Kartaloglu 2023 | Myofascial TPs | RSW
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Kartaloglu IF, Kus AA. Evaluation of Radial Extracorporeal Shock Wave Therapy on Treatment-Resistant Trigger Points Using Sonographic Shear Wave Elastography. J Coll Physicians Surg Pak. 2023 Oct;33(10):1159-1164.
Experimental study – no control group (41 patients; 70 TPs in upper trapezius) Subjects received between 1 and 5 weekly RSW sessions (1500 pulses, 8 Hz, 1.5 bar ) • Until VAS <2 or max. 5 sessions Results Sifnificant improvements compared to pre-treatment of: • Pain (VAS) post-treatment and at 3m follow-up • Disability (NDI) post-treatment • Tissue stiffness (shear modulus measured with US shear wave elastography) post-treatment The average number of treatment sessions was 3
Key message ESWT is a non-invasive, safe, and tolerable therapy option for reducing pain, improving function, and reducing tissue stiffness in patients with treatment-resistant MTrPs. Pain improvement was maintained up to 3 months after treatment.
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