6 Committee comments
6.1 The committee was informed by specialist advisers that low energy devices are now more commonly used and may be associated with less procedural pain.
6.2 The committee noted that patient commentary was mixed in terms of the benefits of the procedure and noted that some patients found the treatment painful.
6.3 The committee noted that there were occasional reports of tendon rupture in treated patients, although this can also happen when the procedure has not been used.
6.4 The committee found it difficult to interpret the evidence because of the diversity of treatment protocols and comparators used, varying reported end points, and inconsistencies in use of local anaesthesia and energy type.