Format

Send to

Choose Destination
Br J Sports Med. 2012 Mar;46(4):253-7. doi: 10.1136/bjsm.2010.081992. Epub 2011 Mar 9.

Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study.

Author information

1
Rehabilitation and Sports Medicine Department, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, The Netherlands. m.moen@umcutrecht.nl

Abstract

Objective The purpose of this study was to describe the results of two treatment regimens for medial tibial stress syndrome (MTSS); a graded running programme and the same running programme with additional shockwave therapy (extracorporeal shockwave therapy; ESWT). Design A prospective observational controlled trial. Setting Two different sports medicine departments. Participants 42 athletes with MTSS were included. Intervention Patients from one hospital were treated with a graded running programme, while patients from the other hospital were treated with the same graded running programme and focused ESWT (five sessions in 9 weeks). Main Outcome Measures Time to full recovery (the endpoint was being able to run 18 min consecutively without pain at a fixed intensity). Results The time to full recovery was significantly faster in the ESWT group compared with the patients who only performed a graded running programme, respectively 59.7±25.8 and 91.6±43.0 days (p=0.008). Conclusions This prospective observational study showed that MTSS patients may benefit from ESWT in addition to a graded running programme. ESWT as an additional treatment warrants further investigation in a prospective controlled trial with the addition of randomisation and double blinding.

PMID:
21393260
DOI:
10.1136/bjsm.2010.081992
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for HighWire
Loading ...
Support Center