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Two 2017 reviews had similar findings, with moderate level evidence at best. [ 7 ] [ 8 ] Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow , [ 9 ] [ 10 ] shoulder rotator cuff pain, [ 11 ] [ 12 ] Achilles tendinitis , [ 13 ] [ 14 ] plantar fasciitis , [ 15 ] [ 16 ] and greater trochanteric pain syndrome.
Extracorporeal shockwave therapy involves focused, high-energy ultrasound pulses that can be used to break solid masses into fragments. [10] This is often utilized to break up calculi such as kidney stones and gallstones into pieces small enough to be passed from the body without undue difficulty, a procedure known as lithotripsy .
HIFU beams are precisely focused on a small region of diseased tissue to locally deposit high levels of energy. Focused ultrasound may be used to generate highly localized heating to treat cysts and tumors (benign or malignant). This is known as Magnetic Resonance guided Focused Ultrasound (MRgFUS) or High Intensity Focused Ultrasound (HIFU).
Focused shockwave therapy appears to work best for males with vasculogenic ED, which is a blood vessel disorder that affects blood flow to tissue in the penis. The treatment is painless and has no known side effects. Treatment with shockwave therapy can lead to a significant improvement of the IIEF (International Index of Erectile Function).
Lithotripsy replaced using lithotrites as the most common treatment beginning in the mid 1980s. In extracorporeal shock wave lithotripsy (ESWL), external shockwaves are focused at the stone to pulverize it. [6] Ureteroscopic methods use a rigid or flexible scope to reach the stone and direct mechanical or light energy at it. Endoscopy can use ...
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