{
    "abstract": "Outcomes following radial extracorporeal shockwave therapy (rESWT) in patients with chronic noninsertional Achilles tendinopathy are investigated.\nPatients with chronic noninsertional Achilles tendinopathy were recruited from a single National Health Services clinic, randomized equally to either \"therapeutic\" or \"minimal-dose\" (\"presumed sham\") rESWT (3 sessions at weekly intervals). Both groups had an identical structured home rehabilitation program of progressive loading, balance, and stretching exercises.\nFifty-seven patients were recruited; mean age 49.7\u00b17.2\u2009years, 60% female, symptom duration: 22.2\u00b119.5\u2009months. No between-group differences were identified at the final or any interim time points. Clinically and statistically significant within-group improvements were identified in pain/local function patient-reported outcome measures for both groups, with \"average pain\" improving by 34% at 6 months. No consistent benefits were seen in global function, activity levels, or mood.\n\"Recommended-dose\" rESWT is not superior to \"minimal-dose\" rESWT and may be ineffective for patients with chronic noninsertional Achilles tendinopathy.",
    "authors": [
        {
            "affiliation": "Department of Musculoskeletal, Sport & Exercise Medicine, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.\nSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom.\nNational Centre of Sport and Exercise Medicine, Loughborough, United Kingdom.",
            "firstname": "Patrick C",
            "initials": "PC",
            "lastname": "Wheeler"
        },
        {
            "affiliation": "Department of Musculoskeletal, Sport & Exercise Medicine, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.",
            "firstname": "Chloe",
            "initials": "C",
            "lastname": "Tattersall"
        },
        {
            "affiliation": "Department of Musculoskeletal, Sport & Exercise Medicine, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.",
            "firstname": "Rachel",
            "initials": "R",
            "lastname": "Calver"
        }
    ],
    "conclusions": "\"Recommended-dose\" rESWT is not superior to \"minimal-dose\" rESWT and may be ineffective for patients with chronic noninsertional Achilles tendinopathy.",
    "copyrights": null,
    "doi": "10.1177/10711007251327421",
    "journal": "Foot & ankle international",
    "keywords": [
        "Achilles tendinopathy",
        "extracorporeal shockwave therapy",
        "outcome study",
        "pain"
    ],
    "methods": null,
    "publication_date": "2025-04-23",
    "pubmed_id": "40263964",
    "results": "Fifty-seven patients were recruited; mean age 49.7\u00b17.2\u2009years, 60% female, symptom duration: 22.2\u00b119.5\u2009months. No between-group differences were identified at the final or any interim time points. Clinically and statistically significant within-group improvements were identified in pain/local function patient-reported outcome measures for both groups, with \"average pain\" improving by 34% at 6 months. No consistent benefits were seen in global function, activity levels, or mood.",
    "title": "Radial Extracorporeal Shockwave Therapy (rESWT) Is Not Superior to \"Minimal-Dose\" rESWT for Patients With Chronic Noninsertional Achilles Tendinopathy: A Double-Anonymized Randomized Controlled Trial.",
    "xml": "<Element 'PubmedArticle' at 0x788504864cc0>"
}