Current evidence of extracorporeal shock wave therapy in chronic Achilles tendinopathy

Ludger Gerdesmeyer*, Rainer Mittermayr, Martin Fuerst, Munjed Al Muderis, Richard Thiele, Amol Saxena, Hans Gollwitzer

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

50 Citations (Scopus)


Chronic Achilles tendinopathy has been described as the most common overuse injury in sports medicine. Several treatment modalities such as activity modification, heel lifts, arch supports, stretching exercises, nonsteroidal anti-inflammatories, and eccentric loading are known as standard treatment mostly without proven evidence. After failed conservative therapy, invasive treatment may be considered. Extracorporeal shock wave therapy (ESWT) has been successfully used in soft-tissue pathologies like lateral epicondylitis, plantar fasciitis, tendinopathy of the shoulder and also in bone and skin disorders. Conclusive evidence recommending ESWT as a treatment for Achilles tendinopathy is still lacking. In plantar fasciitis as well as in calcific shoulder tendinopathy shock wave therapy is recently the best evaluated treatment option. This article analysis the evidence based literature of ESWT in chronic Achilles tendinopathy. Recently published data have shown the efficacy of focused and radial extracorporeal shock wave therapy.

Original languageEnglish
Pages (from-to)154-159
Number of pages6
JournalInternational Journal of Surgery
Publication statusPublished - 1 Dec 2015
Externally publishedYes


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