ESWT

Extra Shockwave Therapy & Treatment - Παρασκευή, 13 Μάρ 2015

Extra Shockwave Therapy & Treatment

Extra Corporeal Shock Wave Therapy (ECSWT) for Musculoskeletal Problems.

SHOCKWAVE THERAPY

Extracorporeal Shockwave Therapy (ECSWT) is available for the treatment of musculoskeletal softtissue pathology such as Tendon, Ligament, Muscle and bone. Shockwave Therapy is a non-invasive treatment provided by fully trained Consultants providing this treatment for more than 15 years. It is available as an out-patient treatment in one of our comfortable consultation rooms

“ESWT offers two main advantages over traditional surgical methods: fewer potential complications and a faster return to normal activity” FDA.

WHAT CONDITIONS ARE TREATED WITH ECSWT?

  • Calcific tendinosis of the shoulder
  • Tennis elbow
  • Trigger Finger
  • Patellar tendinopathy
  • Hamstrings tendinopathy
  • Greater Trochanteric Pain Syndrome in the hip
  • Iliotibial Band Syndrome
  • Muscle Injuries especially the recurrent ones
  • Medial Tibia Stress Syndrome -MTSS
  • Achilles tendinopathy
  • Insertional Achilles tendinopathy.
  • Plantar fasciitis

HOW DOES SHOCKWAVE THERAPY (ECSWT) WORK?

Radial Shockwave Therapy is a series of energetic shockwaves applied to the area that needs treatment. A shockwave is a purely mechanical wave. The treatment stimulates and effectively supports the body’s self healing mechanisms in the tissue that is being treated.

The body responds by increasing the blood circulation and metabolism in the impact area which in turn accelerates the body’s own healing processes. The shockwaves break down  tissue calcifications, adhesions and scar tissue. Reported side effects are minimal, however there may be some discomfort during treatment, skin reddening, possible bruising. If you are concerned please speak with your medical practitioner before receiving treatment.

"Shock Wave Treatment or ESWT stimulates your natural healing process by increasing blood supply and breaks up calcium deposits on the tendon."

WHAT ARE THE ADVANTAGES WITH RADIAL SHOCKWAVE THERAPY?

  • No anesthesia is required
  • It is a Non invasive/surgical  treatment
  • No medication is needed
  • Fast treatment-15 minutes per session, 4-8 sessions required depending on the chronicity of the symptoms
  • Fewer complications
  • Significant clinical benefit often seen 6-8 weeks after treatment.

“At our European SportsCare Centre, Shockwave Therapy is always provided under ultrasound guided imaging.”

HOW IS SHOCK WAVE THERAPY GIVEN?

  • The shockwave is delivered to the tissue via a compressed air impulse exerted by the hand piece.
  • The shockwave radiates out, extending to the entire area where pain occurs.
  • No anesthetic is required and you can continue usual activities. It is recommended to avoid pain provoking exercise for 48 hours following treatment.
  • Treatment usually starts straight away.

“At our ECSWT Clinic we implement an innovative individualised treatment protocol tailored to the patient's MSK Pathology, chronicity of the symptoms and tolerance. The main aim is to deliver safe and effective ECSWT treatment.”

ARE THERE ANY CONTRAINDICATIONS OR RISK FACTORS?  YES.

  • Cortisone injections are not to be administered within the last 11 weeks prior to shockwave therapy treatment.
  • Sometimes there may be some bruising and hemorrhaging tendencies and coagulation system disturbances. As such if you are on warfarin or other anti-coagulant therapies please notify your clinician.
  • If you have a cardiac pacemaker please notify your clinician prior to treatment as shockwave therapy may interfere with this.
  • Acute inflammation or local infection in the treatment area.
  • If you have been diagnosed with cancer you should notify your clinician, as the treatment would not be appropriate in this case.
  • If you are pregnant please notify your clinical, as treatment should not be administered.

“ECSWT uses shockwaves to stimulate healing. It offers advantages over surgery as it is non-invasive with fewer potential complications and a faster return to normal activity.”

CONSULTANTS

Dr Nikos Malliaropoulos
Consultant in Sports and Exercise Medicine & Honorary Senior Lecturer.

Lead Consultant, ECSWT

Dr Nat Padhiar
Consultant Podiatric Surgeon& Honorary Reader

Dr Dev Pyne 

Consultant Rheumatologist & Honorary Senior Lecturer                     

REFERENCES

NICE guidance on use of ESWT for plantar fasciopathy.

NICE guidance on use of ESWT for Achilles tendinopathy.

Extracorporeal Shock Wave Therapy for Patients Suffering from Recalcitrant Osgood-Schlatter Disease.                                                                                                                                      Lohrer H, Nauck T, Schöll J, Zwerver J, Malliaropoulos N.                                                                                            Sportverletz Sportschaden. 2012 Oct 9.PubMed

The Recurrence Rate of Plantar Fasciitis after Radial Extracorporeal Shock Wave Therapy and the Success Rate of the Treatment: A Retrospective Study

Malliaropoulos Nikos,et all ,CJSM(Submitted), 2014

Radial shockwave therapy (RSWT) for of ankle injuries.

Malliaropoulos N. 

2007 EFSMA SEM Congress Prague (Presented)

Radial shock wave therapy (RSWT) for the treatment of musculoskeletal injuries in a sports medicine clinic

N.G Malliaropoulos, A.Akritidou, D.Christodoulou. 2008 FIMS Congress Barcelona.(Presented)

 

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