Extracorporeal Shock Wave Therapy

In Extracorporeal Shock Wave Therapy, a cylindrical wave is generated underwater inside the headpiece. The wave is focused through the reflector and transmitted into the tissue. Focused Shock Wave produces a high pressure peak in a very short amount of time and is converted into biochemical energy in the cell and extracellular matrix. The physiological effects of Shock Wave on the tissue includes enhanced neo-vascularity, accelerated growth factor release, inhibition of molecules that have a role in inflammation, and stimulation of cellular processes that contribute to tissue healing and regeneration.

 

Physiological Effects

  • Increased blood flow/Neovascularization
  • Regulate inflammation/reboot the healing process in stalled, chronic conditions
  • Tendon tissue regeneration, remodeling, Facilitate tendon gliding
  • Fibrotic tissue and scar remodeling/ Resorption
  • Stimulation of osteo-regenerative processes, influence osteoblast and osteoclast activity
  • Influence transmission of pain signals/ Release of pain mediators
  • Reduce hypertonia in spastic muscle

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Chronic, stalled conditions are brought back into the acute phase to re-activate the body’s natural healing state. The energy delivered into the tissue by Shock Wave creates microscopic injuries: this controlled acute trauma stimulates the development of new blood vessels in the area.

Tendinitis, plantar facilities, carpal tunnel syndrome

 

 

Treatment Principles

  • Dependent on-indication and tissue response
  • 1-4 treatment sessions
  • 5-10 days between sessions
  • Recommended Laser therapy after the Shock Wave therapy and between sessions

 

What might happens after the Shock Wave therapy

  • Redness of the skin, possible local discomfort, Bruising
  • Swelling, reddening, hematomas – Petechiae – Pain. These side effects generally occur between 5 to 10 days.

Importance: Avoid physical activities 48 hours post treatment

 

Contraindication and Precautions

  • Pregnancy
  • Coagulation disorder
  • Malignancy
  • Thrombosis
  • Corticosteroid injection (6 weeks)
  • Over growth plate (not for under 18 years old)
  • Over nerve roots and spinal cord
  • Acute inflammation, lower and upper ankle
  • History of rheumatic diseases
  • History of hyperthyroidism
  • Paget disease or calcaneal fat pad atrophy 6) Osteomyelitis (acute, sub-acute, chronic)
  • Poly-neuralgia
  • Infection in the area to be treated – Patient has a coagulation disorder or taking anti-coagulant medications
  • Patient has a prosthetic device in the area to be treated – Over ischemic tissue in individuals with vascular disease effects (e.g. foot ulcers, venous stasis, etc.)
  • Fracture of the Calcaneus
  • Immunosuppressive therapy
  • Long-term (≥ 6 months duration) treatment with any corticosteroid
  • Insulin-dependent diabetes mellitus, severe cardiac or respiratory disease
  • Bilateral painful heel, if both feet need medical treatment
  • Previous surgery of the painful heel syndrome
  • Previous unsuccessful treatment of the painful heel with a similar shockwave devices
  • History of allergy or hypersensitivity to bupivacaine or local anesthetic sprays
  • Significant abnormalities in hepatic function
  • Poor physical condition
  •  History or documented evidence of peripheral neuropathy such as nerve entrapment, tarsal tunnel syndrome, etc.
  • History or documented evidence of systemic inflammatory disease such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, aseptic bone necrosis, Reiter‘s syndrome, etc.
  • Implanted pacemakers, insulin pumps, defibrillators and/or neuro-stimulators
  • Open wounds or skin rashes
  • Tendon rupture, neurological or vascular insufficiencies of the painful heel, as assessed using the Semmes-Weinstein Monofilament test and the Ankle Brachial Index

 

 

HOURS OF OPERATION

Our Regular Schedule

Monday

8:00am - 12:00pm

2:00pm - 6:00pm

Tuesday

8:00am - 12:00pm

2:00pm - 5:00pm

Wednesday

8:00am - 12:00pm

2:00pm - 6:00pm

Thursday

8:00am - 12:00pm

2:00pm - 5:00pm

Friday

8:00am - 12:00pm

Saturday

By Appointment

By Appointment

Sunday

Closed

Closed

Monday
8:00am - 12:00pm 2:00pm - 6:00pm
Tuesday
8:00am - 12:00pm 2:00pm - 5:00pm
Wednesday
8:00am - 12:00pm 2:00pm - 6:00pm
Thursday
8:00am - 12:00pm 2:00pm - 5:00pm
Friday
8:00am - 12:00pm
Saturday
By Appointment By Appointment
Sunday
Closed Closed

Locations

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