There Is No Role for Extracorporeal Shock Wave Therapy in Chronic Insertional Achilles Tendinopathy: A Comparative Study with Conservative Treatment

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dc.contributor.authorUlusoy, İbrahim
dc.contributor.authorYılmaz, Mehmet
dc.contributor.authorTantekin, Mehmet Fırat
dc.contributor.authorGüzel, İsmail
dc.contributor.authorKıvrak, Aybars
dc.date.accessioned2026-06-19T06:32:05Z
dc.date.available2026-06-19T06:32:05Z
dc.date.issued2026
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBackground: Chronic insertional Achilles tendinopathy (CIAT) is a type of tendinopathy resistant to conventional conservative treatments. The efficacy of extracorporeal shock wave therapy (ESWT) remains controversial. This study aims to evaluate the effects of ESWT on pain management and functional improvement in CIAT patients and compare it with physical and medical treatments Methods: In this retrospective study, 372 patients diagnosed with CIAT between 2019 and 2023 were evaluated. The patients were divided into two groups: those who received only physical/medical therapy (Group 1) and those who underwent a combination of ESWT and physical/medical therapy (Group 2). Clinical outcomes were assessed using the American Orthopedic Foot and Ankle Society (AOFAS) score and the Visual Analog Scale (VAS) scores. The severity of the disease was determined through magnetic resonance imaging (MRI). Group comparisons were conducted using the independent samples t-test and Fisher's exact test, while changes over time were assessed with repeated measures ANOVA. Correlation analyses were evaluated using Pearson and Spearman correlation coefficients. Results: Significant improvement in AOFAS and VAS scores was observed in both groups by the third month (p < 0.01). However, at 6 and 12 months, ESWT did not demonstrate superiority over physical/medical treatment. Correlation analysis showed a positive relationship between baseline AOFAS scores and functional improvement, while higher initial VAS scores correlated with greater post-treatment pain reduction. Cardiovascular risk factors negatively impacted both functional recovery and pain reduction (p < 0.05). Although patient satisfaction was higher in the ESWT group, the difference was not statistically significant. Conclusions: ESWT may provide short-term pain relief and functional improvement in CIAT but does not offer a long-term advantage over physical/medical treatment. The placebo effect may contribute to early positive outcomes. These findings do not support ESWT as a routine treatment for CIAT.
dc.identifier.doi10.3390/japma116030024
dc.identifier.issn1930-8264
dc.identifier.issue3
dc.identifier.pmid42200987
dc.identifier.scopus2-s2.0-105040410834
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.3390/japma116030024
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4961
dc.identifier.volume116
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.relation.ispartofJournal of the American Podiatric Medical Association
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20260612
dc.subjectAmerican Orthopedic Foot And Ankle Society Score
dc.subjectChronic Insertional Achilles Tendinopathy
dc.subjectExtracorporeal Shock Wave Therapy
dc.subjectMagnetic Resonance Imaging
dc.subjectTendinopathy Treatment
dc.subjectVisual Analog Scale
dc.titleThere Is No Role for Extracorporeal Shock Wave Therapy in Chronic Insertional Achilles Tendinopathy: A Comparative Study with Conservative Treatment
dc.typeArticle

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