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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Shock Waves01:16

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While deriving the Doppler formula for the observed frequency of a sound wave, it is assumed that the speed of sound in the medium is greater than the source's speed through it. When this condition is breached, a shock wave occurs.
When the source's speed approaches the speed of sound, constructive interference between successive wavefronts emitted by the source occurs immediately behind it. Initially, scientists believed that this constructive interference would result in such high...
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Updated: Nov 29, 2025

Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment
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Extracorporeal shock wave therapy: an update.

Vinzenz Auersperg1, Klemens Trieb2,3

  • 1Department of Orthopaedics, Klinikum Steyr-Kirchdorf, Steyr, Austria.

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|November 18, 2020
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Summary
This summary is machine-generated.

Extracorporeal shock wave therapy (ESWT) is a safe and effective treatment for various musculoskeletal conditions, including bone and tendon issues. Proper training is recommended to optimize patient outcomes and ensure safety.

Keywords:
extracorporealindicationpressureshock wavetherapy

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Area of Science:

  • Orthopedics
  • Biomedical Engineering
  • Regenerative Medicine

Background:

  • Extracorporeal shock wave therapy (ESWT) is recognized for its safety profile with minimal side effects when administered correctly.
  • Understanding the precise mechanism of ESWT, involving mechano-transduction and cellular responses, is crucial for its effective application.
  • Despite its benefits, standardized training and awareness of varying international regulations are needed for optimal ESWT implementation.

Purpose of the Study:

  • To provide an update on the musculoskeletal indications for Extracorporeal Shock Wave Therapy (ESWT).
  • To review the safety, contraindications, and proposed mechanisms of action for ESWT.
  • To highlight the importance of standardized training for healthcare professionals using ESWT.

Main Methods:

  • Review of current literature on Extracorporeal Shock Wave Therapy (ESWT) for musculoskeletal conditions.
  • Analysis of the proposed cellular and molecular mechanisms underlying ESWT's therapeutic effects.
  • Compilation of established and emerging clinical indications for ESWT in orthopedics.

Main Results:

  • ESWT is a safe therapeutic option for conditions like pseudoarthrosis, delayed fracture healing, bone marrow edema, osteonecrosis, insertional tendinopathies (plantar fasciitis, Achilles tendinopathy), rotator cuff calcific tendonitis, and tennis elbow.
  • The primary mechanism involves mechano-transduction, leading to cellular responses that enhance the healing process.
  • Key contraindications include severe coagulopathy, pregnancy, and severe infections.

Conclusions:

  • Extracorporeal Shock Wave Therapy (ESWT) offers a safe and effective treatment modality for a range of bone and tendon disorders.
  • Further research into ESWT's mechanisms and standardized training protocols are essential for maximizing clinical benefits.
  • ESWT represents a valuable non-invasive therapeutic option in modern orthopedics.