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March 7, 2026Journal of Clinical MedicineOpen Access

Shockwave or Ultrasound Therapy for Tendinopathy? A Systematic Review and Meta-Analysis

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Authors

ADArtur DudońInstitute of Theoretical and Applied InformaticsMSMagdalena StaniaAcademy of Fine Arts in Katowice

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Overview

Systematic review compares shockwave and ultrasound therapies on pain in limb tendinopathies, suggesting ESWT may be more effective.

Key Points

  • This systematic review aims to evaluate the efficacy of extracorporeal shock wave therapy versus ultrasound therapy for treating tendinopathy.
  • Conducted a systematic review and meta-analysis following PRISMA guidelines.
  • Included randomized controlled trials identified through electronic database searches.
  • Calculated mean differences and assessed heterogeneity using the I2 statistic.
  • ESWT may reduce pain at rest compared to ultrasound therapy in lateral epicondylitis.
  • Combined ESWT with pharmacotherapy lowers pain intensity compared to combined ultrasound therapy.
  • No significant differences in functional scores between ESWT and ultrasound therapy were found.

Cite This Study

Dudoń et al. (2026) studied this question.

synapsesocial.com/papers/69abc2dc5af8044f7a4ec4echttps://doi.org/10.3390/jcm15052007
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Extracorporeal shockwave therapy for tendinopathies: a comprehensive literature review2025 · 1 citations
  2. 2Efficacy of radial and focused shockwave therapy for tendinopathy: a systematic review and meta-analysis2026 · 1 citations
  3. 3Extracorporeal Shock Wave Therapy in Chronic Lateral Elbow Tendinopathy: A Systematic Review2026
  4. 4Comparison of extracorporeal shockwave therapy, ultrasound therapy, and corticosteroid injections for treatment of lateral epicondylitis: an umbrella review of meta-analyses2025 · 6 citations
  5. 5Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta‐Analysis2020 · 102 citations