Que penser des ondes de choc dans le traitement des lésions tendinomusculaires en 2011Â ?

After 11 years of using radial shockwave therapy, we obtain a real satisfaction in the treatment of various tendinopathies. We give the results of our day-to-day clinical use and we compare it to the literature about radial and focused shockwaves. Mechanisms of action are described. We realised a maximum of six sessions, once or twice a week and the results are appreciated at least six weeks after the last session. We always gave the advice to go on with sports practice in athletes, to the condition it was painless and avoiding explosive sports. We treated about 1800 patients and the results are as following: calcaneal tedinopathy (75%); calcaneal enthesopathy (65%); plantar fasciopathy (68%); hamstrings enthesopathy (76%); patellar tendinopathy (63%); rotator cuff pathology (70%); but for lateral and medial epicondylitis, only 59 and 54% respectively. The results of this open study are very similar to results reported about radial and focused shockwaves in the scientific literature. We also treated 30 patients with muscular pain after muscle strain: 80% were satisfied of the treatment.