Details
Category: Volume 13 Issue 04 April 2025
Hits: 4

Title: Effect of focused shockwave therapy in knee osteoarthritis: A case study

Authors: Simran, Divya Midha, Ishu Verma, Manisha, Narkeesh Arumugam

 DOI: https://dx.doi.org/10.18535/jmscr/v13i04.04

Abstract

Objective and Clinical Features: A 52- years- old female housewife presented complaining of knees pain more at inner side of the knee while walking and climbing stairs. Patient reported that her pain started 6 months ago which increased gradually during prolonged standing. Her pain was worst for 2 days when he reported.

Intervention and Outcomes: the combination of conservative treatment approach consisted of eccentric exercise training, manual therapy and most important new school of intervention in physiotherapy i.e. focused shockwave therapy. Outcomes measures included numeric pain rating scale and goniometer. patient symptoms resolved and at 1 month follow-up reported no recurrence of knee pain.

Result: The followed treatment protocol, which involves eccentric exercises of knee muscles and modest intervention aided in the complete resolution of patient’s impairment and functional limitation.

Discussion: The result of this case study adds to our current knowledge of rehabilitation with the use of conventional physiotherapy management, eccentric exercises, and a new technique focused shockwave therapy. The rehab protocol in this study includes strengthening exercises of quadriceps, hamstrings, vastus medialis oblique that resulted in faster recovery and early return to functional activities.

Keywords: osteoarthritis, focused shockwave therapy, manual therapy, goniometer, numeric pain rating scale.

References

  1. Hani AA, Reznik JE, Biros E, Paulik B, Rob WI, Samuel GA, Penny MO, Wright A. Evaluation of treatment parameters for focused-extracorporeal shock wave therapy in knee osteoarthritis patients with bone marrow lesions: a pilot study. Journal of rehabilitation medicine. 2024 Mar 12;56:13207.
  2. Ko NY, Chang CN, Cheng CH, Yu HK, Hu GC. Comparative effectiveness of focused extracorporeal versus radial extracorporeal shockwave therapy for knee osteoarthritis—Randomized controlled study. International Journal of Environmental Research and Public Health. 2022 Jul 24;19(15):9001.
  3. Liao PC, Chou SH, Shih CL. A systematic review of the use of shockwave therapy for knee osteoarthritis. Journal of Orthopedics. 2024 May 1.
  4. Stoddart JC, Dandridge O, Garner A, Cobb J, Van Arkel RJ. The compartmental distribution of knee osteoarthritis–a systematic review and meta-analysis. Osteoarthritis and cartilage. 2021 Apr 1;29(4):445-55.
  5. Choi IJ, Jeon JH, Choi WH, Yang HE. Effects of extracorporeal shockwave therapy for mild knee osteoarthritis: A pilot study. Medicine. 2023 Nov 17;102(46):e36117.
  6. Berteau JP. Knee pain from osteoarthritis: pathogenesis, risk factors, and recent evidence on physical therapy interventions. Journal of Clinical Medicine. 2022 Jun 7;11(12):3252.
  7. Georgiev T, Angelov AK. Modifiable risk factors in knee osteoarthritis: treatment implications. Rheumatology international. 2019 Jul 1;39(7):1145-57.
  8. Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian journal of internal medicine. 2011;2(2):205.
  9. Jang S, Lee K, Ju JH. Recent updates of diagnosis, pathophysiology, and treatment on osteoarthritis of the knee. International journal of molecular sciences. 2021 Mar 5;22(5):2619.
  10. Jang S, Lee K, Ju JH. Recent updates of diagnosis, pathophysiology, and treatment on osteoarthritis of the knee. International journal of molecular sciences. 2021 Mar 5;22(5):2619.
  11. Uivaraseanu B, Vesa CM, Tit DM, Abid A, Maghiar O, Maghiar TA, Hozan C, Nechifor AC, Behl T, Patrascu JM, Bungau S. Therapeutic approaches in the management of knee osteoarthritis. Experimental and therapeutic medicine. 2022 May;23(5):328.
  12. Amelinda MJ, Eka P, Hartono TE. Current Non-surgical Management of Knee Osteoarthritis. Cureus. 2023;15(6).
  13. Giaretta S, Magni A, Migliore A, Natoli S, Puntillo F, Ronconi G, Santoiemma L, Sconza C, Viapiana O, Zanoli G. A review of current approaches to pain management in knee osteoarthritis with a focus on Italian clinical landscape. Journal of Clinical Medicine. 2024 Aug 31;13(17):5176.
  14. Ko NY, Chang CN, Cheng CH, Yu HK, Hu GC. Comparative effectiveness of focused extracorporeal versus radial extracorporeal shockwave therapy for knee osteoarthritis—Randomized controlled study. International Journal of Environmental Research and Public Health. 2022 Jul 24;19(15):9001.

Corresponding Author

Ishu Verma

Assistant Professor, Department of Physiotherapy, Desh Bhagat University, Mandi Gobindgarh