Enhanced Spinal Therapy: Extracorporeal Shock Wave Therapy for the Spine

Cureus, 2020 · DOI: 10.7759/cureus.11200 · Published: October 27, 2020

Simple Explanation

Extracorporeal shock wave therapy (ESWT) is a non-invasive method that uses shock waves for pain management and muscle strength improvement. ESWT can stimulate gene expression, upregulate angiogenesis and growth factors, and promote wound healing through collagen deposition. ESWT is divided into focused and radial shockwave therapy, each with different penetration depths and therapeutic effects.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Level 5, Narrative Review

Key Findings

1
ESWT may increase bone mineral density (BMD) in patients with osteoporosis, potentially prolonging the asymptomatic period of vertebral body compressive changes and radicular symptoms.
2
ESWT can reduce pain due to neurogenic heterotopic ossification (NHO) following spinal cord injury, improving joint mobility.
3
ESWT as an adjuvant treatment for cervical spondylosis can reduce pain, improve range of motion, and lower neck disability index scores.

Research Summary

ESWT shows promise in increasing bone mineral density in osteoporosis patients and reducing pain associated with heterotopic ossification after spinal cord injury. ESWT can improve range of motion and reduce pain in patients with cervical spondylosis, making it a beneficial adjunct treatment. Although ESWT shows initial improvements in scoliosis, the long-term benefits are not established due to the reversal of effects within a few days of intervention. Further research is needed to establish long-term benefits of ESWT.

Practical Implications

Osteoporosis Management

ESWT can be considered as an adjunct therapy to improve bone mineral density.

SCI Rehabilitation

ESWT can be utilized to manage pain from heterotopic ossification following spinal cord injury.

Cervical Spondylosis Treatment

ESWT can be incorporated as an adjuvant therapy to reduce pain and improve function.

Enhanced Spinal Therapy: Extracorporeal Shock Wave Therapy for the Spine

Simple Explanation

Key Findings

Research Summary

Practical Implications

Osteoporosis Management

SCI Rehabilitation

Cervical Spondylosis Treatment

Study Limitations

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Was this summary helpful?

Enhanced Spinal Therapy: Extracorporeal Shock Wave Therapy for the Spine

Simple Explanation

Key Findings

Research Summary

Practical Implications

Osteoporosis Management

SCI Rehabilitation

Cervical Spondylosis Treatment

Study Limitations

Your Feedback

Was this summary helpful?