What
is extracorporeal radial shockwave therapy?
Since the early
1900's investigators in Europe have studied the use of shockwaves for
the treatment of musculoskeletal conditions. Initially, treatments were
administered using modified kidney stone lithotripters. Today, machines
such as the MP50 use advanced technology but, the concept remains the
same. Used by professional sports teams and high level athletes around
the world, shockwave therapy treats the involved area using
pneumatically generated acoustic waves traveling faster than the speed
of sound. This bombarding of the affected tissue produces a number of
biological responses resulting in scientifically demonstrated
neovascularization (new blood vessel growth) which in turn dramatically
accelerates the healing process. | |
Could you
describe the treatment process?
A course of Radial
Shockwave Therapy (RSWT) typically consists of four visits - three
treatment sessions
administered over a three week period after your initial assessment.
The painful site is identified
and approximately two thousand shockwaves are administered using a hand
held applicator in combination with a conductive gel. The process is
relatively pain free and can be adjusted for patient comfort.
Remember, these are sound "shocks", not electrical shocks. The
treatment lasts between five and seven minutes. Occasionally a fourth
treatment is indicated and if required is provided at a reduced rate.
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What
conditions can Shockwave be used to treat?
|
Tennis Elbow | Achilles
tendinopathy | |
Jumpers Knee |
Adhesive capsulitis | |
Calcific Rotator
Cuff Tendonitis | Mortons neuroma |
|
Iliotibial band syndrome | Non-healing
ulcers | |
Bursitis |
Stress Fractures | |
Plantar Fasciitis |
Bony non-unions | |
Scar Tissue |
Myofascial trigger points |
| |
How fast does RSWT
work?
The
response to treatment varies from one individual to another. Many
patients experience significant relief after one treatment, while
others may require three treatments. The healing with RSWT is a
cumulative process; therefore, patients continue to have results weeks
after ending their treatment. RSWT produces cellular breakdown and
hence a subsequent rebuilding or healing process, for this reason
maximum relief is usually felt at the twelfth week after the last
treatment. | |
Are
there any side effects to RSWT?
Minor
pain and discomfort during and immediately after the treatment are the
most commonly reported adverse side effects. Also commonly noted is a
reddening of the skin in the area treated. These typical side effects
are relatively short lived lasting no longer than four to twenty four
hours. | |
Are
there contraindications or precautions with RSWT?
Yes,
RSWT is not for everyone. You should consult with your physiotherapist
prior to initiating treatment. Contraindications include the following:
- Coagulation disorders and the use of
anticoagulants such as Marcuma, heparin, and coumadin
- Cancer
- Pregnancy
- Polyneuropathy in case of
diabetes mellitus
- No NSAIDS one week prior to
treatment
- No cortisone six weeks prior to
treatment
- No ice post treatment
- No
anti inflammatory post treatment
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Has
Radial Shockwave Therapy been clinically proven?
RSWT
has been subjected to more valid scientific study than any other
modality in physical medicine. The results far exceed other types of
modalities and have been published in numerous well respected medical
journals. Here are a few examples:
91% success rate calcific tendonitis of the shoulder
Journal of
American Medical Association 2003
90% success rate plantar fasciitis
The Journal of
Orthopaedic Research 2005
77% success rate tennis elbow
The Journal of
Orthopaedics 2005 | |
What
is the cost of RSWT?
For
current patients who have already underwent an assessment adding RSWT
to your treatment protocol would be an additional $420 and would
include three RSWT treatments. For new patients or conditions not yet
assessed there would be an additional assessment fee of $80 added to
the RSWT fee.
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