Shock wave therapy evaluation in the complex treatment of athletes with lateral epicondylitis

Objective: to evaluate the effectiveness of shock wave therapy in the complex treatment of athletes with lateral epicondylitis in comparison with standard methods of treatment.Materials and methods: On outpatient treatment in the period from 2019 to 2022. There were 168 athletes diagnosed with Lateral epicondylitis, including 78 women (46.4 %) and 90 men (53.6 %) aged 20 to 45 years. The mean age of the patients was 31.48 ± 6.72 years. The average duration of the disease was 33.68 ± 28.17 days. To achieve the set goals and objectives, a prospective randomized controlled clinical trial was conducted. We used a clinical examination of patients, a study of carpal dynamometry of the affected arm, an assessment of the level of pain and quality of life using the QuickDash and Patient-Rated Tennis Elbow Evaluation (PRTEE) scales, statistical research methods, as well as the use of standard treatment for lateral epicondylitis and radial shock wave therapy with an assessment of effectiveness one month after treatment.Results: shock wave therapy in the complex treatment of athletes with lateral epicondylitis, compared with standard methods of treatment, improved the quality of life and reduced pain three weeks after the start of treatment and has a more pronounced effect in the long term (p < 0.05); allowed to reduce the intensity of the signal from the bone tissue (trabecular edema) according to the results of magnetic resonance imaging.Conclusion: the expediency of using shock wave therapy in the complex treatment of athletes with lateral epicondylitis is substantiated, which makes it possible to recommend its use in practical healthcare

Lateral epicondylitis: tendinitis or tendinosis?

Lateral epicondylitis is a common pathology of the musculoskeletal system resulting from repeated microtrauma of the extensor muscles of the forearm and their tendons. Lateral epicondylitis was previously thought to be tendinitis, which is an inflammatory reaction in the tendon. However, histopathologically, it has been shown to be low in inflammatory elements: macrophages and neutrophils. Thus, it is now believed that this pathology is a tendinosis, which is defined as a degenerative rather than an inflammatory process

Evaluation of indicators of goniometry of the ankle joint in the complex rehabilitation of athletes with peroneal tendinopathy

The study reflects the results of comprehensive rehabilitation of professional athletes with fibular tendinopathy. The effectiveness was evaluated based on the indicators of goniometry of the ankle joint at different stages of the rehabilitation process.Objective. To evaluate the effectiveness of the developed comprehensive program of physical rehabilitation with tendinopathy of the fibular tendons.Materials and methods. The study involved 60 professional male athletes with the diagnosis of “fibular tendinopathy” established by ultrasound examination. All patients were randomly divided into two equal groups of 30 people. Group I patients, in addition to the main ones, were assigned specially designed exercises for balance, balance and proprioceptive sensitivity on the Biodex Balance System (BBS) biofeedback system (Biodex Medical Systems, Inc. New York, USA), as well as balancing disksResults. The percentage of reduction in the total amplitude of movement in the ankle joint, that is, its deficiency, statistically significantly differed between the groups. Thus, at the time of examination before the start of treatment, the total amplitude deficit in group I patients was 13.2°, and in group II – 14.0°. At week 6 after the start of treatment, this indicator improved in group I patients and amounted to 3.8°, and in group II – 12.2°