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Physiotherapy Research Reviews — 12 Studies Reviewed Monthly

Key Points

Shockwave therapy when added to exercise and education was no better than sham treatment in patients with insertional Achilles tendinopathy.

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BACKGROUND & OBJECTIVE

Insertional achilles tendinopathy can be more challenging to treat than midportion tendinopathy. Exercise is the recommended first-line treatment, but some patients don't respond well. Shockwave therapy is commonly used as an adjunct treatment however evidence for its effectiveness is limited.

This study examined whether adding radial extracorporeal shockwave therapy to exercise and education would improve outcomes in patients with insertional Achilles tendinopathy compared to a sham treatment.

Shockwave therapy is commonly used as an adjunct treatment for Achilles Tendinopathy however evidence for its effectiveness is limited.

While shockwave therapy appears safe, the evidence in this study doesn't support its use as a treatment for insertional Achilles tendinopathy.

METHODS

76 participants with insertional Achilles tendinopathy were randomly divided into two groups who received either: three sessions of shockwave therapy plus exercise and education; three sessions of sham shockwave therapy plus exercise and education.

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Does shockwave therapy lead to better pain and function than sham over 12 weeks in people with insertional Achilles tendinopathy? A randomised controlled trial

Key Points

BACKGROUND & OBJECTIVE

METHODS