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.

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.

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.

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.

_{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}

Il trattamento della lombalgia aspecifica cronica costituisce una vera e propria sfida. Terapia manuale? Farmaci? E le onde d’urto radiali extracorporee, invece? In un recente studio, Guo e al. hanno provato a determinare se la rESWT (terapia con onde d’urto radiali extracorporee) poteva essere più efficace nel trattamento della lombalgia cronica, di un approccio basato esclusivamente sui farmaci, con somministrazione di un FANS e di un miorilassante. Sono state anche cercate evidenze a sostegno dell’ipotesi, avvalorata da alcuni dati riportati da medici europei e latino-americani, secondo cui la combinazione di rESWT, FANS e miorilassanti può rappresentare un’opzione terapeutica più valida. Quali le conclusioni e con quale possibile impatto sulla vostra pratica clinica quotidiana? Per scoprirlo, continuate a leggere.

_{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}

Die erfolgreiche Behandlung eines chronischen, unspezifischen Kreuzschmerzes ist eine Herausforderung. Sollen wir manuelle Therapie anwenden? Medikamente? Wie wäre es mit radialen extrakorporalen Stoßwellen? In einer aktuellen Studie versuchten Guo et al. herauszufinden, ob die rESWT bei der Behandlung von chronischen Kreuzschmerzen effizienter ist als ein rein medikamentöser Ansatz, bei dem ein NSAID und ein Skelett Muskelrelaxans eingesetzt werden. Sie suchten auch nach Beweisen, ob eine Kombination von rESWT mit NSAIDs und Muskelrelaxanzien eine überlegene Behandlungsoption darstellen kann. Darauf deuten anekdotische Hinweise von Ärzten aus Europa und Lateinamerika hin. Was war die Schlussfolgerung und wie kann dies auch Ihre tägliche Praxis beeinflussen? Lesen Sie weiter und finden Sie es heraus.

_{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.