EFFICIENCY OF PAIN SYNDROME TREATMENT IN PATIENTS WITH MUSCULOSKELETAL PATHOLOGY IN COMPLEX USE OF SHOCK-WAVE AND HIGH TONE POWER THERAPY

Abstract

Purpose of the study. Pain is the main complaint of patients with musculoskeletal pathology, the treatment of which by pharmacological methods has significant side effects. Therefore, non-drug treatment, especially physiotherapy, is increasingly being considered as a first-line treatment option. We evaluated the effectiveness of treatment of pain syndrome in complex use of Shock Wave (SW) and High-Tone Power (HiToP) physiotherapy in patients with musculoskeletal pathology.
 Methods. We examined 72 patients (mean age 57.6 ± 0.8 years) with musculoskeletal pathology. The course of SW on the affected area is up to 5-6 procedures with an interval between sessions of 3-7 days. The duration of HiToP therapy ranged from 8 to 10 procedures (3-5 sessions per week). Evaluation of the effectiveness of combined physiotherapy was performed according to the Visual - Analog Scale (VAS) and Short Form Health Survey questionnaire (SF-36).
 Results. After a course of combined SW and HiToP physiotherapy all patients with musculoskeletal pathology showed positive dynamics in the pain syndrome. At the same time, according to the visual - analog scale of VAS, there was a significant decrease in pain intensity by an average of 35.8% (p <0.05) compared to baseline before treatment. A probable improvement in the quality of life of patients (SF-36 questionnaire) on the scales of both physical and mental functioning was achieved.
 Conclusion. The combined use of SW and HiToP physiotherapy has a positive effect on pain and quality of life in 91.7% of patients with pathology of the musculoskeletal system.