Egyptian Rheumatology and Rehabilitation

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 46  |  Issue : 3  |  Page : 141--147

Shockwave therapy versus local steroid injection in chronic supraspinatus tendinopathy


Mona Zamzam, Ahmed El Yasaki, Nermin ElGarabawy, Lamiaa Emad E El Ghandour 
 Department of Physical Medicine, Rheumatology and Rehabilitation, Ain Shams University, Cairo, Egypt

Correspondence Address:
Lamiaa Emad E El Ghandour
Department of Physical Medicine, Rheumatology and Rehabilitation, Ain Shams University, Cairo, 11471
Egypt

Objective To evaluate the efficacy of shockwave therapy versus ultrasound-guided steroid injection in the treatment of chronic supraspinatus tendinopathy. Patients and methods This study was carried out on 30 patients with calcific and noncalcific supraspinatus tendinopathy for more than 3 months. A clinical assessment was performed for all patients including pain scoring by the visual analog scale and full shoulder examination at the start of the study and 6 weeks later. Shoulder ultrasound was performed at the start of the study. Fifteen patients received four sessions of radial shockwave therapy (Intelect Radial Shockwave, UK) 3 bar pressure, 2000 pulses, 20 Hz. Fifteen patients received a single ultrasound-guided subacromial steroid injection (1 ml triamcinolone 40 mg and 1 ml lidocaine). Results Both groups showed a statistically significant improvement in pain relief (visual analog scale) and clinical examination: tenderness, shoulder range of motion, and muscle power. There was no statistically significant difference between both groups. Conclusion Radial shockwave therapy has no additional benefit over ultrasound-guided steroid injection in the short term in patients with chronic supraspinatus tendinopathy.


How to cite this article:
Zamzam M, El Yasaki A, ElGarabawy N, El Ghandour LE. Shockwave therapy versus local steroid injection in chronic supraspinatus tendinopathy.Egypt Rheumatol Rehabil 2019;46:141-147


How to cite this URL:
Zamzam M, El Yasaki A, ElGarabawy N, El Ghandour LE. Shockwave therapy versus local steroid injection in chronic supraspinatus tendinopathy. Egypt Rheumatol Rehabil [serial online] 2019 [cited 2024 Mar 28 ];46:141-147
Available from: http://www.err.eg.net/article.asp?issn=1110-161X;year=2019;volume=46;issue=3;spage=141;epage=147;aulast=Zamzam;type=0