Avendaño 2024 | Myofascial TPs | Review
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Avendaño-López C, Megía-García Á, Beltran-Alacreu H, Serrano-Muñoz D, Arroyo-Fernández R, Comino-Suárez N, Avendaño-Coy J. Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome: A Systematic Review and Meta-analysis of Randomized Clinical Trials. Am J Phys Med Rehabil. 2024 Feb 1;103(2):89-98.
Systematicreview and Meta-analysis 27 studies were included - total of 1377 participants. • 18 RSW / 9 FSW • 22 cervical & shoulder / 5 other areas Results Statistically and clinically significant improvements with ESWT compared to control of • Pain (VAS) • Pain Pressure Threshold (PPT) • Function Comparedto other treatments • Significantly better than Ultrasound • No differencewith corticosteroidinjections FSW protocols (ranges) • Total number of treatment sessions in most studies was 3 to 4. • RSW 1.2-4 bar; 300-1500 pulses; 1-20 Hz • FSW 0.056 - 0.26 mJ/mm²; 400-700 pulses; 1-10 Hz
Key message ESWT is more effective than control treatments and ultrasound for relieving pain and improving function in MFP. It is equally effective as dry needling and corticosteroid injections while less invasive.
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