studies investigating ESWT for patellar tendinopathy.

    • Main Results:

    • Focused and radial ESWT waves possess distinct physical characteristics, though their clinical impact is not fully understood.
    • In vitro research indicates that shockwaves can influence biological tissues.
    • Clinical studies on ESWT for patellar tendinopathy yield conflicting results regarding efficacy.

    Conclusions:

    • Significant differences exist between focused and radial ESWT wave properties, but their clinical relevance remains unclear.
    • While in vitro studies support ESWT's biological effects on tendon tissue, clinical findings are inconsistent.
    • Recommendations for clinical ESWT application, including timing and parameters, are proposed based on the literature review.