ESWT治疗方法

瑞士DolorclastESWT治疗方法DoyleHuangHongMedicalSalesManagerEMS适应症•肩关节钙化性肌腱变性/肩峰下疼痛综合征Calcifyingtendonitisoftheshoulder/subacromialpainsyndrome•网球肘(肱骨外上髁炎)Tenniselbow(Epicondylitishumeriradialis)•大转子疼痛综合征Greatertrochantericpainsyndrome•髌尖综合征Patellatipsyndrome•胫骨结节骨软骨炎*Osgood-Schlatterdisease*•胫骨内侧应力综合征Medialtibialstresssyndrome•跟腱止点炎InsertionalAchillestendinopathy•慢性midportion阿喀琉斯肌腱Midportionchillestendinopathy•趾筋膜炎Plantarfasciopathy•肌筋膜疼痛综合征/扳机点治疗Myofascialpainsyndrome/triggerpointtreatment•自发性下腰疼痛Idiopathiclowerbackpain/pseudoradicularsyndrome•帕荣雷氏病Peyronie‘sdisease(Induratiopenisplastica)*•急慢性软组织损伤（糖尿病足溃疡）*Acuteandchronicsofttissuewounds(diabeticfootulcera)*•原发性和继发性淋巴水肿Primaryandsecundarylymphedema*•脂肪团Cellulite*肩关节钙化性肌腱变性5肩关节钙化性肌腱变性(1)触诊疼痛区域(同样使用于肩峰下疼痛综合征)6标记疼痛区域(同样使用于肩峰下疼痛综合征)肩关节钙化性肌腱变性(2)7敷用耦合液(同样使用于肩峰下疼痛综合征)肩关节钙化性肌腱变性(3)8用放散型手柄治疗•冲击头:15mm•治疗次数:3次（一周间隔）•每次治疗的冲击波次数:2,000次•频率:5-10Hz•压力:2-4bar•参考文献:Magoschetal.,2003ZOrthop141:629-633(inPubMed)(同样使用于肩峰下疼痛综合征)肩关节钙化性肌腱变性(4)9(同样使用于肩峰下疼痛综合征)肩关节钙化性肌腱变性(5)用高能量型手柄治疗•冲击头:15mm•治疗次数:3次（一周间隔）•每次治疗的冲击波次数:2,000•频率:5-10Hz•压力:1.5-3bar•参考文献:Magoschetal.,2003ZOrthop141:629-633(inPubMed)网球肘(肱骨外上髁炎)11网球肘(肱骨外上髁炎)(1)触诊疼痛区域12标记疼痛区域网球肘(肱骨外上髁炎)(2)13敷用耦合液网球肘(肱骨外上髁炎)(3)14用放散型手柄治疗•冲击头:15mm•治疗次数:3次（一周间隔）•每次治疗的冲击波次数:2,000次•频率:5-10Hz•压力:1.5-3bar•参考文献:Söller,2003In:MaierM,GillesbergerF:Abstracts2003zurMuskuloskelettalenStosswellentherapie.Kongressbanddes3.DreiländertreffensderÖsterreichischen,SchweizerundDeutschenFachgesellschaften.BooksonDemand,Norderstedt,2003,pp121-122.网球肘(肱骨外上髁炎)(4)大转子疼痛综合征16大转子疼痛综合征(1)触诊疼痛区域17大转子疼痛综合征(2)标记疼痛区域18大转子疼痛综合征(3)敷用耦合液19大转子疼痛综合征(4)用放散型手柄治疗•冲击头:15mm•治疗次数:3次（一周间隔）•每次治疗的冲击波次数:2,000次•频率:5-10Hz•压力:3-4bar•参考文献:Furiaetal.,2009AmJSportsMed37:1806-1813;Rompeetal.,2009AmJSportsMed2009;37:1981-1990(bothinPubMed)髌尖综合征21髌尖综合征(1)触诊疼痛区域22髌尖综合征(2)标记疼痛区域23髌尖综合征(3)敷用耦合液24髌尖综合征(4)用放散型手柄治疗•冲击头:15mm•治疗次数:3次（一周间隔）•每次治疗的冲击波次数:2,000次•频率:5-10Hz•压力:2-3bar•参考文献:Lohreretal.,2002SportverlSportschad16:108-114(inPubMed)胫骨结节骨软骨炎26胫骨结节骨软骨炎(1)触诊疼痛区域27胫骨结节骨软骨炎(2)标记疼痛区域28胫骨结节骨软骨炎(3)敷用耦合液29胫骨结节骨软骨炎(4)用放散型手柄治疗•冲击头:15mm•治疗次数:3次（一周间隔）•每次治疗的冲击波次数:2,000-3,000次•频率:5-10Hz•压力:2-3bar•参考文献:TitovandLitvinenko(2007)Abstracts10thInternationalCongressoftheInternationalSocietyforMusculoskeletalShockwaveTherapy,Toronto,Canada,2007,pp.46-47.Medialtibialstresssyndrome31Medialtibialstresssyndrome(1)Palpationofthepainfulregion32Medialtibialstresssyndrome(2)Labelingofthepainfulregion33Medialtibialstresssyndrome(3)Applicationofcouplinggel34Medialtibialstresssyndrome(4)TreatmentwiththeRadialhandpiece•Applicator:15mm•Numberoftreatments:3(atweeklyintervals)•Numberofimpulsespertreatment:2,000•Frequency:5-10Hz•Airpressure:2.5-3bar•Literature:Rompeetal.,2010AmJSportsMed38:125-132(inPubMed)InsertionalAchillestendinopathy36InsertionalAchillestendinopathy(1)Palpationofthepainfulregion37InsertionalAchillestendinopathy(2)Labelingofthepainfulregion38InsertionalAchillestendinopathy(3)Applicationofcouplinggel39InsertionalAchillestendinopathy(4)TreatmentwiththeRadialhandpiece•Applicator:15mm•Numberoftreatments:3(atweeklyintervals)•Numberofimpulsespertreatment:2,000•Frequency:5-10Hz•Airpressure:2.5-3bar•Literature:Rompeetal.,2008JBoneJointSurgAm90:52-61(inPubMed)MidportionAchillestendinopathy41MidportionAchillestendinopathy(1)Palpationofthepainfulregion42MidportionAchillestendinopathy(2)Labelingofthepainfulregion43MidportionAchillestendinopathy(3)Applicationofcouplinggel44MidportionAchillestendinopathy(4)TreatmentwiththeRadialhandpiece•Applicator:15mm•Numberoftreatments:3(atweeklyintervals)•Numberofimpulsespertreatment:2,000•Frequency:5-10Hz•Airpressure:2-3bar•Literature:Rompeetal.,2007AmJSportsMed35:374-383;Rompeetal.,2009AmJSportsMed37:463-470(bothinPubMed)Plantarfasciopathy46Plantarfasciopathy(1)Palpationofthepainfulregion47Plantarfasciopathy(2)Labelingofthepainfulregion48Plantarfasciopathy(3)Applicationofcouplinggel49Plantarfasciopathy(4)TreatmentwiththeRadialhandpiece•Applicator:15mm•Numberoftreatments:3(atweeklyintervals)•Numberofimpulsespertreatment:2,000•Frequency:5-10Hz•Airpressure:2.5-4bar•Literature:Gerdesmeyeretal.,2008AmJSportsMed36:2100-2109;Ibrahimetal.,2010Foot&AnkleInt31:391-397(bothinPubMed)50Plantarfasciopathy(5)TreatmentwiththePower+handpiece•Applicator:15mm•Numberoftreatments:3(atweeklyintervals)•Numberofimpulsespertreatment:2,000•Frequency:5-10Hz•Airpressure:2-3bar•Literature:Gerdesmeyeretal.,2008AmJSportsMed36:2100-2109;Ibrahimetal.,2010Foot&AnkleInt31:391-397(bothinPubMed)Myofascialpainsyndrome/triggerpointtreatment52Myofascialpainsyndrome/triggerpointtreatment(1)(treatmentofthepiriformismuscleshownasexample)Palpationofthepainfulregion53LabelingofthepainfulregionMyofascialpainsyndrome/triggerpointtreatment(2)(treatmentofthepiriformismuscleshownasexample)54ApplicationofcouplinggelMyofascialpainsyndrome/triggerpointtreatment(3)(treatmentofthepiriformismuscleshownasexample)55TreatmentwiththePower+handpiece•Applicator:15mmTrigger•Numberoftreatments:3(atweeklyintervals)•Numberofimpulsespertreatment:300–1,000pertrigge