_{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}

Le succès du traitement de la lombalgie chronique non spécifique est un défi. Quelle thérapie choisir? La thérapie manuelle ? Les médicaments ? Qu'en est-il des ondes de choc extracorporelles radiales, peuvent-elles être considérées ? Dans une étude récente, Guo et coll. ont tenté de savoir si les ondes de choc radiales (rSWT) sont plus efficaces dans la prise en charge de la lombalgie chronique qu'une approche «médicamenteuse uniquement», en utilisant un anti-inflammatoire non stéroïdien (AINS) et un relaxant musculaire squelettique. Ils ont également testé si une combinaison de rESWT avec des AINS et des myorelaxants peut représenter une meilleure option de traitement, comme le montrent les preuves anecdotiques provenant de médecins d'Europe et d'Amérique latine. Quelle a été la conclusion et comment cela peut-il avoir un impact sur votre pratique quotidienne ? Continuez à lire et découvrez-le !

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.

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

La terapia con onde d’urto extracorporee (ESWT) è stata oggetto di studi approfonditi ed è comunemente utilizzata nel trattamento di vari disturbi muscoloscheletrici. La combinazione del trattamento con laser ad alta potenza (905 nm) ed ESWT può aumentare i benefici di quest’ultima nella medicina fisica e riabilitativa.

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

Die extrakorporale Stoßwellentherapie (ESWT) ist eine gut untersuchte und häufig verwendete Behandlungsmethode für eine Vielzahl von muskuloskelettalen Erkrankungen. Die Kombination von High Power 905nm Laserbehandlung und ESWT könnte den Nutzen der ESWT in der Physikalischen und Rehabilitativen Medizin erhöhen.

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

La thérapie par ondes de choc extracorporelles (ESWT = extracorporeal shock wave therapy, aussi abrégé ODC) est une modalité de traitement bien étudiée et couramment utilisée pour une variété de troubles musculo-squelettiques. EMS étudie donc plus en détail cette thérapie combinée et invite les praticiens à essayer de nouvelles technologies pour changer la donne dans la thérapie de la douleur.

Ya-Fei ZHANG, MD, Yang LIU, MD, Shao-Wen CHOU, MD and Hao WENG, PhD
From the Department of Rehabilitation Medicine, Aerospace Center Hospital, Beijing, China

This study highlights the dose-related effect of the KOA ESWT treatment, and emphasizes the importance of selecting devices that offer the highest energy density for the purpose of achieving the greatest clinical outcome! 

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. Combining High Power 905nm laser treatment and ESWT may increase the beneficial use of ESWT in physical and rehabilitation medicine.

Lohrer H, SchÖll J, Arentz S
Sportverl Sportschad 2002; 16: 108-114

"Achillodynia and patellar tip syndrome - results of the treatment of fully treated chronic cases with radial shock waves." (Study in German)