What is Evidence for Shockwave Therapy?

Shockwave therapy, or Extracorporeal Shock Wave Therapy (ESWT), has been studied for its effectiveness in treating various musculoskeletal conditions. The evidence for shockwave therapy is generally mixed, and while some studies show positive results, more research is needed to establish its efficacy definitively. Here are some conditions for which shockwave therapy has been investigated, along with a summary of the evidence:

•  Plantar Fasciitis:
  • Evidence: Some studies suggest that shockwave therapy can be effective in reducing pain and improving function in individuals with plantar fasciitis. However, the strength of the evidence varies, and more high-quality research is needed.
• Tennis Elbow (Lateral Epicondylitis):
  • Evidence: Research on the effectiveness of shockwave therapy for tennis elbow has produced mixed results. While some studies report positive outcomes in terms of pain reduction and improved function, others have found no significant difference compared to placebo treatments.
•  Calcific Shoulder Tendinopathy:
  • Evidence: Shockwave therapy has been studied for its potential benefits in treating calcific shoulder tendinopathy. Some research suggests that shockwave therapy may help break down calcium deposits and improve symptoms, but the evidence is not consistently strong.
• Achilles Tendinopathy:
  • Evidence: The evidence for shockwave therapy in treating Achilles tendinopathy is mixed. Some studies report positive outcomes in terms of pain reduction and functional improvement, while others show no significant difference compared to other interventions.
• Chronic Pelvic Pain Syndrome (CPPS):
  • Evidence: Shockwave therapy has been investigated as a treatment for chronic pelvic pain syndrome in men. While some studies suggest potential benefits, the evidence is not yet robust, and further research is needed.
• Bone Healing and Fractures:
  • Evidence: Shockwave therapy has been explored for its potential role in enhancing bone healing and treating non-union fractures. Results are inconclusive, and more research is required to determine its effectiveness in these contexts.