Difference Among Clinical Effectiveness Between Extracorporeal Shock Wave And Block Therapy Treat Tendinitis Achillea

Objective Through analyzing the score of treatment,the difference of the curative effect that cure Achilles tendon between extracorporeal shock wave therapy and block therapy could be observed.In order to provide a new type of the alternative method which is efficient,effective and less pain,the study can bring the ObjectivityMethods There were 38 subjects who went to the hospital divided into extracorporeal shock wave treatment group(test group)and block therapy group(control group).The test group adopted extracorporeal shock wave that was made in Switzerland,The specific energy density was 0.16mJ/mm2,the treat pressure was 2-3 bar,the shocks time was 2000,the hold pressure was from low to medium,the frequency was 5-10 Hz and the probe was 10 minute,interval a week,treated 3 times in total.The control group adapted triamcinolone acetate combined 2%lidocaine hydrochloride injection,interval a week,treated 2 times in total.The extracorporeal shock wave treatment group should adapt the assessment in the first treatment(first treatment),the second treatment,the third treatment(end of treatment),and the end of the course of treatment for 6 weeks.The block therapy group should adapt the assessment in the first treatment,the end of treatment and the end of the course of treatment for 6 weeks.The main method of evaluation was visual analogue scale and Victorian institute of sport assessment score-achillea.Results In the 38 subjects,there were some subjects removed because of incomplete follow-up and discontinue the treatment,and 31 subjects was included eventually.(1)Compared normal information(age,sex)and clinical information(duration of disease,VAS score,VISA-A score),there is no statistical significance(P>0.05)before accept the treatment.(2)The score of the two group before treatment is similarity.In the first treatment,the end of treatment and 6 weeks after the end of treatment,the VAS score is inferior to before treatment,and the VISA-A score is exceed to before treatment.There is statistical significance in difference(P<0.05).(3)At the end of the first treatment,the block therapy group is superior to the extracorporeal shock wave treatment group in the VAS score and the VISA-A score,there is statistical significance in two group(P<0.05).At the end of treatment and 6 weeks after the end of treatment,the VAS score and the VISA-A score of two group is similarity.There is statistical significance in difference in two group(P>0.05).(4)In the first treatment,the second treatment,the third treatment,the VAS score and the VISA-A score of the extracorporeal shock wave treatment group is change accompany with the time.The therapeutic effect was better than that of early one.There is a significance in difference in the different time(P<0.05).Conclusion The extracorporeal shock wave and block therapy are effective in the treatment of Achilles tendinitis.The effectual speed in treating tendinitis achillea of the block therapy is faster than the extracorporeal shock wave in short-term.However,the extracorporeal shock wave has cumulative effect in the long-term.In view of the safety,extracorporeal shock wave therapy is more worth to recommend.