Research Reports - Shock wave therapy for painful heterotopic ossification after traumatic brain injury

Ann Rehabil Med. 2015 Apr;39(2):318-22

Choi YM(1), Hong SH(1), Lee CH(1), Kang JH(1), Oh JS(1)

Neurogenic heterotopic ossification (NHO) is a process of benign bone formation
and growth in soft tissues surrounding major synovial joints and is associated
with central nervous system (CNS) injuries. It is a common complication in major
CNS injuries, such as traumatic brain injury, spinal cord injury, and stroke.
Here, we report the case of a 72-year-old male, who experienced a traumatic brain
injury and painful chronic NHO around the left hip joint. Three applications of
extracorporeal shock wave therapy (ESWT) were administered to the area of NHO,
which resulted in pain relief and an improvement in the loss of motion in the
left hip joint. Improvements were also noted in walking performance and
activities of daily living, although the size of NHO remained unchanged.
Therapeutic effects of ESWT lasted for 12 weeks.

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