No outro grupo, inicia-se gradualmente e se torna intensa e persistente. Nirschl et al 28 compararam os efeitos da dexametasona e do placebo aplicados por eletroterapia. Wang e Chen 34 apresentam os resultados utilizando ondas de choque em 57 pacientes, comparados com um grupo controle de seis pacientes, com seguimento de um ano. Em apenas um caso houve falha no tratamento, necessitando de nova abordagem. Dois pacientes realizaram o procedimento bilateral.

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