Health Condition 1: M678- Other specified disorders of synovium and tendon
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinically diagnosed tendinopathy (Achilles, Lateral epicondyle, rotator cuff and patellar tendon) Acute group: Symptom duration less than 6 weeks Chronic group: Symptom duration more than 3 months Pain intensity greater than 4 on NPRS Willingness to give written informed consent
Exclusion criteria
Exclusion criteria: Bleeding disorder or anticoagulant therapy Pregnancy Malignancy in treatment area Cardiac pacemaker Previous history of ESWT treatment Complete tendon rupture Neurological conditions affecting assessment Steroid injection with 6 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PainTimepoint: baseline and post treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain Pressure Threshold analysis Ultrasonographic evaluation of tendon structure (tendon thickness, calcification, abnormal vascularity) Blood samples for inflammatory biomarkers (CRP, Peripheral Blood Neutrophil to Lymphocyte Ratio) Quick DASH (Disabilities of Arm, Shoulder and Hand) for upper limb tendinopathies LEFS (Lower Extremity Functional Scale) for lower limb tendinopathies Patient-rated tendon evaluation (PRTE)Timepoint: baseline and post treatment | — |
Countries
India
Contacts
Institute of Physiotherapy