Thirty patients with chronic medial epicondylitis were treated with low-ene
rgy shock waves. They received 500 impulses of 0.08 mJ/mm(2) three times st
weekly intervals. At 1 year follow-up examinations were performed. Accordi
ng to the Verhaar criteria, only seven patients reached excellent or good r
esults. In eight cases a fair outcome was recorded, and in 14 patients the
outcome was poor. Only six patients were satisfied with the treatment. The,
average relief of pain was 32%. These data were significantly worse than f
or identically treated patients with chronic tennis elbow. Thus, the questi
on arises as to whether extracorporal shock-wave therapy is indicated in me
dial epicondylitis.