Evidence map›Paper›PMID 39247530›Full record

ArticleOrthopaedic journal of sports medicine2024

Outcomes After Extracorporeal Shockwave Therapy for Chronic Noninsertional Achilles Tendinopathy Compared With Chronic Insertional Achilles Tendinopathy: A Retrospective Review.

James J Butler, Brittany DeClouette, Mohammad T Azam, Raymond C Walls, George Jejelava, Danny Zheng, Nathan Jia, John G Kennedy

Registry-linked trialAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07685509 (Comparison of Two Treatment Methods for Achilles Tendon Pain With a Focus on Pain, Function, Vascular Ingrowth, Immune Cell Response, and Cell Composition), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT07685509 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Comparison of Two Treatment Methods for Achilles Tendon Pain With a Focus on Pain, Function, Vascular Ingrowth, Immune Cell Response, and Cell Composition

TypeinterventionalSponsorVastra Gotaland RegionRan2026 to 2031Enrolled200ConditionsAchilles Tendinopathy (AT), Achilles Tendon, Achilles Tendon PainArmsindividually tailored exercises and Radial Shockwave, Individually tailored exercises
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

James J ButlerFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.
Brittany DeClouetteFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.ORCID https://orcid.org/0000-0003-3403-3970
Mohammad T AzamFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.
Raymond C WallsFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.
George JejelavaFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.
Danny ZhengFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.
Nathan JiaFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.
John G KennedyFoot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York USA.ORCID https://orcid.org/0000-0002-7286-0689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extracorporeal shockwave therapy (ESWT) is a noninvasive treatment modality that is used in the treatment of chronic Achilles tendinopathy (AT). Purposes: To (1) retrospectively assess outcomes after ESWT for both noninsertional AT (NAT) and insertional AT (IAT) at >1-year follow-up and (2) identify potential predictors of outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: Chart review was conducted to identify patients who underwent ESWT for AT with a minimum of 1-year follow-up. Data collected and assessed included patient demographic characteristics, pathological characteristics including the location of AT (NAT or IAT), presence of a Haglund deformity, and severity of tendon degeneration on magnetic resonance imaging (MRI), in addition to treatment characteristics including number of sessions and intensity of ESWT. The Victorian Institute of Sports Assessment-Achilles (VISA-A) and visual analog scale (VAS) pain scores were obtained before ESWT, 6 months after ESWT, and at final follow-up. Failures were also recorded, which were defined as no improvement in VISA-A or VAS scores or need for surgical intervention. Linear regression was performed to identify potential predictors of inferior subjective clinical outcomes and failures. Survival analysis was conducted using Kaplan-Meier curves. Results: The study included 52 patients with IAT and 34 patients with NAT. The mean follow-up in the NAT cohort was 22.3 ± 10.2 months and the mean follow-up in the IAT cohort was 26.8 ± 15.8 months. Improvements in VISA-A and VAS scores were observed in the NAT cohort at 6-month follow-up and at final follow-up ( Conclusion: Superior subjective clinical outcomes together with a lower failure rate were maintained for >1 year in the NAT cohort compared with the IAT cohort, calling into question the long-term benefit of ESWT for patients with IAT.

Indexed as

Achilles tendinopathyAchilles tendonbiologic healing advancementextracorporeal shockwave therapyrunningshockwave therapy

Identifiers

PMID39247530
PMCPMC11375648

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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.