AI Article Synopsis
- Rotator cuff tendinopathy is a common shoulder issue, with this study comparing the effectiveness of two treatments: a combination of extracorporeal shockwave therapy (ESWT) and hyaluronic acid injections versus ESWT alone.
- The study analyzed data from 53 patients over two months, showing significant improvement in pain and disability for both treatment groups; however, the combination treatment (E + Hy) resulted in better outcomes, particularly for females.
- Results suggest that the E + Hy therapy is generally more effective than ESWT alone, although males showed better outcomes with ESWT on its own, highlighting the need for further studies.
Article Abstract
Background: Rotator cuff (RC) tendinopathy is a common shoulder pain condition. Extracorporeal shockwave therapy (ESWT) and hyaluronic acid peritendinous injection are viable treatment options for RC tendinopathy. The aim of this study is to evaluate the response in two different therapeutic rehabilitative approaches, the combined treatment ESWT plus hyaluronic acid injections (E + Hy) compared to ESWT alone (ESWT-al), in a cohort of patients with RC tendinopathy according to gender differences.
Methods: This is a retrospective longitudinal cohort study of patients with painful RC tendinopathy. Patients that had received a clinical evaluation, a shoulder ultra sound examination, as well as the Shoulder Pain and Disability Index (SPADI) questionnaire, and the Numerical Rating Scale (NRS) for pain at baseline, 1-month (T1) and 2-month follow-ups (T2) were included.
Results: Medical records of 53 patients were analyzed. In the comparison between baseline to T1 and similarly from baseline to T2, a statistically significant reduction has been reported in the NRS (p < 0.001) and in the SPADI (p < 0.001) in the entire study group. At T1, patients in the E + Hy compared to ESWT-al group, showed a slight but statistically significant reductions in both NRS and SPADI score, while these changes were more evident at T2 (p < 0.001). Interestingly, a gender dimorphism in NRS and in SPADI was found, with female patients that apparently responded better to the combined E + Hy compared to ESWT-al approach.
Conclusion: This retrospective cohort study suggests that the combination of ESWT plus HyA injections seems to be more effective than ESWT alone in RC tendinopathy in both genders. Moreover, in ESWT alone treatment, male patients reported better outcomes compared to females. However, further randomized controlled trials should be structured to confirm and enforce these conclusions.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479346 | PMC |
| http://dx.doi.org/10.1186/s12891-022-05819-3 | DOI Listing |
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