From the Guidelines
Extracorporeal Shock Wave Therapy (ESWT) is not recommended for home use without medical guidance, due to the lack of strong evidence supporting its effectiveness and potential risks associated with improper use. The most recent and highest quality study, published in 2024 1, found that the evidence to support the use of physical therapies, including ESWT, for wound healing in diabetes-related foot ulcers is weak and does not recommend their use. This study analyzed various physical therapies, including ESWT, and found that the desirable effects on wound healing were small and not significant compared to standard care.
Key Considerations
- The use of ESWT for home use lacks precision and may deliver lower intensity waves than professional medical equipment 1.
- Improper use of ESWT can worsen symptoms or cause tissue damage, and it is contraindicated for certain conditions, such as pregnancy, blood clotting disorders, or use over areas with malignancies.
- A systematic review published in 2020 2 found that the evidence for the effectiveness of ESWT in enhancing healing of chronic foot ulcers in diabetes is limited and inconclusive.
Recommendations
- Consult with a physical therapist or physician before considering ESWT for conditions like plantar fasciitis, tennis elbow, or other musculoskeletal issues.
- Follow specific treatment protocols, including correct intensity settings, treatment duration, frequency, and precise positioning of the applicator, under medical guidance.
- Be aware of the potential risks and contraindications associated with ESWT use, and ensure proper screening before beginning any treatment regimen.
From the Research
Effectiveness of Extracorporeal Shock Wave Therapy (ESWT)
- ESWT has been shown to be effective in the treatment of various musculoskeletal conditions, including plantar fasciitis, calcific tendinitis, and lateral epicondylitis 3, 4, 5.
- The therapy has also been used to treat greater trochanteric pain syndrome, with studies showing significant improvements in pain, function, and quality of life scores 6.
- ESWT has been found to be safe and effective in the treatment of musculoskeletal disorders, with a success rate ranging from 65% to 91% and low complications 5.
Home Use of ESWT
- There is limited information available on the effectiveness of ESWT for home use.
- However, the studies suggest that ESWT can be a useful treatment option for various musculoskeletal conditions, and its effectiveness is not necessarily dependent on the setting in which it is used 3, 4, 6, 5, 7.
- It is essential to note that ESWT should only be used under the guidance of a healthcare professional, and proper training and equipment are necessary to ensure safe and effective use.
Safety and Contraindications
- ESWT is generally considered safe, with low complications and negligible side effects 3, 4, 5.
- However, there are certain contraindications for the use of ESWT, including malignant tumors in the treatment area 4.
- It is crucial to consult with a healthcare professional before using ESWT, especially if you have any underlying medical conditions or concerns.