Can Extracorporeal Shock Wave Therapy Help My Stiff Elbow? - Orthopedics

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Extracorporeal Shock Wave Therapy (ESWT)


It has been 7 months since the injury, and my elbow is still stiff.
Is extracorporeal shock wave therapy effective? Is there any way for my arm angle to return to normal?

Liang Ji, 30~39 year old female. Ask Date: 2015/12/04

Dr. Hong Ximing reply Orthopedics


Hello: The elbow joint has been injured for 7 months, and scar tissue has formed, which may result in poorer rehabilitation outcomes.
Extracorporeal shock wave therapy can be attempted, but the effects may be limited.
You may discuss with your attending physician the option of undergoing an anesthetic-assisted manipulation to help increase the range of motion.
Hong Shih-Ming

Reply Date: 2015/12/04

More Info


Extracorporeal Shock Wave Therapy (ESWT) has gained popularity as a non-invasive treatment option for various musculoskeletal conditions, including elbow stiffness. Given your situation of having a stiff elbow for seven months, it's understandable to seek effective treatment options to regain normal range of motion and alleviate discomfort.

ESWT works by delivering acoustic waves to the affected area, which can promote healing by increasing blood flow, stimulating cellular repair, and reducing inflammation. In the context of elbow stiffness, particularly if there is an underlying condition such as tendinitis, bursitis, or even post-traumatic stiffness, ESWT may provide some benefits. However, the effectiveness of this therapy can vary based on individual circumstances, including the specific cause of the stiffness, the duration of the condition, and the overall health of the surrounding tissues.

In your case, since the stiffness has persisted for seven months, it is crucial to first determine the underlying cause of the stiffness. This may involve imaging studies such as X-rays or MRI to assess for any structural issues, such as bone spurs, ligament injuries, or other soft tissue damage. Consulting with an orthopedic specialist or a physical therapist who can perform a thorough evaluation will be essential in guiding your treatment plan.

While ESWT can be beneficial, it is often most effective when combined with other therapeutic modalities. Physical therapy is a critical component of rehabilitation for elbow stiffness. A physical therapist can design a tailored program that includes stretching, strengthening exercises, and manual therapy techniques to improve range of motion and function. They can also provide modalities such as heat or cold therapy, ultrasound, or electrical stimulation to complement the effects of ESWT.

Regarding your concern about whether your elbow can return to normal function, it largely depends on the extent of the injury and the effectiveness of the rehabilitation process. Many patients experience significant improvements in range of motion and pain relief with a comprehensive treatment approach that includes ESWT, physical therapy, and possibly other interventions like corticosteroid injections or, in some cases, surgical options if conservative measures fail.

It's also important to set realistic expectations. Recovery from elbow stiffness can take time, and while some individuals may regain full function, others may experience residual limitations. Consistent follow-up with your healthcare provider will help monitor your progress and adjust your treatment plan as needed.

In summary, Extracorporeal Shock Wave Therapy may help improve your stiff elbow, especially when combined with physical therapy and a thorough evaluation of the underlying causes. Engaging with a healthcare professional who specializes in musculoskeletal issues will provide you with the best chance of regaining normal function and alleviating your symptoms. Remember, patience and adherence to the prescribed rehabilitation program are key components of recovery.

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