Evidence map›Paper›PMID 22433113›Full record

ReviewJournal of orthopaedic surgery and research2012

Extracorporeal shockwave therapy in musculoskeletal disorders.

Ching-Jen Wang

5 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Journal of orthopaedic surgery and research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 225 papers, 26 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
225citing papers in PubMed, 26 pooled it
20.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02251418 nacompletednot on this mapstarted 2015, after this paper: background citation

Extracorporeal Shockwave Therapy (ESWT) of Chronic Diabetic Foot Ulcers

TypeinterventionalSponsorOdense University HospitalRan2015 to 2015Enrolled23ConditionsDiabetic Foot UlcerArmsExtracorporeal shockwave therapy
NCT05381987 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effectiveness of Radial Shockwave Therapy on Myofascial Pain Syndrome: A Mixed Method Study That Combines a Randomised Control Trial and Semi-Structured Interview.

TypeinterventionalSponsorKing Faisal Specialist Hospital & Research CenterRan2022 to 2024Enrolled70ConditionsMyofascial Pain Syndrome of NeckArmsRadial shockwave therapy
NCT05392036 nacompletednot on this mapstarted 2022, after this paper: background citation

: Effects of Therapeutic Ultrasound Versus Shockwave Therapy on Pain, Range of Motion and Function in Recreational Runners With Medial Tibial Stress Syndrome

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled54ConditionsMedial Tibial Stress SyndromeArmsbaseline physical therapy treatment along with shockwave therapy, baseline physical therapy treatment along with therapeutic ultrasound
NCT06281444 nacompletednot on this mapstarted 2024, after this paper: background citation

Effectiveness of the Effect of Radial Extracorporeal Shock Wave Therapy in Addition to Exercise on Pain, Functionality and Walking Distance in Patients With Knee Osteoarthritis: A Randomized Controlled Trial

TypeinterventionalSponsorAnkara UniversityRan2024 to 2025Enrolled72ConditionsKnee OsteoarthritisArmsESWT, Sham-ESWT
NCT06490172 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effects of Extracorporeal Shock Wave Therapy as a Treatment Intervention for Chronic Adhesive Capsulitis: a Mixed Methods Pilot Study

TypeinterventionalSponsorUniversity of StirlingRan2026 to 2027Enrolled18ConditionsShoulder Pain, Adhesive Capsulitis of ShoulderArmsShock wave therapy
3 · Its place in the literature

Who cites it

225 citing papers in PubMed, 26 syntheses or guidelines pooled it, 499 citations in OpenAlex.

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  2. Extracorporeal shockwave therapy in bone fractures: a systematic review.Archives of orthopaedic and trauma surgery · 2026
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  10. Acupuncture for Chronic Pain Management in Haemophilic Arthropathy: A Systematic Review.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
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165 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Ching-Jen WangDepartment of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan. w281211@adm.cgmh.com.tw
Kaohsiung Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The sources of shockwave generation include electrohydraulic, electromagnetic and piezoelectric principles. Electrohydraulic shockwaves are high-energy acoustic waves generated under water explosion with high voltage electrode. Shockwave in urology (lithotripsy) is primarily used to disintegrate urolithiasis, whereas shockwave in orthopedics (orthotripsy) is not used to disintegrate tissues, rather to induce tissue repair and regeneration. The application of extracorporeal shockwave therapy (ESWT) in musculoskeletal disorders has been around for more than a decade and is primarily used in the treatment of sports related over-use tendinopathies such as proximal plantar fasciitis of the heel, lateral epicondylitis of the elbow, calcific or non-calcific tendonitis of the shoulder and patellar tendinopathy etc. The success rate ranged from 65% to 91%, and the complications were low and negligible. ESWT is also utilized in the treatment of non-union of long bone fracture, avascular necrosis of femoral head, chronic diabetic and non-diabetic ulcers and ischemic heart disease. The vast majority of the published papers showed positive and beneficial effects. FDA (USA) first approved ESWT for the treatment of proximal plantar fasciitis in 2000 and lateral epicondylitis in 2002. ESWT is a novel non-invasive therapeutic modality without surgery or surgical risks, and the clinical application of ESWT steadily increases over the years. This article reviews the current status of ESWT in musculoskeletal disorders.

Indexed as

AnimalsFasciitis, PlantarFemur Head NecrosisFracture HealingFractures, UnunitedHigh-Energy Shock WavesHumansMusculoskeletal DiseasesTendinopathy

Identifiers

PMID22433113
PMCPMC3342893
OpenAlexW2131578683

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.