Analysis of the effectiveness of extracorporeal shock wave therapy in the treatment of orthopedic foot diseases at the current stage (literature review)

Extracorporeal shock wave therapy (ESWT) continues to be a procedure with broad indications for use in orthopedic diseases, including the foot. One of the most common orthopedic diseases of the foot is plantar fasciitis and Achilles tendon tendinopathy. In recent years, the number of articles on ten...

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Bibliographic Details
Main Author: O. M. Ovchynnikov
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2025-06-01
Series:Сучасні медичні технології
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Online Access:https://medtech.mphu.edu.ua/article/view/322356/322415
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Summary:Extracorporeal shock wave therapy (ESWT) continues to be a procedure with broad indications for use in orthopedic diseases, including the foot. One of the most common orthopedic diseases of the foot is plantar fasciitis and Achilles tendon tendinopathy. In recent years, the number of articles on tendinopathies has increased, and one of the most popular areas of research is diseases of the musculoskeletal system. The aim of the study was to analyse the data from the current literature for review, to identify orthopedic diseases of the foot for the treatment of which the method of extracorporeal shock wave therapy was used, and to determine the effectiveness of the ESWT method for each of the diseases. Material and methods. Literature sources from the scientometric electronic databases PubMed, Medline, Scopus, and Web of Science were selected and analysed. The search queries “ESWT”, “extracorporeal shock wave therapy” were used for the search. There were no language restrictions on the search for studies. The following information was extracted from each selected publication: study title, list of authors, year of publication, basic information about the study (type of study, number of patients), treatment parameters, duration of treatment, evaluation period, and study results. Articles from the last 5 years, i. e. from 2020 to 2024 inclusive, were separated from the selected articles. Results. Based on the search results, 1771 scientific articles were selected. An analysis of the selected articles was conducted, orthopedic diseases of the foot were identified in the treatment of which extracorporeal shock wave therapy was used, and the effectiveness of the procedure itself for each disease was assessed. As a result, 36 articles were selected, which were used for the final analysis of the literature. The selected articles were distributed by the type of foot diseases in which the ESWT method was used. According to the search data, ESWT was used in the treatment of plantar fasciitis, Achilles tendon tendinopathy, and plantar fibromatosis. Conclusions. According to the literature, extracorporeal shock wave therapy has been used in the treatment of plantar fasciitis, Achilles tendon tendinopathy, plantar fibromatosis, and partial damage to Achilles tendon. Extracorporeal shock wave therapy remains a relevant and effective method of treatment for the most common foot diseases.
ISSN:2072-9367