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Biblioteca de estudios científicos

Los equipos de EMS son utilizados por muchos científicos para estudiar las implicaciones de los tratamientos con ondas de choque. Nos enorgullece presentarles algunos de sus trabajos, destacando la eficacia del Método Swiss DolorClast.

ortho
Body Part
Patología

rESWT, NSAIDs or both? Which approach works best when treating low back pain?

Xuejiao Guo1, Lin Li1,2, Zhe Yan1, Yunze Li1, Zhiyou Peng1, Yixin Yang1, Yanfeng Zhang1, Christoph Schmitz3, Zhiying Feng1
1Department of Pain Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; 2Department of Anesthesiology, Yuyao People Hospital of Zhejiang, Ningbo, China; 3Extracorporeal Shock Wave Research Unit, Chair of Neuroanatomy, Institute of Anatomy, Faculty of Medicine, LMU Munich, Munich, Germany

Successful treatment of a chronic nonspecific low back pain is a challenge. Should we use manual therapy? Drugs? How about radial extracorporeal shockwaves? In a recent study, Guo et al. tried to find out whether rESWT is more efficient in the management of chronic low back pain than a “drugs only” approach, using an NSAID and a skeletal muscle relaxant. They also searched for evidence if a combination of rESWT with  NSAIDs and skeletal muscle relaxants can represent a superior treatment option, as anecdotal evidence from physicians from Europe and Latin America is pointing at. What was the conclusion and how it may impact your everyday practice? Keep reading and find out.

Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study.

Gerdesmeyer L, Frey C, Vester J, et al.
Am J Sports Med 2008;36:2100-2109

Chronic plantar fasciopathy can be treated efficiently with radial shock wave therapy, which can be administered to outpatients without having to reccur to anesthesia. This randomized controlled trial aims at demonstrating therapeutic superiority vs. placebo.

 

Improving extracorporeal shock wave therapy with 904 or 905 nm pulsed, high power laser pre-treatment

Prof. Dr. med. Christoph Schmitz
Extracorporeal Shock Wave Research Unit, Chair of Neuroanatomy, Institute of Anatomy, Faculty of Medicine, LMU Munich, Munich, Germany

Extracorporeal shock wave therapy (ESWT) is a well-investigated and commonly used treatment modality in remedying a variety of musculoskeletal disorders. However, a limitation of ESWT is its potential risk for painfulness at higher, clinically relevant energy flux densities (EFDs), which may limit its applicability and resultingly, its effectiveness. 
E.M.S. is combatting this limitation with the Guided DolorClast® Therapy protocol, a comprehensively holistic approach towards musculoskeletal pain therapy. GDT includes a 6-step guidance program based on combined therapies, including the DolorClast® High Power Laser and the DolorClast® Radial Shock Waves devices. The following article provides clinical evidence for pursuit of this approach.

Adductor-related groin pain

Dr. med. Ralf Doyscher, Hendrik Schreiber

Chronic groin complaints in professional football players should definitely be considered as one of the most alarming diagnosis, resulting in significant career downtimes or even its possible end. In general, the etiology of inguinal complaints varies, often overlapping with several underlying causes, therefore it should always be carefully diagnosed and treated, in terms of both structure and function. In most cases, the adductor-related groin pain is a multifactorial issue with an intricate diagnosis, followed by prolonged therapy.

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