International Congress on Biological and Health Sciences (ICBH), 24-27 February 2022, Ankara, Türkiye, 24 - 27 Şubat 2022, ss.169
We conducted this study to compare the effects of
radial and focused extracorporeal shock wave therapies (ESWT) in coccydynia.
Sixty patients with coccydynia were equally randomised
into three groups according to different wave types of ESWT: Focused, Radial,
and Sham. A total of 4 sessions of ESWT at 1-week intervals were applied to the
sacrococcygeal area. All patients were evaluated at baseline (week 0) and after
the treatment (weeks 4, 8, and 12) with Visual Analog Scale (VAS) and Oswestry Disability
Index (ODI).
There was no significant change in VAS and ODI scores
at any control week in the Sham ESWT group compared to baseline (p>0.05). Compared
with baseline (week 0) the VAS scores of weeks 4 were reduced only in Radial
ESWT group (p<0.05). Compared with baseline the VAS and ODI scores of weeks 8
and week 16 were significantly reduced in both Focused and Radial ESWT groups
(for all, p<0.05). Radial group was significantly superior than Focused group
based on the comparisons between the groups at week 4 in the VAS values, and at
week 16 in the ODI scores (for all, p<0.05).
We found that both Radial ESWT and Focused ESWT were effective in treating coccydynia compared to Sham ESWT. However, it can be predicted that radial ESWT might be more effective in the treatment of coccydynia.
Keywords: coccydynia, shock wave, randomised
sham-controlled trial.