1. Shockwave Therapy for Trochanteric Bursitis Ana Cláudia Souza Flavia Arkader Paulo Rockett Paulo Santos

2. Anatomy

4. Some cases of bursitis happened with tendinosis of the gluteus tendon calcifications and

6. What is the mechanism of shockwave therapy in Hip Bursitis?

7. Microbiological Theory eNOS PHISYCAL ENERGY Biological Response VEGF PCNA Neo vascular Improved blood supply Bone repair tendon repair Tissue regeneration BMP-2

8. International Society for Musculoskeletal Shockwave Therapy - ISMST NEWSLETTER

15. Roles and Maudsley score Grade 1 E xcellent no pain, full movement and activity Grade 2 Good occasional pain, full movement and activity Grade 3 A cceptable some discomfort after prolonged activity Grade 4 Poor pain limiting activity

16. Protocol Application One application Local Anaesthesia 1200 impulses Energy flux 0.130 to 0.144 mJ/mm² Reapplication after 3 months of follow-up

17. 56 Trochanteric Bursitis No significant adverse affect was observed Treatments Cases 45 days 90 days 180 days 1 52 68% 76% 83% 2 4 63% 73% 88% 3 0

19. Final Results Roles and Maudsley score

20. Final Results – 180 days Roles and Maudsley score 50 / 89% 49 = No corticosteroide Injection 7 = Corticosteroide Injection

21. Final Results – 180 days Roles and Maudsley score 6 cases=poor or acceptable

24. Muito Obrigada