Lunatomalacia / Avascular Necrosis of Lunate / Kienbocks Disease / Bilateral Kienbocks Disease

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Practicing Chartered Accountant was suffering since long with bilateral lunatomalcia with no relief with routine conservative treatment by orthopedic surgeon.

He could not write and sign due to pain and all his activities of daily life was affected. He was virtually disabled due to affection of both wrists.

With only one sitting of ESWT he gradually improved and is back to his usual busy practice of CA as his bones revascularised without collapse and near normal wrists.