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THE FOUR-YEAR SOUTH AFRICAN EXPERIENCE WITH EXTRACORPOREAL SHOCK WAVE THERAPY



Abstract

During the last four years the author has used extracorporeal shock wave therapy (ESWT) to treat tendonoses, including 82 cases of tennis elbow, 108 cases of plantar fasciitis and 42 cases of related conditions. Treatment is administered in the consulting room without analgesia. This paper discusses the protocol used in selected cases.

In 78% of cases, overall subjective and objective results were good to excellent, in 15% fair. In only 17% was the result poor, with no improvement. No cases of degeneration were encountered. There were few complications and these were minor. Because of the obvious clinical benefits in selected cases, this new modality of orthopaedic treatment is still being used daily after four years.

The abstracts were prepared by Professor M. B. E. Sweet. Correspondence should be addressed to him at The Department of Orthopaedic Surgery, Medical School, University of Witwatersrand, 7 York Road, Parktown, Johannesburg, 2193 South Africa