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Year : 2019  |  Volume : 46  |  Issue : 3  |  Page : 141-147

Shockwave therapy versus local steroid injection in chronic supraspinatus tendinopathy

Department of Physical Medicine, Rheumatology and Rehabilitation, Ain Shams University, Cairo, Egypt

Correspondence Address:
Lamiaa Emad E El Ghandour
Department of Physical Medicine, Rheumatology and Rehabilitation, Ain Shams University, Cairo, 11471
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/err.err_16_18

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Objective To evaluate the efficacy of shockwave therapy versus ultrasound-guided steroid injection in the treatment of chronic supraspinatus tendinopathy. Patients and methods This study was carried out on 30 patients with calcific and noncalcific supraspinatus tendinopathy for more than 3 months. A clinical assessment was performed for all patients including pain scoring by the visual analog scale and full shoulder examination at the start of the study and 6 weeks later. Shoulder ultrasound was performed at the start of the study. Fifteen patients received four sessions of radial shockwave therapy (Intelect Radial Shockwave, UK) 3 bar pressure, 2000 pulses, 20 Hz. Fifteen patients received a single ultrasound-guided subacromial steroid injection (1 ml triamcinolone 40 mg and 1 ml lidocaine). Results Both groups showed a statistically significant improvement in pain relief (visual analog scale) and clinical examination: tenderness, shoulder range of motion, and muscle power. There was no statistically significant difference between both groups. Conclusion Radial shockwave therapy has no additional benefit over ultrasound-guided steroid injection in the short term in patients with chronic supraspinatus tendinopathy.

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