{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T18:06:44Z","timestamp":1789063604478,"version":"build-2803163510"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Investigating outcomes following radial extracorporeal shockwave therapy (rESWT) for patients with chronic lateral elbow tendinopathy (tennis elbow).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>43 patients with chronic lateral elbow tendinopathy were recruited from a single NHS Sport Medicine clinic. Participants were randomised equally within this double-blinded randomised controlled trial to receive either three sessions of \u2018therapeutic-dose\u2019 or \u2018minimal-dose\u2019 rESWT, respectively, alongside a structured and progressive home exercise programme. Participants: 63% female, 70% affecting the dominant arm, mean age 47.9\u2009\u00b1\u20098.0 years, symptom duration: 31.7\u2009\u00b1\u200925.4 months. Maximum six-month follow-up, with interim data at six weeks and three months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Improvements were seen in both groups, but no between-group differences were seen with any measure at any time point, suggesting no benefit from \u2018therapeutic\u2019 levels of extracorporeal shockwave therapy (ESWT) above minimal dosage. Self-reported \u2018average\u2019 pain improved by 27% at six weeks, rising to 40% at three months, and 52% at six months, irrespective of ESWT \u2018dose\u2019. Improvements were seen across different validated patient-reported outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study has not shown superiority of rESWT compared to \u2018minimal-dose\u2019 rESWT in patients with chronic lateral elbow tendinopathy (tennis elbow), when performed alongside a structured progressive loading home exercise programme. This study does not support the use of rESWT performed at the \u2018maximally comfortably tolerated dose\u2019 as per manufacturer recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level I \u2013 Randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732261484894","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T04:20:00Z","timestamp":1788841200000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Radial extracorporeal shockwave therapy (rESWT) for patients with chronic lateral elbow tendinopathy (tennis elbow): A double-blinded randomised controlled trial"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2509-9767","authenticated-orcid":false,"given":"Patrick C","family":"Wheeler","sequence":"first","affiliation":[{"name":"University Hospitals of Leicester (UHL) NHS Trust"},{"name":"Loughborough University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Tattersall","sequence":"additional","affiliation":[{"name":"University Hospitals of Leicester (UHL) NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Calver","sequence":"additional","affiliation":[{"name":"University Hospitals of Leicester (UHL) NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514568087"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj325"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.1.000049"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211007734"},{"key":"e_1_3_2_6_2","first-page":"245","article-title":"Zur Genese und Behandlung des schreibe Kranfes","volume":"10","author":"Runge F","year":"1873","unstructured":"Runge F. 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