Low-energy extracorporeal shock wave therapy as a treatment for medial tibial stress syndrome

American Journal of Sports Medicine

Volumn 38, Issue 1, 2010, Pages 125-132

  Rompe, Jan D ^a   Cacchio, Angelo ^b   Furia, John P ^c   Maffulli, Nicola ^d  

^a orthoTrauma Evaluations Centrum   (Germany)

^b San Salvatore Hospital of L'Aquila   (Italy)

^c Sun Orthopaedics Group   (United States)

^d QUEEN MARY UNIVERSITY OF LONDON   (United Kingdom)

Author keywords

Medial tibial stress syndrome; Shin splints; Shock wave therapy; Tendon injuries

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CASE CONTROL STUDY; CHRONIC DISEASE; COHORT ANALYSIS; CUMULATIVE TRAUMA DISORDER; FEMALE; HUMAN; INJURY; MALE; MIDDLE AGED; PAIN; QUESTIONNAIRE; SPORT INJURY; STRESS FRACTURE; TIBIA; TIBIA FRACTURE; TREATMENT OUTCOME; ULTRASOUND THERAPY;

ADOLESCENT; ADULT; ATHLETIC INJURIES; CASE-CONTROL STUDIES; CHRONIC DISEASE; COHORT STUDIES; CUMULATIVE TRAUMA DISORDERS; FEMALE; FRACTURES, STRESS; HUMANS; MALE; MIDDLE AGED; PAIN; QUESTIONNAIRES; TIBIA; TIBIAL FRACTURES; TREATMENT OUTCOME; ULTRASONIC THERAPY; YOUNG ADULT;

EID: 76849115232     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546509343804     Document Type: Article

References (70)

1. Andrish JT, Bergfeld JA, Walheim J. A prospective study on the management of shin splints. J Bone Joint Surg Am. 1974 ; 56: 1697-1700.
2. Aoki Y., Yasuda K., Tohyama H., Ito H., Minami A. Magnetic resonance imaging in stress fractures and shin splints. Clin Orthop Relat Res. 2004 ; 421: 260-267.
3. Batt ME, Ugalde V., Anderson MW, Shelton DK A prospective controlled study of diagnostic imaging for acute shin splints. Med Sci Sports Exerc. 1998 ; 30: 1564-1571.
4. Beck BR Exercise-induced leg pain. Current Comment. March 2002. American College of Sports Medicine. http://www.acsm.org/AM/Template.cfm?Section= Searchion=20026&template=/CM/ContentDisplay.cfm&ContentFileID=299. Accessed December 2, 2008.
5. Beck BR Tibial stress injuries: an aetiological review for the purposes of guiding management. Sports Med. 1998 ; 26: 265-279.
6. Beck BR, Osternig LR Medial tibial stress syndrome: the location of muscles in the leg in relation to symptoms. J Bone Joint Surg Am. 1994 ; 76: 1057-1061.
7. Bennett JE, Reinking MF, Pluemer B., Pentel A., Seaton M., Killian C. Factors contributing to the development of medial tibial stress syndrome in high school runners. J Orthop Sports Phys Ther. 2001 ; 31: 504-510.
8. Brukner P. Exercise-related lower leg pain: bone. Med Sci Sports Exerc. 2000 ; 32 (3 Suppl). S15 - S26.
9. Brushoj C., Larsen K., Albrecht-Beste E., Nielsen MB, Løye F., Hölmich P. Prevention of overuse injuries by a concurrent exercise program in subjects exposed to an increase in training load: a randomized controlled trial of 1020 army recruits. Am J Sports Med. 2008 ; 36: 663-670.
10. Carr K., Sevetson E., Aukerman D. Clinical inquiries: how can you help athletes prevent and treat shin splints ? J Fam Pract. 2008 ; 57: 406-408.
11. Clanton TO, Solcher BW: Chronic leg pain in the athlete. Clin Sports Med. 1994 ; 13: 743-759.
12. Couture DJ, Karlson KA Tibial stress injuries: decisive diagnosis and treatment of "shin splints" Physician Sportsmed. 2002 ; 30: 29-37.
13. Detmer DE Chronic shin splints: classification and management of medial tibial stress syndrome. Sports Med. 1986 ; 3: 436-446.
14. Dias MP, Newton DJ, McLeod GA, Khan F., Belch JJ The inhibitory effects of local anaesthetics on the vascular flare responses to bradykinin and substance P in human skin. Anaesthesia. 2008 ; 63: 151-155.
15. Edwards PH Jr, Wright ML, Hartman JF A practical approach for the differential diagnosis of chronic leg pain in the athlete. Am J Sports Med. 2005 ; 33: 1241-1249.
16. Eickhoff CA, Hossain SA, Slawski DP From the field: effects of prescribed foot orthoses on medial tibial stress syndrome in collegiate cross-country runners. Clin Kinesiol. 2000 ; 54: 76-80.
17. Furia JP High-energy extracorporeal shock wave therapy as a treatment for chronic insertional Achilles tendinopathy. Am J Sports Med. 2006 ; 34: 733-740.
18. Furia JP High-energy extracorporeal shock wave therapy as a treatment for chronic noninsertional Achilles tendinopathy. Am J Sports Med. 2008 ; 36: 502-508.
19. Furia JP Safety and efficacy of extracorporeal shock wave therapy for chronic lateral epicondylitis. Am J Orthop. 2005 ; 34: 13-19.
20. Furia JP, Rompe JD, Maffulli N. Low-energy extracorporeal shock wave therapy as a treatment for greater trochanteric pain syndrome [published online ahead of print May 13, 2009]. Am J Sports Med. doi:10.1177/0363546509333014.
21. Gaeta M., Minutoli F., Mazziotti S., et al. Diagnostic imaging in athletes with chronic lower leg pain. AJR Am J Roentgenol. 2008 ; 191: 1412-1419.
22. Gaeta M., Minutoli F., Scribano E., et al. CT and MR imaging findings in athletes with early tibial stress injuries: comparison with bone scintigraphy findings and emphasis on cortical abnormalities. Radiology. 2005 ; 235: 553-561.
23. Gaeta M., Minutoli F., Vinci S., et al. High-resolution CT grading of tibial stress reactions in distance runners. AJR Am J Roentgenol. 2006 ; 187: 789-793.
24. Gerdesmeyer L., Frey C., Vester J., et al. Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study. Am J Sports Med. 2008 ; 36: 2100-2109.
25. Gerdesmeyer L., Wagenpfeil S., Haake M., et al. Extracorporeal shock wave therapy for the treatment of chronic calcifying tendonitis of the rotator cuff: a randomized controlled trial. JAMA. 2003 ; 290: 2573-2580.
26. Gross ML, Davlin LB, Evanski PM Effectiveness of orthotic shoe inserts in the long-distance runner. Am J Sports Med. 1991 ; 19: 409-412.
27. Hartgens F., Hoogeveen AR, Brink PR Athletes with exercise-related pain at the medial side of the lower leg. Ned Tijdschr Geneeskd. 2008 ; 152: 1839-1843.
28. Holen KJ, Engebretsen L., Grontvedt T., Rossvoll I., Hammer S., Stoltz V. Surgical treatment of medial tibial stress syndrome (shin splint) by fasciotomy of the superficial posterior compartment of the leg. Scand J Med Sci Sports. 1995 ; 5: 40-43.
29. Hootman JM, Macera CA, Ainsworth BE, Martin M., Addy CL, Blair SN Predictors of lower extremity injury among recreationally active adults. Clin J Sport Med. 2002 ; 12: 99-106.
30. Hubbard TJ, Carpenter EM, Cordova ML Contributing factors to medial tibial stress syndrome: a prospective investigation. Med Sci Sports Exerc. 2009 ; 41: 490-496.
31. Järvinnen M., Aho H., Niittymäki S. Results of the surgical treatment of the medial tibial syndrome in athletes. Int J Sports Med. 1989 ; 10: 55-57.
32. Johnston E., Flynn T., Bean M., et al. A randomized controlled trial of a leg orthosis versus traditional treatment for soldiers with shin splints: a pilot study. Mil Med. 2006 ; 171: 40-44.
33. Jones DC, James SL Overuse injuries of the lower extremity: shin splints, iliotibial band friction syndrome, and exertional compartment syndromes. Clin Sports Med. 1987 ; 6: 273-290.
34. Kaufman KR, Brodine S., Shaffer R. Military training-related injuries: surveillance, research, and prevention. Am J Prev Med. 2000 ; 18: 54-63.
35. Kortebein PM, Kaufman KR, Basford JR, Stuart MJ Medial tibial stress syndrome. Med Sci Sports Exerc. 2000 ; 32 (Suppl 3). 27S - 33S.
36. Krivickas LS Anatomical factors associated with overuse sports injuries. Sports Med. 1997 ; 24: 132-146.
37. Kudo P., Dainty K., Clarefield M., Coughlin L., Lavoie P., Lebrun C. Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracorporeal shock wave therapy (ESWT) treatment device: a North American confirmatory study. J Orthop Res. 2006 ; 24: 115-123.
38. Larsen K., Weidich F., Leboeuf-Yde C. Can custom-made biomechanic shoe orthoses prevent problems in the back and lower extremities? A randomized, controlled intervention trial of 146 military conscripts. J Manipulative Physiol Ther. 2002 ; 25: 326-331. (Pubitemid 35024418)
39. Lohrer H., Schöll J., Arentz S. Results of radial shockwave treatment of sports-induced diseases (achillodynia, patella tip syndrome and tibialis anterior syndrome). In: Gerdesmeyer L, Weil LS, eds. Extracorporeal Shockwave Therapy. Towson, MD: Data Trace Publishing Company; 2007: 161-176.
40. Messier SP, Pittala KA Etiologic factors associated with selected running injuries. Med Sci Sports Exerc. 1988 ; 20: 501-505.
41. Moore MP Shin splints: diagnosis, management, prevention. Postgrad Med. 1988 ; 83: 199-210.
42. Mubarak SJ, Gould RN, Lee YF, Schmidt DA, Hargens AR: The medial tibial stress syndrome: a cause of shin splints. Am J Sports Med. 1982 ; 10: 201-205.
43. Ogden JA, Alvarez RG, Levitt RL, Johnson JE, Marlow ME Electrohydraulic high-energy shock-wave treatment for chronic plantar fasciitis. J Bone Joint Surg Am. 2004 ; 86: 2216-2228.
44. Pell RF 4th, Khanuja HS, Cooley GR Leg pain in the running athlete. J Am Acad Orthop Surg. 2004 ; 12: 396-404.
45. Plisky MS, Rauh MJ, Heiderscheit B., Underwood FB, Tank RT Medial tibial stress syndrome in high school cross-country runners: incidence and risk factors. J Orthop Sports Phys Ther. 2007 ; 37: 40-47.
46. Reinking MF, Hayes AM Intrinsic factors associated with exercise-related leg pain in collegiate cross-country runners. Clin J Sport Med. 2006 ; 16: 10-14.
47. Rompe JD, Decking J., Schoellner C., Theis C. Repetitive low-energy shock wave treatment for chronic lateral epicondylitis in tennis players. Am J Sports Med. 2004 ; 32: 734-743.
48. Rompe JD, Furia J., Maffulli N. Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy: a randomized, controlled trial. J Bone Joint Surg Am. 2008 ; 90: 52-61.
49. Rompe JD, Furia J., Maffulli N. Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a Randomized Controlled Trial. Am J Sports Med. 2009 ; 37: 463-470.
50. Rompe JD, Furia JP, Weil L., Maffuli N. Shock wave therapy for chronic plantar fasciopathy. Br Med Bull. 2007 ;81- 82: 183-208.
51. Rompe JD, Meurer A., Nafe B., Hofmann A., Gerdesmeyer L. Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis. J Orthop Res. 2005 ; 23: 931-941.
52. Rompe JD, Nafe B., Furia JP, Maffulli N. Eccentric loading, shockwave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achillis: a randomized controlled trial. Am J Sports Med. 2007 ; 35: 374-383.
53. Rompe JD, Schoellner C., Nafe B. Evaluation of low-energy extracorporeal shock-wave treatment for treatment of chronic plantar fasciitis. J Bone Joint Surg Am. 2002 ; 84: 335-341.
54. Rompe JD, Segal NA, Cacchio A., Furia JP, Morral A., Maffulli N. Home training, local corticosteroid injection or radial shockwave therapy for greater trochanter pain syndrome [published online ahead of print May 13, 2009]. Am J Sports Med. doi: 10.1177/0363546509334374.
55. Rouzier P. The Sports Medicine Patient Advisor. Amherst, MA: SportsMed Press; 1999.
56. Schöll J., Lohrer H., Arentz S. Results of radial shockwave therapy for shin splints in runners. Annual Meeting of the Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC), Berlin, 2002. http://www.thieme.de/abstracts/zfo/abstracts2002/daten/p123.html. Accessed December 2, 2008.
57. Sems A., Dimeff R., Ianotti JP Extracorporeal shock wave therapy in the treatment of chronic tendinopathies. J Am Acad Orthop Surg. 2006 ; 14: 195-204.
58. Sommer HM, Vallentyne SW Effect of foot posture on the incidence of medial tibial stress syndrome. Med Sci Sports Exerc. 1995 ; 27: 800-804.
59. Spitz DJ, Newberg AH Imaging of stress fractures in the athlete. Radiol Clin North Am. 2002 ; 40: 313-331.
60. Styf J. Diagnosis of exercise-induced pain in the anterior aspect of the lower leg. Am J Sports Med. 1998 ; 16: 165-169.
61. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD A prospective study of running injuries: the Vancouver Sun Run "In Training" clinics. Br J Sports Med. 2003 ; 37: 239-244.
62. Thacker SB, Gilchrist J., Stroup DF, Kimsey CD The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc. 2002 ; 34: 32-40.
63. Theodore GH, Buch M., Amendola A., Bachman C., Fleming LL, Zingas C. Extracorporeal shock wave therapy for the treatment of plantar fasciitis. Foot Ankle Int. 2004 ; 25: 290-297.
64. Tommasini SM, Nasser P., Schaffler MB, Jepsen KJ Relationship between bone morphology and bone quality in male tibias: implications for stress fracture risk. J Bone Miner Res. 2005 ; 20: 1372-1380.
65. Verma RB, Sherman O. Athletic stress fractures, part I: history, epidemiology, physiology, risk factors, radiography, diagnosis, and treatment. Am J Orthop. 2001 ; 30: 798-806.
66. Wang CJ, Yang KD, Wang FS, Chen HH, Wang JW Shock wave therapy for calcific tendinitis of the shoulder. Am J Sports Med. 2003 ; 31: 425-430.
67. Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med. 2004 ; 23: 55-81.
68. Yates B., Allen MJ, Barnes MR Outcome of surgical treatment of medial tibial stress syndrome. J Bone Joint Surg Am. 2003 ; 85: 1974-1980.
69. Yates B., White S. The incidence and risk factors in the development of medial tibial stress syndrome among naval recruits. Am J Sports Med. 2004 ; 32: 772-780.
70. Yeung EW, Yeung SS Interventions for preventing lower limb soft-tissue injuries in runners. Cochrane Database Syst Rev. 2001 ; 3: CD001256.