Shock wave therapy

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kevin
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Shock wave therapy

Post by kevin »

Here are some new articles on shock wave therapy; I couldn't find an abstract for either of them. I'm obviously skeptical of the hype in the first article title.
Low-Energy Extracorporeal Shock Wave Therapy for Chronic Pelvic Pain Syndrome: Finally, the Magic Bullet?
Marszalek M, Berger I, Madersbacher S.
Eur Urol. 2009 Apr 3. [Epub ahead of print] No abstract available.
PMID: 19362412 [PubMed - as supplied by publisher]
Related Articles
Extracorporeal Shock Wave Therapy for the Treatment of Chronic Pelvic Pain Syndrome in Males: A Randomised, Double-Blind, Placebo-Controlled Study
Uncorrected Proof, 25 March 2009
Reinhold Zimmermann, A. Cumpanas, F. Miclea, G. Janetschek
European Urology
DOI: 10.1016/j.eururo.2009.03.043
Started: Spring 2003; high urinary frequency and pain associated with bladder filling; urinary hesitancy; pubic/prostate/perineal discomfort; Helped by: trigger point therapy, Afrin nasal spray, Cymbalta, hydrocodone (small doses), distraction. Makes worse: sex.

Not medical advice. Consult your doctor.
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webslave
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Re: Shock wave therapy

Post by webslave »

ESWT is used to treat kidney stones and ligament/tendon injuries.


Treating Plantar fasciitis
Image

In theory, it should be able to treat trigger points.
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kevin
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Re: Shock wave therapy

Post by kevin »

Here's the abstract for the study:
Extracorporeal Shock Wave Therapy for the Treatment of Chronic Pelvic Pain Syndrome in Males: A Randomised, Double-Blind, Placebo-Controlled Study.
Zimmermann R, Cumpanas A, Miclea F, Janetschek G.

Department of Urology, Elisabethinen Hospital, University-affiliated Hospital, Linz, Austria.

BACKGROUND: There is no sufficiently validated therapy for chronic pelvic pain syndrome (CPPS). OBJECTIVE: To investigate the effects of extracorporeal shock wave therapy (ESWT) in 60 patients suffering from CPPS. DESIGN, SETTING, AND PARTICIPANTS: Sixty patients suffering from CPPS for at least 3 mo were investigated in two groups. Both groups were treated four times (once per week), each by 3000 impulses; group 2 was performed as a sham procedure. The investigation was designed as a placebo-controlled, prospectively randomised, double-blind phase 2 study. Standardised follow-up was performed 1, 4, and 12 wk after ESWT. INTERVENTIONS: Low-energy-density ESWT was performed using a perineal approach without anaesthesia. In the placebo group, the same setting was used without shock wave energy transmission. MEASUREMENTS: ESWT effects on pain, quality of life (QoL), erectile function (EF), and micturition were evaluated. The parameters were investigated using validated questionnaires (National Institutes of Health Chronic Prostatitis Symptom Index [NIH-CPSI], International Prostate Symptom Score [IPSS], International Index of Erectile Function [IIEF]) and the Visual Analog Scale (VAS) for pain evaluation. RESULTS AND LIMITATIONS: All patients completed outpatient treatments and follow-ups without any problems. All 30 patients in the verum group showed statistically (highly) significant improvement of pain, QoL, and voiding conditions following ESWT in comparison to the placebo group, which experienced a continuous deterioration of the same parameters during the follow-up period. Perineal ESWT was easy and safe to perform without anaesthesia or any side-effects. CONCLUSIONS: This is the first prospectively randomised, double-blind study to reveal perineal ESWT as a therapy option for CPPS with statistically significant effects in comparison to placebo. ESWT may in particular be interesting because of its easy and inexpensive application, the lack of any side-effects, and the potential for repetition of the treatment at any time.
Started: Spring 2003; high urinary frequency and pain associated with bladder filling; urinary hesitancy; pubic/prostate/perineal discomfort; Helped by: trigger point therapy, Afrin nasal spray, Cymbalta, hydrocodone (small doses), distraction. Makes worse: sex.

Not medical advice. Consult your doctor.
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Re: Shock wave therapy

Post by ppp »

Why there are no statistics in the abstract ? average treatment and average placebo...
Otherwise sounds interesting.
Age: 33| Onset Age: 24 | Symptoms: dull ache in pelvic area, tension, feeling the need to urinate, frequency, dribbling after urination, ED symptoms started 6 moths after the onset wrecking my life since, abdominal tension, tension in my thighs. | Helped By: stretching/massage , benzos | Worsened By: Mainly sex, but also sitting and anxiety| Other comments: I have seen periods of substantially less flare-ups, but now I am at a steady state where it comes back almost always after sex.
calman
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Re: Shock wave therapy

Post by calman »

Anyone know how or why the shock wave therapy might work for CPPS?
Age: 51 | Onset Age: 28 | Symptoms: urinary frequency, pressure, burning after urinating (sitting pain, golf ball, etc. majorly improved by self-PT) | Helped By: self-PT, heat, relaxation | Worsened By: sex, stress, exercise, infection
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Re: Shock wave therapy

Post by webslave »

Read how it works here and you can draw your own conclusions:
http://en.wikipedia.org/wiki/Extracorpo ... ithotripsy
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Re: Shock wave therapy

Post by kevin »

ppp wrote:Why there are no statistics in the abstract ? average treatment and average placebo...
Otherwise sounds interesting.
Yeah, quite fishy, especially given the grandiose claims in the abstract.
Started: Spring 2003; high urinary frequency and pain associated with bladder filling; urinary hesitancy; pubic/prostate/perineal discomfort; Helped by: trigger point therapy, Afrin nasal spray, Cymbalta, hydrocodone (small doses), distraction. Makes worse: sex.

Not medical advice. Consult your doctor.
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